4.7 Article

ICD-9 codes and surveillance for Clostridium difficile-associated disease

Journal

EMERGING INFECTIOUS DISEASES
Volume 12, Issue 10, Pages 1576-1579

Publisher

CENTERS DISEASE CONTROL & PREVENTION
DOI: 10.3201/eid1210.060016

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Funding

  1. PHS HHS [1U01C1000333-01] Funding Source: Medline
  2. ODCDC CDC HHS [UR8/CCU715087-06/1] Funding Source: Medline

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We conducted a retrospective cohort study to compare Clostridium difficile-associated disease rates determined by C. difficile-toxin assays and International Classification of Diseases, 9th Revision (ICD-9) codes. The correlation between toxin assay results and ICD-9 codes was good (kappa=0.72, p < 0.01). The sensitivity of the ICD-9 codes was 78% and the specificity was 99.7%.

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