Positive predictive value of the diagnosis of acute myocardial infarction in an administrative database

被引：208

作者：

Petersen, LA ^{[1
]}

Wright, S ^{[1
]}

Normand, SLT ^{[1
]}

Daley, J ^{[1
]}

机构：

[1] Brockton W Roxbury Vet Affairs Med Ctr, Ctr Study Practice Patterns Acute Myocardial Infa, Boston, MA USA

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1999年 / 14卷 / 09期

关键词：

information systems; medical records; databases; myocardial infarction;

D O I：

10.1046/j.1525-1497.1999.10198.x

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

OBJECTIVE:To determine the positive predictive value of ICD-9-CM coding of acute myocardial infarction and cardiac procedures. METHODS: Using chart-abstracted data as the standard, we examined administrative data from the Veterans Health Administration for a national random sample of 5,151 discharges. MAIN RESULTS: The positive predictive value of acute myocardial infarction coding in the primary position was 96.9%. The sensitivity and specificity of coding were, respectively, 96% and 99% for catheterization, 95.7% and 100% for coronary artery bypass graft surgery, and 90.3% and 99.7% for percutaneous transruminal coronary angioplasty. CONCLUSIONS: The positive predictive value of acute myocardial infarction and related procedure coding is comparable to or better than previously reported observations of administrative databases.

引用

页码：555 / 558

页数：4

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