A global system of data analysis for hospital discharge-records

1984 ◽  
pp. 511-516
Author(s):  
P. L. Morosini ◽  
F. Repetto ◽  
G. Luciani
Keyword(s):  
Data Analysis ◽  
Hospital Discharge ◽  
Global System ◽  
Hospital Discharge Records

Validity of Stroke Diagnosis on Hospital Discharge Records in Saskatchewan, Canada: Implications for Stroke Surveillance

1999 ◽  
Vol 9 (4) ◽  
pp. 224-230 ◽  
Author(s):  
Liyan Liu ◽  
Bruce Reeder ◽  
Ashfaq Shuaib ◽  
Rida Mazagri
Keyword(s):  
Hospital Discharge ◽  
Stroke Diagnosis ◽  
Hospital Discharge Records

The Florida Investigation of Primary Late Preterm and Cesarean Delivery: The accuracy of the birth certificate and hospital discharge records

2012 ◽  
Vol 17 (5) ◽  
pp. 869-878 ◽  
Author(s):  
Heather B. Clayton ◽  
William M. Sappenfield ◽  
Elizabeth Gulitz ◽  
Charles S. Mahan ◽  
Donna J. Petersen ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Hospital Discharge ◽  
Birth Certificate ◽  
Late Preterm ◽  
Hospital Discharge Records

Impact of atrial fibrillation on inpatient cost for ischemic stroke in the USA

2018 ◽  
Vol 14 (2) ◽  
pp. 159-166 ◽  
Author(s):  
Kumar Mukherjee ◽  
Khalid M Kamal
Keyword(s):  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
Length Of Stay ◽  
Hospital Discharge ◽  
Significant Risk ◽  
Primary Diagnosis ◽  
Inpatient Cost ◽  
Targeted Interventions ◽  
Hospital Discharge Records ◽  
Hospital Characteristics

Background Atrial fibrillation is a significant risk factor for ischemic stroke and increases cost of treatment. Aims To estimate the incremental inpatient cost and length of stay due to atrial fibrillation among adults hospitalized with a primary diagnosis of ischemic stroke after controlling for sociodemographic, clinical, and hospital characteristics in a nationally representative discharge record of US population. Methods Hospital discharge records with a primary diagnosis of ischemic stroke were identified from the National Inpatient Sample data for the years 2010–2013. Generalized linear model with log link and least-square means were utilized to estimate the incremental inpatient cost and length of stay in ischemic stroke due to atrial fibrillation after controlling for sociodemographic, clinical, and hospital characteristics. Results Among 434,544 hospital discharge records with a primary diagnosis of ischemic stroke, 90,190 (20.76%) discharge records had a secondary diagnosis of atrial fibrillation. The average inpatient cost for all discharge records with a primary diagnosis of ischemic stroke was (mean = $13,072, median = $9270.87) significantly (p < 0.0001) higher compared to all discharge records without ischemic stroke (mean = $12,543.07, median = $7517.13). The mean length of stay for all records was 4.55 days (95% CI = 4.53–4.56). Among those identified with ischemic stroke, adjusted mean inpatient cost was higher by $2829 (95% CI = $2708–$2949) and mean length of stay was greater by 0.85 (95% CI = 0.81–0.89) for those with atrial fibrillation compared to those without. Conclusions The presence of atrial fibrillation was associated with increased inpatient cost and length of stay among patients diagnosed with ischemic stroke. Increased inpatient cost and length of stay call for a more comprehensive patient care approach including targeted interventions among adults diagnosed with ischemic stroke and atrial fibrillation, which could potentially reduce the overall cost in this population.

Abstract W MP75: Increase Usage of Acute Stroke Thrombolysis Leads to Better Outcome: The Emergency Medical Service-Discharge Diagnosis Data Linkage Analysis over Three Years

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Amanda Cotter ◽  
Khosrow Heidari ◽  
Michelle Androulakis ◽  
Andrea Griffin ◽  
Karen Cartrett ◽  
...  
Keyword(s):  
South Carolina ◽  
Ischemic Stroke ◽  
Acute Stroke ◽  
Real Time ◽  
Hospital Discharge ◽  
Data Linkage ◽  
Discharge Diagnosis ◽  
Number Of Patients ◽  
Hospital Discharge Records ◽  
Stroke Thrombolysis

Background and Objective: South Carolina is located in the “buckle” of the stoke belt. Use of the emergency medical services (EMS), intravenous tissue plasminogen activator (IV t-PA) in acute stroke and its correlates, including outcomes have not been trended over time. To study the annual trends in the above acute stroke care parameters we linked the EMS database with the statewide hospital discharge records stored at South Carolina Department of Health and Environmental Control (SC DHEC). Methods: The ongoing statewide EMS database linkage with the hospital discharge records stored at SC DHEC, allow us to track EMS and acute stroke thrombolysis in real-time. Patients with a discharge diagnosis of ischemic stroke were included in the analysis. Patients transported via EMS were compared with patients not transported by EMS. Variables considered included patient demographics, stroke center status of the hospital, telemedicine usage and treatment with IV t-PA for the calendar years of 2010-2012. Results: In the calendar years of 2010-2012, 10,377; 10,532 and 10,900 hospitalized patients in SC were assigned a primary discharge diagnosis of ischemic stroke respectively. Of these, the number of patients transported by EMS that received IV t-PA (7.1%, 9.5% and 10.2%, in the years 2010-12; χ2 trend =15.3, p < 0.0001) shows a significant increasing linear trend over the number of patients that were not transported by EMS that received IV t-PA (2.5%, 3.6% and 3.7%, in the years 2010-12). Over the three years, patients that are treated with IV t-PA were more likely to be discharged home (39%, 42% and 49% in the years 2010-12 ) and less likely to be discharged to a healthcare institution or expire (61%, 58% and 51% in the years 2010-12; χ2 trend=9.3, p =0.002). Conclusion: Transportation by EMS increased the likelihood of receiving IV t-PA. Over three years, IV t-PA usage led to better outcome including increasing discharge to home, decreasing discharge to healthcare institution and death. The real-time data linkage methodology may allow us in future to test the impact of statewide interventions geared to promote the usage of EMS and IV t-PA.

Excess comorbidities associated with malignant hyperthermia diagnosis in pediatric hospital discharge records

2011 ◽  
Vol 21 (9) ◽  
pp. 958-963 ◽  
Author(s):  
Guohua Li ◽  
Joanne E. Brady ◽  
Henry Rosenberg ◽  
Lena S. Sun
Keyword(s):  
Malignant Hyperthermia ◽  
Hospital Discharge ◽  
Pediatric Hospital ◽  
Hospital Discharge Records

Accuracy of Malignant Hyperthermia Diagnoses in Hospital Discharge Records

2015 ◽  
Vol 122 (1) ◽  
pp. 55-63 ◽  
Author(s):  
Teeda Pinyavat ◽  
Henry Rosenberg ◽  
Barbara H. Lang ◽  
Cynthia A. Wong ◽  
Sheila Riazi ◽  
...  
Keyword(s):  
Malignant Hyperthermia ◽  
Hospital Discharge ◽  
Medical Records ◽  
Surgical Procedure ◽  
Tertiary Care ◽  
Personal History ◽  
Coding System ◽  
Icd 10 ◽  
History Of ◽  
Hospital Discharge Records

Abstract Background: In 1997, the International Classification of Diseases (ICD), 9th Revision Clinical Modification (ICD-9) coding system introduced the code for malignant hyperthermia (MH) (995.86). The aim of this study was to estimate the accuracy of coding for MH in hospital discharge records. Methods: An expert panel of anesthesiologists reviewed medical records for patients with a discharge diagnosis of MH based on ICD-9 or ICD-10 codes from January 1, 2006 to December 31, 2008 at six tertiary care medical centers in North America. All cases were categorized as possible, probable, or fulminant MH, history of MH (family or personal) or other. Results: A total of 47 medical records with MH diagnoses were reviewed; 68.1% had a documented surgical procedure and general anesthesia, and 23.4% (95% CI, 12.3–38.0%) had a possible, probable, or fulminant MH event. Dantrolene was given in 81% of the MH events. All patients judged to have an incident MH event survived to discharge. Family and personal history of MH accounted for 46.8% of cases. High fever without evidence of MH during admission accounted for 23.4%, and the reason for MH coding was unclear in 6.4% of cases. Conclusions: Approximately one quarter of ICD-9 or ICD-10 coded MH diagnoses in hospital discharge records refer to incident MH episodes and an additional 47% to MH susceptibility (including personal history or family history). Information such as surgical procedure, anesthesia billing data, and dantrolene administration may aid in identifying incident MH cases among those with an ICD-9 or ICD-10 coded MH diagnosis in their hospital discharge records.

Hypothermia in the North East of Scotland

1996 ◽  
Vol 41 (6) ◽  
pp. 167-168
Author(s):  
S.J. Cross ◽  
N.R. Waugh
Keyword(s):  
Hospital Discharge ◽  
North East ◽  
The North ◽  
Hospital Discharge Records

The aim of the study was to establish the incidence of hypothermia in the Grampian region, and to examine the accuracy of routine reporting of hypothermia on hospital discharge records. From 1990–1994, 167 patients were admitted with an SMRI diagnosis of hypothermia. An admission temperature of under 35°C was recorded in 47 (28%): rectal in 37 (confirmed hypothermia) and not specified on non-rectal in 10 (possible hypothermia). Most admissions were during the winter months In only 18 cases of the 47 patients with confirmed or possible hypothermia was a secondary cause not apparent. Isolated hypothermia is rare in Grampian. In most cases other disease is the underlying cause.

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