1. Protocol for validating cardiovascular and cerebrovascular ICD-9-CM codes in healthcare administrative databases: the Umbria Data Value Project
- Author
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Alessandro Montedori, Giuseppe Ambrosio, Massimiliano Orso, Paolo Eusebi, Iosief Abraha, Francesco Cozzolino, Maria Francesca Cerasa, and Anna Mengoni
- Subjects
Adult ,Research design ,Adolescent ,Databases, Factual ,Disease ,Cardiovascular Medicine ,030204 cardiovascular system & hematology ,computer.software_genre ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Validation ,Health care ,Protocol ,medicine ,Humans ,030212 general & internal medicine ,Myocardial infarction ,Stroke ,Aged ,Protocol (science) ,Data collection ,Database ,business.industry ,Data Collection ,Medicine (all) ,administrative database ,Atrial fibrillation ,Clinical Coding ,General Medicine ,Middle Aged ,medicine.disease ,Cerebrovascular Disorders ,Italy ,Cardiovascular Diseases ,Research Design ,Medical emergency ,business ,Delivery of Health Care ,computer - Abstract
Introduction Administrative healthcare databases can provide a comprehensive assessment of the burden of diseases in terms of major outcomes, such as mortality, hospital readmissions and use of healthcare resources, thus providing answers to a wide spectrum of research questions. However, a crucial issue is the reliability of information gathered. Aim of this protocol is to validate International Classification of Diseases, 9th Revision—Clinical Modification (ICD-9-CM) codes for major cardiovascular diseases, including acute myocardial infarction (AMI), heart failure (HF), atrial fibrillation (AF) and stroke. Methods and analysis Data from the centralised administrative database of the entire Umbria Region (910 000 residents, located in Central Italy) will be considered. Patients with a first hospital discharge for AMI, HF, AF or stroke, between 2012 and 2014, will be identified in the administrative database using the following groups of ICD-9-CM codes located in primary position: (1) 410.x for AMI; (2) 427.31 for AF; (3) 428 for HF; (4) 433.x1, 434 (excluding 434.x0), 436 for ischaemic stroke, 430 and 431 for haemorrhagic stroke (subarachnoid haemorrhage and intracerebral haemorrhage). A random sample of cases, and of non-cases, will be selected, and the corresponding medical charts retrieved and reviewed for validation by pairs of trained, independent reviewers. For each condition considered, case adjudication of disease will be based on symptoms, laboratory and diagnostic tests, as available in medical charts. Divergences will be resolved by consensus. Sensitivity and specificity with 95% CIs will be calculated. Ethics and dissemination Research protocol has been granted approval by the Regional Ethics Committee. Study results will be disseminated widely through peer-reviewed publications and presentations at national and international conferences.
- Published
- 2017