Validation of ICD-10 codes for the identification of paediatric out-of-hospital cardiac arrest patients.
Aim: There is a need for large-scale epidemiological studies of paediatric out-of-hospital cardiac arrest (POHCA). To enable this, we developed and validated international classification of disease (ICD-10) search algorithms for the identification of POHCA patients from health administrative data.Me...
| Publicado en: | Resuscitation Vol. 171; pp. 73 - 80 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Feb2022
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| 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=155090450&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155090450 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03009572 3PQ jtl: Resuscitation issn: 03009572 maglogo: N pubinfo: dt: Feb2022 vid: 171 pid: 1004 pub: Elsevier B.V. artinfo: ui: 155090450 155090450 NLM34952178 155090450 10.1016/j.resuscitation.2021.12.017 NLM34952178 155090450 ppf: 73 ppct: 7 formats: tig: atl: Validation of ICD-10 codes for the identification of paediatric out-of-hospital cardiac arrest patients. aug: au: Gray, Katelyn Cameron, Saoirse McKenzie, Kate Miller, Michael Odoardi, Natalya Tijssen, Janice A. affil: Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St, London, ON N6A 5C1, Canada sug: subj: International Classification of Diseases Predictive Value of Tests Emergency Service Resource Databases Algorithms Human Child Adolescence Comparative Studies Multicenter Studies Evaluation Research Validation Studies Child: 6-12 years Adolescent: 13-18 years ab: Aim: There is a need for large-scale epidemiological studies of paediatric out-of-hospital cardiac arrest (POHCA). To enable this, we developed and validated international classification of disease (ICD-10) search algorithms for the identification of POHCA patients from health administrative data.Methods: We validated the algorithms with a registry of POHCA (CanRoc) as the reference standard. The reference standard included all atraumatic POHCA in Middlesex-London region for January 2012-June 2020. All algorithms included 1 day to <18-year-old patients transported to emergency department (ED) by ambulance and excluded trauma. We tested three algorithms, which were applied to the National Ambulatory Care Reporting System and Discharge Abstract Database. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR) and negative likelihood ration (NLR) were calculated for each algorithm.Results: During the study period, 17,688 children presented to the ED by ambulance. The reference standard included 51 POHCA patients. The algorithm using only ICD-10 code for cardiac arrest had a sensitivity of 65.5% and PPV of 90%. The algorithm with the highest sensitivity of 87.3% added sudden infant death syndrome, drowning or asphyxiation with CPR in addition to the cardiac arrest codes for inpatient and ED records. This algorithm had a specificity of 99.9%, PPV of 81.4% and NPV of ∼100.0%.Conclusion: It is important that algorithms used for cohort identification are validated prior to use. The ICD-10 code for cardiac arrest alone misses many POHCA cases but the use of additional codes can improve the sensitivity while maintaining specificity. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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