Validation of an ICD-9-CM and ICD-10-CM map to AIS 2005 Update 2008
Validation of an ICD-9-CM and ICD-10-CM map to AIS 2005 Update 2008
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DOI：
10.1136/injuryprev-2017-042519
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发表时间：
2019-04-01
影响因子：
3.7
通讯作者：
Zonfrillo, Mark R.
中科院分区：
文献类型：
--
作者：
Glerum, Kimberly M.;Zonfrillo, Mark R.
虽然缩写损伤分级(AIS)是最广泛使用的创伤严重程度评分系统，但医院必须根据国际疾病分类(ICD)进行记录和计费。一个专家小组最近根据AIS 2005更新2008制定了ICD-9-CM和ICD-10-CM之间的映射。这项研究的目的是使用大型创伤登记来验证最近开发的MAP。根据专家的图表审查，MAP显示每个身体区域的最大AIS(MAIS)得分与MAP派生的值(范围：44%-86%)中等到基本一致。由专家编码员计算的损伤严重程度评分(ISSS)与MAP得出的值也进行了比较，显示出中等一致性(ICD-9-CM：48%，ICD-10-CM：54%)。尽管不是一个完美的转换工具，但新的ICD-AIS地图提供了一种系统的方法来为只有ICD-9-CM和ICD-10-CM代码的数据集分配伤害严重性，并可用于未来的伤害相关研究和数据分析。
Although the Abbreviated Injury Scale (AIS) is the most widely used severity scoring system for traumatic injuries, hospitals are required to document and bill based on the International Classification of Diseases (ICD). An expert panel recently developed a map between ICD-9-CM and ICD-10-CM to AIS 2005 Update 2008. This study aimed to validate the recently developed map using a large trauma registry. The map demonstrated moderate to substantial agreement for maximum AIS (MAIS) scores per body region based on expert chart review versus map-derived values (range: 44%-86%). Injury Severity Scores (ISSs) calculated from expert coders versus mapderived values were also compared and demonstrated moderate agreement (ICD-9-CM: 48%, ICD-10-CM: 54%). Although not a perfect conversion tool, the new ICD-AIS map provides a systematic method to assign injury severity for datasets with only ICD-9-CM and ICD-10-CM codes available and can be used for future injuryrelated research and data analysis.