A Validation Study of Administrative Health Care Data to Detect Acute Kidney Injury in the Pediatric Intensive Care Unit

Canadian Journal of Kidney Health and Disease
David D'ArienzoMichael Zappitelli

Abstract

Large studies evaluating pediatric acute kidney injury (AKI) epidemiology and outcomes are lacking, partially due to underuse of large administrative health care data. To assess the diagnostic accuracy of administrative health care data-defined AKI in children admitted to the pediatric intensive care unit (PICU). Retrospective cohort study utilizing chart and administrative data. Children admitted to the PICU at 2 centers in Montreal, QC. Patients between 0 and 18 years old with a provincial health insurance number, without end-stage renal disease and admitted to the PICU between January 1, 2003, and March 31, 2005, were included. The AKI was defined from chart data using the Kidney Disease: Improving Global Outcomes (KDIGO) definition (Chart-AKI). The AKI defined using administrative health data (Admin-AKI) was based on International Classification of Disease, Ninth Revision (ICD-9) AKI codes. Data available from retrospective chart review, including baseline and PICU patient characteristics, and serum creatinine (SCr) and urine output (UO) values during PICU admission, were merged with provincial administrative health care data containing diagnostic and procedure codes used for ascertaining Admin-AKI. Sensitivity, specificity...Continue Reading

References

Nov 1, 1988·Critical Care Medicine·M M PollackP R Getson
Sep 5, 2003·Emergency Medicine Journal : EMJ·S R JonesM Harrison
Dec 4, 2008·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Nilzete BresolinFrancisca Ligia Carvalho
Dec 28, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Meghan E O VlasschaertAmit X Garg
Apr 29, 2011·Kidney International·Michael ZappitelliUNKNOWN TRIBE-AKI consortium
Dec 1, 2012·The Journal of Pediatrics·Lilliam V Ambroggio, Samir S Shah
Mar 23, 2013·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Abdullah AlabbasCherry Mammen
Jan 25, 2014·Clinical Journal of the American Society of Nephrology : CJASN·Morgan E GramsJosef Coresh
Dec 14, 2016·The New England Journal of Medicine·Ahmad KaddourahUNKNOWN AWARE Investigators

❮ Previous
Next ❯

Citations

Mar 19, 2021·Pediatric Research·Cal RobinsonMichael Zappitelli
Mar 29, 2021·The Journal of Pediatrics·Nelangi M PintoRichard Nelson
May 28, 2021·Journal of the American Society of Nephrology : JASN·Cal H RobinsonRahul Chanchlani
Sep 18, 2021·Journal of the American Society of Nephrology : JASN·Cal H RobinsonRahul Chanchlani

❮ Previous
Next ❯

Software Mentioned

SAS

Related Concepts

Related Feeds

Related Papers

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Erin HesseyMichael Zappitelli
Clinical Journal of the American Society of Nephrology : CJASN
Erin HesseyMichael Zappitelli
Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Samuel QuanMatthew T James
© 2022 Meta ULC. All rights reserved