Document Detail


Positive predictive value of the diagnosis of acute myocardial infarction in an administrative database.
MedLine Citation:
PMID:  10491245     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the positive predictive value of ICD-9-CM coding of acute myocardial infarction and cardiac procedures. METHODS: Using chart-abstracted data as the standard, we examined administrative data from the Veterans Health Administration for a national random sample of 5,151 discharges. MAIN RESULTS: The positive predictive value of acute myocardial infarction coding in the primary position was 96.9%. The sensitivity and specificity of coding were, respectively, 96% and 99% for catheterization, 95.7% and 100% for coronary artery bypass graft surgery, and 90.3% and 99. 7% for percutaneous transluminal coronary angioplasty. CONCLUSIONS: The positive predictive value of acute myocardial infarction and related procedure coding is comparable to or better than previously reported observations of administrative databases.
Authors:
L A Petersen; S Wright; S L Normand; J Daley
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of general internal medicine     Volume:  14     ISSN:  0884-8734     ISO Abbreviation:  J Gen Intern Med     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-10-22     Completed Date:  1999-10-22     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  555-8     Citation Subset:  IM    
Affiliation:
Center for the Study of Practice Patterns in Acute Myocardial Infarction, Health Services Research and Development, Roxbury VA Medical Center, Boston, Mass., USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Databases, Factual*
Diagnosis-Related Groups
Humans
Male
Medical Records / classification*
Middle Aged
Myocardial Infarction / classification,  diagnosis*
Patient Discharge
Predictive Value of Tests
Sensitivity and Specificity
United States
United States Department of Veterans Affairs
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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