The validity of hospital diagnostic and procedure codes reflecting morbidity in preterm neonates born <32 weeks gestation.
J Perinatol
; 43(11): 1374-1378, 2023 11.
Article
en En
| MEDLINE
| ID: mdl-37138163
ABSTRACT
OBJECTIVE:
To determine the validity of diagnostic hospital billing codes for complications of prematurity in neonates <32 weeks gestation. STUDYDESIGN:
Retrospective cohort data from discharge summaries and clinical notes (n = 160) were reviewed by trained, blinded abstractors for the presence of intraventricular hemorrhage (IVH) grades 3 or 4, periventricular leukomalacia (PVL), necrotizing enterocolitis (NEC), stage 3 or higher, retinopathy of prematurity (ROP), and surgery for NEC or ROP. Data were compared to diagnostic billing codes from the neonatal electronic health record.RESULTS:
IVH, PVL, ROP and ROP surgery had strong positive predictive values (PPV > 75%) and excellent negative predictive values (NPV > 95%). The PPVs for NEC (66.7%) and NEC surgery (37.1%) were low.CONCLUSION:
Diagnostic hospital billing codes were observed to be a valid metric to evaluate preterm neonatal morbidities and surgeries except in the instance of more ambiguous diagnoses such as NEC and NEC surgery.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Leucomalacia Periventricular
/
Retinopatía de la Prematuridad
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Enterocolitis Necrotizante
/
Enfermedades del Recién Nacido
Tipo de estudio:
Diagnostic_studies
Límite:
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
En
Revista:
J Perinatol
Asunto de la revista:
PERINATOLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos