From: Validity of administrative data in recording sepsis: a systematic review
Authors, country, year [ref] | Sample population | Data years | Type of administrative database | Study size (n) | ICD version | Diagnostic coding field position | Reference/gold standard | Sn | Sp | PPV | NPV |
---|---|---|---|---|---|---|---|---|---|---|---|
Cevasco et al., USA, 2011 [19] | General surgical | 2003 to 2007 | Population-based, inpatient Veterans Affairs hospital | 112 | ICD-9-CM | Secondary | Medical chart review | – | – | 53% | – |
General surgical | 2005 to 2007 | Population-based, inpatient community hospital | 164 | ICD-9-CM | Secondary | Medical chart review | – | – | 41% | – | |
Gedeborg et al., Sweden, 2007 [20] | ICU-specific | 1994 to 1999 | Population-based, inpatient | 4,181 | ICD-9b | Principal, secondary | ICU database | 45.7% | 97.5% | 45.9% | 97.5% |
ICU-specific | 1994 to 1999 | Population-based, inpatient | 3,434 | ICD-10b | Principal, secondary | ICU database | 52.5% | 92.6% | 28.0% | 97.3% | |
ICU-specific and DI | 1994 to 1999 | Population-based, inpatient | 4,181 | ICD-9b | Principal, secondary | ICU database | 17.2% | 99.4% | 56.1% | 96.3% | |
ICU-specific and DI | 1994 to 1999 | Population-based, inpatient | 3,434 | ICD-10b | Principal, secondary | ICU database | 20.1% | 98.4% | 40.9% | 95.7% | |
ICU-specific | 1994 to 1999 | Population-based, inpatient | 45 | ICD-9b ICD-10b | Principal, secondary | Sepsis clinical trial patients | 42.2% | 95.5% | 7.4% | 99.5% | |
ICU-specific | 1994 to 1999 | Inpatient intensivist-coded ICU database | 45 | ICD-9b ICD-10b | Principal, secondary | Sepsis clinical trial patients | 51.5% | 92.6% | 5.6% | 99.6% | |
ICU-specific | 1994 to 1999 | Population-based, inpatient | 4,181 | ICD-9c | Principal, secondary | ICU database | 43.0% | 98.0% | 49.7% | 97.4% | |
ICU-specific | 1994 to 1999 | Population-based, inpatient | 3,434 | ICD-10c | Principal, secondary | ICU database | 43.0% | 95.6% | – | – | |
ICU-specific | 1994 to 1999 | Population-based, inpatient | 4,181 | ICD-9b | Principal | ICU database | 31.7% | 99.2% | 63.4% | 97.0% | |
ICU-specific | 1994 to 1999 | Population-based, inpatient | 3,434 | ICD-10b | Principal | ICU database | 21.8% | 97.9% | 36.4% | 95.8% | |
ICU-specific: CAS | 1994 to 1999 | Population-based, inpatient | 4,181 | ICD-9b | Principal | ICU database | 51.1% | 99.4% | 66.7% | 98.9% | |
ICU-specific CAS | 1994 to 1999 | Population-based, inpatient | 3,434 | ICD-10b | Principal | ICU database | 31.8% | 99.0% | 41.5% | 98.3% | |
ICU-specific CAP and DI | 1994 to 1999 | Population-based, inpatient | 3,434 | ICD-9b | Principal | ICU database | 19.1% | 99.8% | 64.3% | 98.2% | |
ICU-specific CAS and DI | 1994 to 1999 | Population-based, inpatient | 3,434 | ICD-10b | Principal | ICU database | 17.6% | 99.4% | 42.8% | 97.9% | |
ICU-specific CAS | 1994 to 1999 | Population-based, inpatient | 3,434 | ICD-9c | Principal | ICU database | 47.9% | 99.5% | 70.3% | 98.8% | |
ICU-specific CAS | 1994 to 1999 | Population-based, inpatient | 3,434 | ICD-10c | Principal | ICU database | 27.1% | 99.0% | 39.7% | 98.2% | |
