Validation of Diagnostic and Procedural Codes for Identification of Acute Cardiovascular Events in US Veterans with Rheumatoid Arthritis.
Validation of Diagnostic and Procedural Codes for Identification of Acute Cardiovascular Events in US Veterans with Rheumatoid Arthritis.
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DOI：
10.13063/2327-9214.1023
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Caplan L
中科院分区：
文献类型：
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作者：
Davis LA;Mann A;Cannon GW;Mikuls TR;Reimold AM;Caplan L
为评估《国际疾病分类》第九版和现行程序术语代码用于识别退伍军人事务部类风湿性关节炎(VARA)登记登记的心血管(CV)事件(心肌梗死[MI]、中风、冠状动脉旁路移植[CABG]和经皮冠状动脉介入治疗[PCI])的准确性。我们进行了一项从VARA登记到2010年6月1日的验证研究，以比较住院和门诊记录中有和没有CV事件编码的CV事件的准确性，以评估编码后3个月的CV事件+/−。计算阳性预测值，并将阳性预测值≥为50%的编码纳入复合编码算法。我们评估了107个个体的21个CV事件编码和60个没有CV事件编码的个体。PPV在0~100%之间变化。复合编码算法的PPV在70%~100%之间。对这些算法的验证允许以已知的准确性识别急性心血管事件。冠脉搭桥术和经皮冠状动脉旁路移植术的编码算法的灵敏度和PPV均高于卒中和心肌梗死。
To assess the accuracy of International Classification of Diseases, Ninth Revision, and Current Procedural Terminology codes for identifying cardiovascular (CV) events (myocardial infarction [MI], stroke, coronary artery bypass graft [CABG], and percutaneous coronary intervention [PCI]) in enrollees of the Veterans Affairs Rheumatoid Arthritis (VARA) registry. We performed a validation study from VARA enrollment until 6/1/2010 to compare the accuracy of CV events in those with and without CV-event coding in inpatient and outpatient records to evaluate for CV events +/− 3 months of the coding. The positive predictive value (PPV) was calculated, and codes with a PPV ≥50% were included in a composite coding algorithm. We evaluated 107 individuals for 21 CV-event codes and 60 individuals without CV-event coding. The PPV varied between 0–100%. Composite coding algorithms’ PPV ranged from 70–100%. Validation of these algorithms allows for identification of acute CV events with known accuracy. The sensitivity and PPV of coding algorithms for CABG and PCI exceed that of stroke and MI.