Coding practice for sepsis 2008-21.
| Autor: | Skei NV; Avdeling for anestesi- og intensivmedisin, Sykehuset Levanger, og, Midt-norsk senter for sepsisforskning, Institutt for sirkulasjon og bildediagnostikk, NTNU., Afset JE; Institutt for klinisk og molekylær medisin, Fakultetet for medisin og helsevitenskap, NTNU, og, Avdeling for medisinsk mikrobiologi, St. Olavs hospital., Ehrnström B; Midt-norsk senter for sepsisforskning, Klinikk for anestesi og intensivmedisin, NTNU, og, Infeksjonsmedisinsk avdeling, Medisinsk klinikk, St. Olavs hospital., Nessan BS; Avdeling for økonomi, Helse Nord-Trøndelag, Levanger, og, DRG-forum., Damås JK; Midt-norsk senter for sepsisforskning, Institutt for sirkulasjon og bildediagnostikk, NTNU, og, Infeksjonsmedisinsk avdeling, Medisinsk klinikk, St. Olavs hospital., Nilsen TIL; Institutt for samfunnsmedisin og sykepleie, NTNU, Tom Ivar Lund Nilsen er professor., Gustad LT; Midt-norsk senter for sepsisforskning, Institutt for sirkulasjon og bildediagnostikk, NTNU, og, Fakultet for sykepleie og helsevitenskap, Nord Universitet, Levanger, og, Klinikk for medisin og rehabilitering, Levanger Sykehus. |
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| Jazyk: | English; Norwegian |
| Zdroj: | Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke [Tidsskr Nor Laegeforen] 2024 Feb 26; Vol. 144 (3). Date of Electronic Publication: 2024 Feb 26 (Print Publication: 2024). |
| DOI: | 10.4045/tidsskr.23.0271 |
| Abstrakt: | Background: Sepsis has a high incidence and mortality rate. Accurate data are needed for health service planning and for research, and there is a need to identify coding practices in Norway. Material and Method: All patients over 17 years of age who had been admitted to Norwegian hospitals with sepsis in the period 2008-21 were identified using diagnostic codes for infection plus organ failure, and specific codes for sepsis, from the Norwegian Patient Registry. Results: There were 317 705 admissions with diagnostic codes for sepsis, of which 210 391 (66.2 %) were sepsis with a known focus, 77 627 (24.4 %) were of unknown focus and 29 687 (9.3 %) were codes for both a known and unknown focus. The percentage of sepsis episodes coded with a known focus varied between the health regions. The highest percentage was in the Western Norway Regional Health Authority (72.1 %, 95 % confidence interval (CI): 71.8 to 72.5), and the lowest was in the Central Norway Regional Health Authority (59.2 %, 95 %, CI 58.7 to 59.7). The use of codes with a known focus increased each year on average by 3.2 % (95 % CI 2.7 to 3.6, from 47.5 % in 2008 to 82.3 % in 2021), while the use of codes with an unknown focus decreased by 2.3 % (95 % CI -2.7 to -1.9) from 37.8 % in 2008 to 13.0 % in 2021. Known and unknown focus combined also decreased by 0.9 % per year on average (95 % CI -1.0 to -0.8) from 14.3 % in 2008 to 4.1 % in 2021. Interpretation: The coding of sepsis in Norwegian hospitals has become more uniform. |
| Databáze: | MEDLINE |
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