4.3 Article

The validity of hospital diagnostic and procedure codes reflecting morbidity in preterm neonates born <32 weeks gestation

期刊

JOURNAL OF PERINATOLOGY
卷 -, 期 -, 页码 -

出版社

SPRINGERNATURE
DOI: 10.1038/s41372-023-01685-6

关键词

-

向作者/读者索取更多资源

This study found that diagnostic hospital billing codes are a reliable metric to evaluate complications and surgeries in preterm neonates, except for more ambiguous diagnoses such as necrotizing enterocolitis and its surgery.
ObjectiveTo determine the validity of diagnostic hospital billing codes for complications of prematurity in neonates Study DesignRetrospective 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.ResultsIVH, 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.ConclusionDiagnostic 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.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.3
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据