PMID: 9552185Apr 29, 1998Paper

Can hospital discharge diagnosis be used for surveillance of bacteremia? A data quality study of a Danish hospital discharge registry

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
K M MadsenHenrik Toft Sørensen

Abstract

To assess the data quality of septicemia and sepsis registration in a hospital discharge registry in the County of Northern Jutland, Denmark. Comparison of data from the discharge registry of an 880-bed, public, urban hospital in the County of Northern Jutland with data from a computerized bacteremia database at the regional department of clinical microbiology. Urban hospital with approximately 45,000 admissions per year. The study included 406 episodes of bacteremia in the bacteremia database and 83 discharges with the diagnosis of septicemia registered in the hospital discharge registry between January 1, 1994, and December 31, 1994. None. Eighteen episodes were registered in both the hospital discharge registry and the bacteremia database. Using the bacteremia database as reference standard, the sensitivity for the diagnosis of septicemia in the hospital discharge registry was 4.4% (18/406; 95% confidence intervals [CI95, 2.4%-6.4%]). By review of hospital records, we estimated the positive predictive value of septicemia registration in the hospital discharge registry as 21.7% (18/83; CI95, 12.8%-30.5%). No blood culture had been obtained in 44.4% (36/81; CI95, 33.6%-55.3%) of the cases with a discharge diagnosis of septicem...Continue Reading

Citations

Mar 9, 2004·The Journal of Hospital Infection·M L Moro, F Morsillo
Mar 19, 1999·Artificial Intelligence in Medicine·S AndreassenL Leibovici
Oct 23, 2002·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·Marianne Hindsholm, Henrik C Schønheyder
Nov 30, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A M ThulstrupU Tage-Jensen
Jun 27, 2012·Journal of the American Medical Informatics Association : JAMIA·Nicole Gray Weiskopf, Chunhua Weng
Aug 13, 2013·PloS One·Kristoffer KochUNKNOWN Danish Collaborative Bacteremia Network
Apr 30, 2013·Annals of Epidemiology·Noelle M CocorosHenrik Toft Sørensen
Mar 6, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kurt B StevensonJon P Wagnild
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Rachel J JolleyChristopher J Doig
Jul 27, 2001·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·A T Koutsavlis
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Marin L SchweizerEli N Perencevich
Oct 30, 2016·Annals of Epidemiology·S Reza JafarzadehDavid K Warren

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