1. Validation for using electronic health records to identify community acquired pneumonia hospitalization among people with and without HIV
- Author
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Rodriguez-Barradas, Maria C, McGinnis, Kathleen A, Akgün, Kathleen, Tate, Janet P, Brown, Sheldon T, Butt, Adeel A, Fine, Michael, Goetz, Matthew Bidwell, Graber, Christopher J, Huang, Laurence, Rimland, David, Justice, Amy, and Crothers, Kristina
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Lung ,Patient Safety ,Infectious Diseases ,Pneumonia ,Clinical Research ,Pneumonia & Influenza ,Respiratory ,Infection ,Good Health and Well Being ,Community-acquired pneumonia ,HIV ,Electronic health records ,Other Medical and Health Sciences ,Clinical sciences - Abstract
BackgroundCohort studies identifying the incidence, complications and co-morbidities associated with community acquired pneumonia (CAP) are largely based on administrative datasets and rely on International Classification of Diseases (ICD) codes; however, the reliability of ICD codes for hospital admissions for CAP in people with HIV (PWH) has not been systematically assessed.MethodsWe used data from the Veterans Aging Cohort Study survey sample (N = 6824; 3410 PWH and 3414 uninfected) to validate the use of electronic health records (EHR) data to identify CAP hospitalizations when compared to chart review and to compare the performance in PWH vs. uninfected patients. We used different EHR algorithms that included a broad set of CAP ICD-9 codes, a set restricted to bacterial and viral CAP codes, and algorithms that included pharmacy data and/or other ICD-9 diagnoses frequently associated with CAP. We also compared microbiologic workup and etiologic diagnosis by HIV status among those with CAP.ResultsFive hundred forty-nine patients were identified as having an ICD-9 code compatible with a CAP diagnosis (13% of PWH and 4% of the uninfected, p
- Published
- 2020