ICD-10 codes are a valid tool for identification of pneumonia in hospitalized patients aged ≥65 years

被引：118

作者：

Skull, S. A. ^{[1
,2
]}

Andrews, R. M. ^{[2
]}

Byrnes, G. B. ^{[3
]}

Campbell, D. A. ^{[3
,4
]}

Nolan, T. M. ^{[3
]}

Brown, G. V. ^{[5
]}

Kelly, H. A. ^{[3
,6
]}

机构：

[1] Univ Melbourne, Royal Childrens Hosp, Dept Paediat, Parkville, Vic 3052, Australia

[2] Menzies Sch Hlth Res, Darwin, NT, Australia

[3] Univ Melbourne, Sch Populat Hlth, Melbourne, Vic 3010, Australia

[4] Monash Med Ctr, Monash Inst Hlth Serv Res, Clayton, Vic 3168, Australia

[5] Univ Melbourne, Royal Childrens Hosp, Dept Med, Parkville, Vic 3052, Australia

[6] Victorian Infect Dis Reference Lab, Melbourne, Vic, Australia

来源：

EPIDEMIOLOGY AND INFECTION | 2008年 / 136卷 / 02期

基金：

英国医学研究理事会;

关键词：

D O I：

10.1017/S0950268807008564

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This study examines the validity of using ICD-10 codes to identify hospitalized pneumonia cases. Using a case-cohort design, subjects were randomly selected from monthly cohorts of patients aged >= 65 years discharged from April 2000 to March 2002 from two large tertiary Australian hospitals. Cases had ICD-10-AM codes J10-J18 (pneumonia); the cohort sample was randomly selected from all discharges, frequency matched to cases by month. Codes were validated against three comparators: medical record notation of pneumonia, chest radiograph (CXR) report and both. Notation of pneumonia was determined for 5098/5101 eligible patients, and CXR reports reviewed for 3349/3464 (97 %) patients with a CXR. Coding performed best against notation of pneumonia: kappa 0.95, sensitivity 97.8 % (95 % CI 97.1-98.3), specificity 96.9 % (95 % CI 96.2-97.5), positive predictive value (PPV) 96.2 % (95 % CI 95.4-97.0) and negative predictive value (NPV) 98.2 % (95 % CI 97.6-98.6). When medical record notation of pneumonia is used as the standard, ICD-10 codes are a valid method for retrospective ascertainment of hospitalized pneumonia cases and appear superior to use of complexes of symptoms and signs, or radiology reports.

引用

页码：232 / 240

页数：9

共 31 条

[1] Interobserver reliability of the chest radiograph in community-acquired pneumonia [J].

Albaum, MN ;

Hill, LC ;

Murphy, M ;

Li, YH ;

Fuhrman, CR ;

Britton, CA ;

Kapoor, WN ;

Fine, MJ .

CHEST, 1996, 110 (02) :343-350

[2] Effectiveness of a 23-valent polysaccharide vaccine in preventing pneumonia and non-invasive pneumococcal infection in elderly people: a large-scale retrospective cohort study [J].

Ansaldi, F ;

Turello, V ;

Bastone, G ;

De Luca, S ;

Rosselli, R ;

Durando, P ;

Sticchi, L ;

Gasparini, R ;

Delfino, E ;

Icardi, G .

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2005, 33 (05) :490-500

[3] Accuracy of administrative data for identifying patients with pneumonia [J].

Aronsky, D ;

Haug, PJ ;

Lagor, C ;

Dean, NC .

AMERICAN JOURNAL OF MEDICAL QUALITY, 2005, 20 (06) :319-328

[4] Evaluation of a computerized diagnostic decision support system for patients with pneumonia: Study design considerations [J].

Aronsky, D ;

Chan, KJ ;

Haug, PJ .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2001, 8 (05) :473-485

[5]

Cherian T, 2005, B WORLD HEALTH ORGAN, V83, P353

[6] Effects of a large-scale intervention with influenza and 23-valent pneumococcal vaccines in adults aged 65 years or older:: a prospective study [J].

Christenson, B ;

Lundbergh, P ;

Hedlund, J ;

Örtqvist, Å .

LANCET, 2001, 357 (9261) :1008-1011

[7]

*COMM PROF HOSP AC, 1980, CLIN MOD, V1

[8] EVALUATING VACCINATION EFFECTIVENESS AND VACCINE EFFICACY BY MEANS OF CASE-CONTROL STUDIES [J].

COMSTOCK, GW .

EPIDEMIOLOGIC REVIEWS, 1994, 16 (01) :77-89

[9]

DEAR K, COCHRANE DATABASE SY

[10]

*DEP HUM SERV VICT, VICT INP MED DAT PER

← 1 2 3 4 →