ICU-specific CAS | 1994 to 1999 | Population-based, inpatient | 45 | ICD-9c ICD-10c | Principal | Sepsis clinical trial patients | 46.9% | 97.4% | 9.9% | 99.7% | |
ICU-specific CAS | 1994 to 1999 | Inpatient intensivist-coded ICU database | 45 | ICD-9c ICD-10c | Principal | Sepsis clinical trial patients | 31.2% | 98.5% | 10.9% | 99.6% | |
Grijalva et al., USA, 2008 [21] | Rheumatoid arthritis | 1995 to 2004 | Inpatient database | 45 | ICD-9-CM | Principal, secondary | Medical chart review | – | – | 80% | – |
Ibrahim et al., Australia, 2012 [22] | General ICU | 2000 to 2006 | Inpatient database | 1,645 | ICD-10-AM | Principal | ICU database | 44.1% | 98.9% | 88.2% | 90.6% |
General ICU | 2000 to 2006 | Inpatient database | 45 | ICD-10-AM | Principal | ICU database | 16.5% | 99.8% | 93.9% | 86.8% | |
Iwashyna et al., USA, 2014 [12] | General | 2009 to 2010 | Population-based, inpatient | 111 | ICD-9-CM Angus | All | Medical chart review | 50.3% | 96.3% | 70.7% | 91.5% |
General | 2009 to 2010 | Population-based, inpatient | 111 | ICD-9-CM Explicit | All | Medical chart review | 9.3% | 100% | 100% | 86.0% | |
General | 2009 to 2010 | Population-based, inpatient | 111 | ICD-9-CM Martin | All | Medical chart review | 16.8% | 99.8% | 97.6% | 87.0% | |
Lawson et al., USA, 2012 [23] | General surgical | 2005 to 2008 | Population-based claims data | 13,410 | ICD-9-CM | All | ACS-NSQIP inpatient surgical database | 46.3% | 94.0% | – | – |
Madsen et al., Denmark, 1998 [24] | General | 1994 | Population-based, inpatient | 471 | ICD-10, Danish version | Unknown | Bacteraemia database | 5.9% | – | 21.7% | – |
Ollendorf et al., USA, 2002 [25] | Severe sepsis clinical trial patients | No dates given | Population-based, inpatient claims | 122 | ICD-9-CM | All | Severe sepsis clinical trial patients | – | – | 75.4% | – |
Quan et al., Canada, 2013 [26] | General surgical | 2007 to 2008 | Population-based, inpatient | 117 | ICD-10 | Secondary | Medical chart review | – | – | 9.8% | – |
General surgical | 2007 to 2008 | Population-based, inpatient | 34 | ICD-10 | Secondary | Medical chart review | – | – | 12.5% | – | |
Ramanathan et al., USA, 2014 [27] | Surgical patients | 2012 to 2013 | Surgical inpatient | 243 | ICD-9-CM | All | Medical chart review | 82.3% | 78.3% | 91.1% | 62.1% |
Schneeweiss et al., USA, 2007 [28] | General | 2001 to 2004 | Population-based, inpatient | 158 | ICD-9-CM | Principal | Medical chart review | – | – | 91% | – |
Whittaker et al., USA, 2013 [29] | ED admitted inpatients | 2005 to 2009 | Population-based, inpatient | 1,735 | ICD-9 (severe) | All | Medical chart review | 20.5% | – | – | – |
ED admitted inpatients | 2005 to 2009 | Population-based, inpatient | 1,735 | ICD-9 (severe) | All | Medical chart review | 47.2% (Angus) | – | – | – | |
ED admitted inpatients | 2005 to 2009 | Population-based, inpatient | 321 | ICD-9 (shock) | All | Medical chart review | 49.5% | – | – | – | |
ED admitted inpatients | 2005 to 2009 | Population-based, inpatient | 321 | ICD-9 (shock) | All | Medical chart review | 42.4% | – | – | – | |
ED admitted inpatients | 2005 to 2009 | Population-based, inpatient | 321 | ICD-9 (shock) | All | Medical chart review | 75.1% (Angus) | – | – | – |