Descriptive exploration of overdose codes in hospital and emergency department discharge data to inform development of drug overdose morbidity surveillance indicator definitions in ICD-10-CM.
Descriptive exploration of overdose codes in hospital and emergency department discharge data to inform development of drug overdose morbidity surveillance indicator definitions in ICD-10-CM.
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DOI：
10.1136/injuryprev-2019-043520
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
James KA
中科院分区：
文献类型：
--
作者：
Tyndall Snow LM;Hall KE;Custis C;Rosenthal AL;Pasalic E;Nechuta S;Davis JW;Jacquemin BJ;Jagroep SR;Rock P;Contreras E;Gabella BA;James KA
2015年10月，美国的出院数据编码转向《国际疾病分类第十次修订临床修改》（ICD-10-CM），需要新的药物过量发病率指标定义。在药物过量危机中，具有ICD-10-CM药物过量代码的出院记录特征可以为流行病学监测中标准化药物过量发病率指标定义的制定提供信息。8个州提交了汇总数据，涉及2015年10月至2016年12月期间就诊的医院和急诊科（ED）出院记录，ICD-10-CM代码以T36-T50开头。计算(1)在诊断计费字段中发生药物过量代码的位置的频率；(2)按ICD-10-CM章节分组的初诊代码；(3)遭遇类型；（四）意图、剂量不足及不良反应。在所有药物过量代码记录中，参与州的初级诊断领域平均占住院率的70.6%（中位数=69.5%，范围= 66.2%-76.8%）和急诊科就诊率的79.9%（中位数=80.7%，范围= 69.8%-88.0%）。最常见的初级诊断章节包括伤害和精神障碍章节。在以药物过量首次接触、后续接触和后遗症为编码的就诊中，平均94.6%的住院记录（中位数=98.3%，范围= 68.8%-98.8%）和95.5%的急诊科记录（中位数=99.5%，范围= 79.2%-99.8%）代表首次接触。在任何意图药物过量、不良反应和剂量不足的记录中，不良反应平均占住院记录的74.9%（中位数=76.3%；范围= 57.6%-81.1%）和ED记录的50.8%（中位数=48.9%；范围= 42.3%-66.8%），而无意意图平均占住院记录的11.1%（中位数=11.0%；范围= 8.3%-14.5%）和ED记录的28.2%（中位数=25.6%；范围= 20.8%-40.7%）。结果强调了调整和标准化ICD-10-CM中药物过量指标定义的考虑。
In October 2015, discharge data coding in the USA shifted to the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), necessitating new indicator definitions for drug overdose morbidity. Amid the drug overdose crisis, characterising discharge records that have ICD-10-CM drug overdose codes can inform the development of standardised drug overdose morbidity indicator definitions for epidemiological surveillance. Eight states submitted aggregated data involving hospital and emergency department (ED) discharge records with ICD-10-CM codes starting with T36–T50, for visits occurring from October 2015 to December 2016. Frequencies were calculated for (1) the position within the diagnosis billing fields where the drug overdose code occurred; (2) primary diagnosis code grouped by ICD-10-CM chapter; (3) encounter types; and (4) intents, underdosing and adverse effects. Among all records with a drug overdose code, the primary diagnosis field captured 70.6% of hospitalisations (median=69.5%, range=66.2%–76.8%) and 79.9% of ED visits (median=80.7%; range=69.8%–88.0%) on average across participating states. The most frequent primary diagnosis chapters included injury and mental disorder chapters. Among visits with codes for drug overdose initial encounters, subsequent encounters and sequelae, on average 94.6% of hospitalisation records (median=98.3%; range=68.8%–98.8%) and 95.5% of ED records (median=99.5%; range=79.2%–99.8%), represented initial encounters. Among records with drug overdose of any intent, adverse effect and underdosing codes, adverse effects comprised an average of 74.9% of hospitalisation records (median=76.3%; range=57.6%–81.1%) and 50.8% of ED records (median=48.9%; range=42.3%–66.8%), while unintentional intent comprised an average of 11.1% of hospitalisation records (median=11.0%; range=8.3%–14.5%) and 28.2% of ED records (median=25.6%; range=20.8%–40.7%). Results highlight considerations for adapting and standardising drug overdose indicator definitions in ICD-10-CM.
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影响因子：
33.9
作者：
Vivolo-Kantor, Alana M.;Seth, Puja;Coletta, Michael A.
通讯作者：
Coletta, Michael A.
影响因子：
3
作者：
Heslin, Kevin C.;Owens, Pamela L.;Elixhauser, Anne
通讯作者：
Elixhauser, Anne
DOI：
10.1136/injuryprev-2019-043521
发表时间：
2021-03
期刊：
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
影响因子：
--
作者：
Vivolo-Kantor A;Pasalic E;Liu S;Martinez PD;Gladden RM;Overdose Morbidity Team
通讯作者：
Overdose Morbidity Team
影响因子：
2.2
作者：
Slavova S;Costich JF;Luu H;Fields J;Gabella BA;Tarima S;Bunn TL
通讯作者：
Bunn TL
影响因子：
3.3
作者：
Slavova, Svetla;Quesinberry, Dana;Bunn, Terry L.
通讯作者：
Bunn, Terry L.