Accuracy of surgical complication rate estimation using ICD-10 codes

The British Journal of Surgery
A StoresundE Søfteland

Abstract

The ICD-10 codes are used globally for comparison of diagnoses and complications, and are an important tool for the development of patient safety, healthcare policies and the health economy. The aim of this study was to investigate the accuracy of verified complication rates in surgical admissions identified by ICD-10 codes and to validate these estimates against complications identified using the established Global Trigger Tool (GTT) methodology. This was a prospective observational study of a sample of surgical admissions in two Norwegian hospitals. Complications were identified and classified by two expert GTT teams who reviewed patients' medical records. Three trained reviewers verified ICD-10 codes indicating a complication present on admission or emerging in hospital. A total of 700 admissions were drawn randomly from 12 966 procedures. Some 519 possible complications were identified in 332 of 700 admissions (47·4 per cent) from ICD-10 codes. Verification of the ICD-10 codes against information from patients' medical records confirmed 298 as in-hospital complications in 141 of 700 admissions (20·1 per cent). Using GTT methodology, 331 complications were found in 212 of 700 admissions (30·3 per cent). Agreement between the...Continue Reading

References

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Jan 16, 2009·The New England Journal of Medicine·Alex B HaynesUNKNOWN Safe Surgery Saves Lives Study Group
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Citations

Feb 14, 2020·Anesthesiology·David A Story
Jun 3, 2020·The British Journal of Surgery·J S LjungdalhK C Houlind
May 16, 2019·Anesthesiology·Arvid S HaugenEirik Søfteland
Nov 26, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ilies BouabdallahPascal Alexandre Thomas
Sep 22, 2021·Current Opinion in Critical Care·Franck VerdonkBrice Gaudilliere

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Clinical Trials Mentioned

NCT01872195

Software Mentioned

Stata
Global Trigger Tool
Surgical Trigger Toolkit
SPSS
GTT
Global Trigger Tool ( GTT )

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