Comparing reliability of ICD‐10‐based COVID‐19 comorbidity data to manual chart review, a retrospective cross‐sectional study
| Autor: | Michael Li, Dina S. Zaret, Christa M. Smaltz, Chantel M. Venkataraman, David B. Ney, Divya M. Chalikonda, Chris J. Li, Joshua D. Mairose, Dianna R. Cheney-Peters, Margaret V. Szot, Rukaiya Bashir-Hamidu, Joseph W. Schaefer, Kashyap Chauhan, Alan A. Kubey, M.P.H. Crystal Y. Lee, Conor G. Bradley, Joshua M. Riley, Danielle M. Fitzpatrick, Robert B. Jones, Shuji Mitsuhashi |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Research design medicine.medical_specialty Cross-sectional study Comorbidity International Classification of Diseases Virology medicine Humans Medical diagnosis Retrospective Studies Philadelphia Past medical history SARS-CoV-2 business.industry Clinical Coding COVID-19 Reproducibility of Results ICD-10 Middle Aged medicine.disease Confidence interval Cross-Sectional Studies Infectious Diseases Emergency medicine Cohort Female business |
| Zdroj: | Journal of Medical Virology. 94:1550-1557 |
| ISSN: | 1096-9071 0146-6615 |
| Popis: | BACKGROUND International Statistical Classification of Disease and Related Health Problems, 10th Revision codes (ICD-10) are used to characterize cohort comorbidities. Recent literature does not demonstrate standardized extraction methods. OBJECTIVE Compare COVID-19 cohort manual-chart-review and ICD-10-based comorbidity data; characterize the accuracy of different methods of extracting ICD-10-code-based comorbidity, including the temporal accuracy with respect to critical time points such as day of admission. METHODS Design: Retrospective cross-sectional study. MEASUREMENTS ICD-10-based-data performance characteristics relative to manual-chart-review. RESULTS Discharge billing diagnoses had a sensitivity of 0.82 (95% Confidence Interval [CI]: 0.79-0.85; comorbidity range 0.35-0.96). The past medical history table had a sensitivity of 0.72 (95% CI: 0.69-0.76; range 0.44-0.87). The active problem list had a sensitivity of 0.67 (95% CI: 0.63-0.71; range 0.47-0.71). On day of admission, the active problem list had a sensitivity of 0.58 (95% CI: 0.54-0.63; range 0.30-0.68) and past medical history table had a sensitivity of 0.48 (95% CI: 0.43-0.53; range 0.30-0.56). CONCLUSIONS AND RELEVANCE ICD-10-based comorbidity data performance varies depending on comorbidity, data source, and time of retrieval; there are notable opportunities for improvement. Future researchers should clearly outline comorbidity data source and validate against manual-chart-review. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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