Validation of Diagnostic Coding for Diabetes Mellitus in Hospitalized Patients.
ICD-10
diabetes
diagnostic coding
hyperglycemia
inpatient
Journal
Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
ISSN: 1530-891X
Titre abrégé: Endocr Pract
Pays: United States
ID NLM: 9607439
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
09
11
2021
revised:
28
01
2022
accepted:
28
01
2022
pubmed:
9
2
2022
medline:
18
5
2022
entrez:
8
2
2022
Statut:
ppublish
Résumé
Some studies have shown that there is an undercoding of diabetes mellitus among hospitalized patients, which can have adverse clinical and financial implications for health systems. We aimed to validate the discharge diagnostic coding of diabetes mellitus in hospitalized patients using clinical and laboratory-based diagnostic indicators as the reference. This was a retrospective cohort study of 83 690 discharges of 48 615 unique adult patients who were hospitalized in an academic medical center over 4.5 years and had at least 4 blood glucose measurements during admission. A missing diabetes code (MDC) was defined using 2 criteria. MDC MDC In this retrospective study, MDC ranged from 5% to 15% and was associated with various clinical factors. Further prospective studies are needed to validate these findings, explore the mechanisms behind these associations, and understand the clinical and financial implications.
Identifiants
pubmed: 35131439
pii: S1530-891X(22)00040-4
doi: 10.1016/j.eprac.2022.01.014
pmc: PMC9396461
mid: NIHMS1825664
pii:
doi:
Substances chimiques
Blood Glucose
0
Glycated Hemoglobin A
0
Steroids
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
458-464Subventions
Organisme : NIDDK NIH HHS
ID : K23 DK111986
Pays : United States
Informations de copyright
Copyright © 2022 AACE. Published by Elsevier Inc. All rights reserved.
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