Justin B. Searns MD, Matt Hall PhD, Meghan Birkholz MSPH, Kevin J. Downes MD, Brittany B. Hubbell MD, Andrew S. Kern-Goldberger MD, MSCE, Jessica L. Markham MD, MSc, Jason G. Newland MD, MEd, Stephanie L. Rolsma MD, PhD, Marie E. Wang MD, MPH, Sean T. O'Leary MD, Samuel R. Dominguez MD, PhD, Sarah K. Parker MD, Matthew P. Kronman MD, MSCE
{"title":"儿童急性血源性肌肉骨骼感染病原体诊断代码的准确性。","authors":"Justin B. Searns MD, Matt Hall PhD, Meghan Birkholz MSPH, Kevin J. Downes MD, Brittany B. Hubbell MD, Andrew S. Kern-Goldberger MD, MSCE, Jessica L. Markham MD, MSc, Jason G. Newland MD, MEd, Stephanie L. Rolsma MD, PhD, Marie E. Wang MD, MPH, Sean T. O'Leary MD, Samuel R. Dominguez MD, PhD, Sarah K. Parker MD, Matthew P. Kronman MD, MSCE","doi":"10.1002/jhm.13584","DOIUrl":null,"url":null,"abstract":"<p>Administrative databases are powerful tools for pediatric research but lack patient-level microbiology results. This study aimed to determine the accuracy of pathogen discharge diagnosis codes for children hospitalized with acute hematogenous musculoskeletal infections (MSKIs). Medical records for 244 children hospitalized with acute hematogenous MSKIs were manually reviewed to determine which bacterial pathogen, if any, was identified for each MSKI based on microbiology results obtained during the hospitalization. Microbiology results for each patient were then compared to their discharge diagnoses in the Pediatric Health Information System (PHIS) database to determine the accuracy of pathogen discharge codes. Discharge diagnostic codes correctly matched the microbiology results in 89.3% of encounters. Sensitivity and specificity for <i>Staphylococcus aureus</i> discharge diagnostic codes were 88.6% and 96.4% respectively for methicillin-susceptible <i>S. aureus</i> and 92.9% and 99.5% for methicillin-resistant <i>S. aureus</i>. Pathogen discharge codes are reliable surrogates that accurately reflect the microbiology results for children with MSKIs.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 8","pages":"853-857"},"PeriodicalIF":2.3000,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Accuracy of pathogen diagnostic codes for acute hematogenous musculoskeletal infections in children\",\"authors\":\"Justin B. Searns MD, Matt Hall PhD, Meghan Birkholz MSPH, Kevin J. Downes MD, Brittany B. Hubbell MD, Andrew S. Kern-Goldberger MD, MSCE, Jessica L. Markham MD, MSc, Jason G. Newland MD, MEd, Stephanie L. Rolsma MD, PhD, Marie E. Wang MD, MPH, Sean T. O'Leary MD, Samuel R. Dominguez MD, PhD, Sarah K. Parker MD, Matthew P. Kronman MD, MSCE\",\"doi\":\"10.1002/jhm.13584\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Administrative databases are powerful tools for pediatric research but lack patient-level microbiology results. This study aimed to determine the accuracy of pathogen discharge diagnosis codes for children hospitalized with acute hematogenous musculoskeletal infections (MSKIs). Medical records for 244 children hospitalized with acute hematogenous MSKIs were manually reviewed to determine which bacterial pathogen, if any, was identified for each MSKI based on microbiology results obtained during the hospitalization. Microbiology results for each patient were then compared to their discharge diagnoses in the Pediatric Health Information System (PHIS) database to determine the accuracy of pathogen discharge codes. Discharge diagnostic codes correctly matched the microbiology results in 89.3% of encounters. Sensitivity and specificity for <i>Staphylococcus aureus</i> discharge diagnostic codes were 88.6% and 96.4% respectively for methicillin-susceptible <i>S. aureus</i> and 92.9% and 99.5% for methicillin-resistant <i>S. aureus</i>. Pathogen discharge codes are reliable surrogates that accurately reflect the microbiology results for children with MSKIs.</p>\",\"PeriodicalId\":15883,\"journal\":{\"name\":\"Journal of hospital medicine\",\"volume\":\"20 8\",\"pages\":\"853-857\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-01-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of hospital medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.13584\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of hospital medicine","FirstCategoryId":"3","ListUrlMain":"https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.13584","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Accuracy of pathogen diagnostic codes for acute hematogenous musculoskeletal infections in children
Administrative databases are powerful tools for pediatric research but lack patient-level microbiology results. This study aimed to determine the accuracy of pathogen discharge diagnosis codes for children hospitalized with acute hematogenous musculoskeletal infections (MSKIs). Medical records for 244 children hospitalized with acute hematogenous MSKIs were manually reviewed to determine which bacterial pathogen, if any, was identified for each MSKI based on microbiology results obtained during the hospitalization. Microbiology results for each patient were then compared to their discharge diagnoses in the Pediatric Health Information System (PHIS) database to determine the accuracy of pathogen discharge codes. Discharge diagnostic codes correctly matched the microbiology results in 89.3% of encounters. Sensitivity and specificity for Staphylococcus aureus discharge diagnostic codes were 88.6% and 96.4% respectively for methicillin-susceptible S. aureus and 92.9% and 99.5% for methicillin-resistant S. aureus. Pathogen discharge codes are reliable surrogates that accurately reflect the microbiology results for children with MSKIs.
期刊介绍：
JHM is a peer-reviewed publication of the Society of Hospital Medicine and is published 12 times per year. JHM publishes manuscripts that address the care of hospitalized adults or children.
Broad areas of interest include (1) Treatments for common inpatient conditions; (2) Approaches to improving perioperative care; (3) Improving care for hospitalized patients with geriatric or pediatric vulnerabilities (such as mobility problems, or those with complex longitudinal care); (4) Evaluation of innovative healthcare delivery or educational models; (5) Approaches to improving the quality, safety, and value of healthcare across the acute- and postacute-continuum of care; and (6) Evaluation of policy and payment changes that affect hospital and postacute care.
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