Validation of ICD-10-CM codes for injuries complicating pregnancy, childbirth and the puerperium: a medical record review.

IF 2
Anna Hansen, Dana Quesinberry, Peter Akpunonu, Julia Martin, Svetla Slavova
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引用次数: 1

Abstract

Introduction: The purpose of this study was to estimate the positive predictive value (PPV) of International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes for injury, poisoning, physical or sexual assault complicating pregnancy, childbirth and the puerperium (PCP) to capture injury encounters within both hospital and emergency department claims data.

Methods: A medical record review was conducted on a sample (n=157) of inpatient and emergency department claims from one Kentucky healthcare system from 2015 to 2017, with any diagnosis in the ICD-10-CM range O9A.2-O9A.4. Study clinicians reviewed medical records for the sampled cases and used an abstraction form to collect information on documented presence of injury and PCP complications. The study estimated the PPVs and the 95% CIs of O9A.2-O9A.4 codes for (1) capturing injuries and (2) capturing injuries complicating PCP.

Results: The estimated PPV for the codes O9A.2-O9A.4 to identify injury in the full sample was 79.6% (95% CI 73.3% to 85.9%) and the PPV for capturing injuries complicating PCP was 72.0% (95% CI 65.0% to 79.0%). The estimated PPV for an inpatient principal diagnosis O9A.2-O9A.4 to capture injuries was 90.7% (95% CI 82.0% to 99.4%) and the PPV for capturing injuries complicating PCP was 88.4% (95% CI 78.4% to 98.4%). The estimated PPV for any mention of O9A.2-O9A.4 in emergency department data to capture injuries was 95.2% (95% CI 90.6% to 99.9%) and the PPV for capturing injuries complicating PCP was 81.0% (95% CI 72.4% to 89.5%).

Discussion: The O9A.2-O9A.4 codes captured high percentage true injury cases among pregnant and puerperal women.

对妊娠、分娩和产褥期损伤的ICD-10-CM代码的验证:一项医疗记录回顾。
简介:本研究的目的是估计国际疾病分类第十版临床修改(ICD-10-CM)代码对伤害、中毒、身体或性侵犯合并妊娠、分娩和产褥期(PCP)的阳性预测值(PPV),以捕获医院和急诊科索赔数据中的伤害遭遇。方法:对肯塔基州某医疗保健系统2015年至2017年住院和急诊科索赔样本(n=157)进行医疗记录回顾,所有诊断在ICD-10-CM范围O9A.2-O9A.4之间。研究临床医生审查了抽样病例的医疗记录,并使用抽象表格收集有关记录的损伤和PCP并发症的信息。该研究估计了o9a - 2- o9a的ppv和95% ci。4个代码分别用于(1)捕获损伤和(2)捕获合并PCP的损伤。结果:编码O9A.2-O9A的估计PPV。在全样本中识别损伤的PPV为79.6% (95% CI 73.3%至85.9%),捕获损伤合并PCP的PPV为72.0% (95% CI 65.0%至79.0%)。住院患者主要诊断为O9A.2-O9A的估计PPV。4捕获损伤为90.7% (95% CI 82.0% ~ 99.4%),捕获损伤合并PCP的PPV为88.4% (95% CI 78.4% ~ 98.4%)。任何提到o9a - 2- o9a的估计PPV。4在急诊科数据中捕获损伤为95.2% (95% CI 90.6%至99.9%),捕获损伤合并PCP的PPV为81.0% (95% CI 72.4%至89.5%)。讨论:o9a - 2- o9a。4个编码在孕妇和产褥期妇女中捕获了高比例的真实伤害病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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