Chart validation of inpatient International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) administrative diagnosis codes for venous thromboembolism (VTE) among intravenous immune globulin (IGIV) users in the Sentinel Distributed Database.
The Sentinel Distributed Database (SDD) is a database of patient administrative healthcare records, derived from insurance claims and electronic health records, sponsored by the US Food and Drug Administration for evaluation of medical product outcomes. There is limited information on the validity o...
| Publicado en: | Medicine Vol. 97; no. 8; pp. 1 - 8 |
|---|---|
| Autores principales: | , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Mar2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128175621&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128175621 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257974 2S6 jtl: Medicine issn: 00257974 maglogo: N pubinfo: dt: Mar2018 vid: 97 iid: 8 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 128175621 128175621 NLM29465588 128175621 10.1097/MD.0000000000009960 NLM29465588 128175621 ppf: 1 ppct: 7 formats: tig: atl: Chart validation of inpatient International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) administrative diagnosis codes for venous thromboembolism (VTE) among intravenous immune globulin (IGIV) users in the Sentinel Distributed Database. aug: au: Ammann, Eric M. Cuker, Adam Carnahan, Ryan M. Perepu, Usha S. Winiecki, Scott K. Schweizer, Marin L. Leonard, Charles E. Fuller, Candace C. Garcia, Crystal Haskins, Cole Chrischilles, Elizabeth A. affil: College of Public Health, University of Iowa, Iowa City, Iowa. sug: subj: Venous Thromboembolism Diagnosis Immunoglobulins, Intravenous Adverse Effects Resource Databases Standards International Classification of Diseases Standards Medical Records Standards Pulmonary Embolism Diagnosis Reproducibility of Results Risk Assessment Statistics and Numerical Data Predictive Value of Tests Female Venous Thromboembolism Chemically Induced United States Pulmonary Embolism Chemically Induced Risk Assessment Standards Human Hospitalization Statistics and Numerical Data Middle Age Male Venous Thrombosis Chemically Induced Venous Thrombosis Diagnosis Validation Studies Comparative Studies Evaluation Research Multicenter Studies Scales Middle Aged: 45-64 years Female Male ab: The Sentinel Distributed Database (SDD) is a database of patient administrative healthcare records, derived from insurance claims and electronic health records, sponsored by the US Food and Drug Administration for evaluation of medical product outcomes. There is limited information on the validity of diagnosis codes for acute venous thromboembolism (VTE) in the SDD and administrative healthcare data more generally.In this chart validation study, we report on the positive predictive value (PPV) of inpatient administrative diagnosis codes for acute VTE-pulmonary embolism (PE) or lower-extremity or site-unspecified deep vein thrombosis (DVT)-within the SDD. As part of an assessment of thromboembolic adverse event risk following treatment with intravenous immune globulin (IGIV), charts were obtained for 75 potential VTE cases, abstracted, and physician-adjudicated.VTE status was determined for 62 potential cases. PPVs for lower-extremity DVT and/or PE were 90% (95% CI: 73-98%) for principal-position diagnoses, 80% (95% CI: 28-99%) for secondary diagnoses, and 26% (95% CI: 11-46%) for position-unspecified diagnoses (originating from physician claims associated with an inpatient stay). Average symptom onset was 1.5 days prior to hospital admission (range: 19 days prior to 4 days after admission).PPVs for principal and secondary VTE discharge diagnoses were similar to prior study estimates. Position-unspecified diagnoses were less likely to represent true acute VTE cases. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|