Back to Search
Start Over
The validity of hospital diagnostic and procedure codes reflecting morbidity in preterm neonates born <32 weeks gestation.
- Source :
-
Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2023 Nov; Vol. 43 (11), pp. 1374-1378. Date of Electronic Publication: 2023 May 03. - Publication Year :
- 2023
-
Abstract
- Objective: To determine the validity of diagnostic hospital billing codes for complications of prematurity in neonates <32 weeks gestation.<br />Study Design: Retrospective cohort data from discharge summaries and clinical notes (n = 160) were reviewed by trained, blinded abstractors for the presence of intraventricular hemorrhage (IVH) grades 3 or 4, periventricular leukomalacia (PVL), necrotizing enterocolitis (NEC), stage 3 or higher, retinopathy of prematurity (ROP), and surgery for NEC or ROP. Data were compared to diagnostic billing codes from the neonatal electronic health record.<br />Results: IVH, PVL, ROP and ROP surgery had strong positive predictive values (PPV > 75%) and excellent negative predictive values (NPV > 95%). The PPVs for NEC (66.7%) and NEC surgery (37.1%) were low.<br />Conclusion: Diagnostic hospital billing codes were observed to be a valid metric to evaluate preterm neonatal morbidities and surgeries except in the instance of more ambiguous diagnoses such as NEC and NEC surgery.<br /> (© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.)
- Subjects :
- Infant, Newborn
Humans
Pregnancy
Female
Retrospective Studies
Infant, Premature
Gestational Age
Hospitals
Cerebral Hemorrhage diagnosis
Cerebral Hemorrhage epidemiology
Morbidity
Infant, Newborn, Diseases
Retinopathy of Prematurity diagnosis
Retinopathy of Prematurity epidemiology
Leukomalacia, Periventricular diagnosis
Leukomalacia, Periventricular epidemiology
Enterocolitis, Necrotizing diagnosis
Enterocolitis, Necrotizing epidemiology
Enterocolitis, Necrotizing surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1476-5543
- Volume :
- 43
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Journal of perinatology : official journal of the California Perinatal Association
- Publication Type :
- Academic Journal
- Accession number :
- 37138163
- Full Text :
- https://doi.org/10.1038/s41372-023-01685-6