Validity of ICD-10 Codes for Cerebral Venous Thrombosis Depends on Clinical Context

被引：7

作者：

Zhou, Lily W. ^{[1
,2
,3
]}

Yu, Amy Y. X. ^{[4
]}

Hall, William ^{[5
]}

Hill, Michael D. ^{[6
,7
]}

Field, Thalia S. ^{[1
,2
]}

机构：

[1] Univ British Columbia, Div Neurol, Vancouver, BC, Canada

[2] Univ British Columbia, Vancouver Stroke Program, Vancouver, BC, Canada

[3] Stanford Univ, Stanford Stroke Ctr, 453 Quarry Rd, Palo Alto, CA 94304 USA

[4] Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Med Neurol, Toronto, ON, Canada

[5] Univ British Columbia, Ctr Clin Epidemiol & Evaluat, Vancouver, BC, Canada

[6] Cumming Sch Med, Dept Clin Neurosci, Calgary, AB, Canada

[7] Cumming Sch Med, Hotchkiss Brain Inst, Calgary, AB, Canada

来源：

CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES | 2022年 / 49卷 / 06期

基金：

加拿大健康研究院;

关键词：

Cerebral venous thrombosis; Neuroepidemiology; International Classification of Disease; Validity; ICD-10; Sensitivity; Positive predictive value;

D O I：

10.1017/cjn.2021.235

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We examined the accuracy of International Classification of Disease 10th iteration (ICD-10) diagnosis codes within Canadian administrative data in identifying cerebral venous thrombosis (CVT). Of 289 confirmed cases of CVT admitted to our comprehensive stroke center between 2008 and 2018, 239/289 were new diagnoses and 204/239 were acute events with only 75/204 representing symptomatic CVTs not provoked by trauma or structural processes. Using ICD-10 codes in any position, sensitivity was 39.1% and positive predictive value was 94.2% for patients with a current or history of CVT and 84.0% and 52.5% for acute and symptomatic CVTs not provoked by trauma or structural processes.

引用

页码：813 / 816

页数：4

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