| Characterisation of children's asthma status by ICD-9 code and criteria-based medical record review. | |
| | |
MedLine Citation:
|
PMID: 21063669 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVE: To characterise the relationship between ICD code-based (i.e. physician diagnosis-based) and criteria-based asthma ascertainment. METHODS: We compared identification of children with asthma between criteria-based medical record review for asthma ascertainment and an ICD-9 code-based approach. We determined the agreement rate and validity index of ICD code-based asthma ascertainment using asthma status by medical record review as a gold standard. RESULTS: Of the 115 study subjects, the agreement between medical record review and ICD-9 coding was 81.6% with a kappa value of 0.28 (P<0.0001). Sensitivity, specificity, positive and negative predictive values for ICD-9 code were 24.0%, 97.8%, 75.0%, and 82.0%, respectively, using criteria for asthma by medical record review as gold standard. CONCLUSIONS: ICD code-based asthma ascertainment appears to under-identify children with asthma compared to criteria-based medical record review. ICD codes may be useful for etiologic research but may not be suitable for surveillance of asthma epidemiology. |
| | |
Authors:
|
Young Juhn; Amiinah Kung; Robert Voigt; Shirley Johnson |
Related Documents
:
|
9189709 - Medication use modifies the health effects of particulate sulfate air pollution in chil... 6242769 - Respiratory disability in workers' compensation claimants. 15339329 - Use of anti-secretory medication: a population-based cohort study. 9397509 - Antihistamine-containing cough/cold medications present a low hazard in pediatric accid... 18075889 - Antistress and antiallergic effects of ficus bengalensis bark in asthma. 15609139 - Budget impact model for determining the costs of introducing inhaled salmeterol/flutica... 11135309 - Patterning the pharyngeal arches. 908929 - Neurosurgery 1977: problems and attainments. the 1977 aans presidential address. 17411789 - The digital curriculum vitae. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Primary care respiratory journal : journal of the General Practice Airways Group Volume: 20 ISSN: 1475-1534 ISO Abbreviation: Prim Care Respir J Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-03-03 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101121543 Medline TA: Prim Care Respir J Country: England |
Other Details:
|
Languages: eng Pagination: 79-83 Citation Subset: IM |
Affiliation:
|
Department of Community Pediatric & Adolescent Medicine, Mayo Clinic, Minnesota, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Medical student and patient perspectives on bedside teaching.
Next Document: [Diagnosis and treatment of infective endocarditis. Current ESC guidelines].