Validity of hospital discharge data for identifying infants with cardiac defects

被引：101

作者：

Frohnert B.K. ^{[1
]}

Lussky R.C. ^{[2
]}

Alms M.A. ^{[3
]}

Mendelsohn N.J. ^{[4
]}

Symonik D.M. ^{[3
]}

Falken M.C. ^{[3
]}

机构：

[1] CDC/CSTE Applied Epidemiology Fellow, Minnesota Department of Health, St. Paul, MN

[2] Hennepin County Medical Center, Minneapolis, MN

[3] Environmental Health Division, Minnesota Department of Health, St. Paul, MN 55164-0975

[4] Children's Hospital and Clinics of Minnesota, Minneapolis, MN

来源：

Journal of Perinatology | 2005年 / 25卷 / 11期

关键词：

D O I：

10.1038/sj.jp.7211382

中图分类号：

学科分类号：

摘要：

Objective: To examine validity of the International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) codes in discharge data for identifying infants with cardiac defects according to surveillance guidelines. Study design: Retrospective medical record review of infants born in 2001 at one hospital in Minneapolis, Minnesota. Infants were identified using ICD-9-CM codes from hospital discharge data, and keywords in medical records. Results: Of 2697 children, ICD-9-CM codes identified 66 infants coded with cardiac defects; physician review confirmed 24 had cardiac defects. Only 35 of 85 (41.2%) ICD-9-CM codes accurately reflected the cardiac defect diagnoses. Additional case finding located four infants with five cardiac defects. Sensitivity of ICD-9-CM codes for identifying these infants was 0.857, predictive value positive was 0.364. Conclusions: IC D-9-CM codes from hospital discharge data identified most infants with cardiac defects, but many were false positives. ICD-9-CM codes were inaccurate for specific cardiac defects. © 2005 Nature Publishing Group All rights reserved.

引用

页码：737 / 742

页数：5

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