scholarly journals Temporal Trend of Near Miss and its Regional Variations in Brazil from 2010 to 2018

2021 ◽  
Author(s):  
Maria Carolina Wensing Herdt ◽  
Flávio Ricardo Liberal Magajewski ◽  
Andressa Linzmeyer ◽  
Rafaela Rodolfo Tomazzoni ◽  
Nicole Pereira Domingues ◽  
...  
Keyword(s):  
Black Women ◽  
Temporal Trend ◽  
Near Miss ◽  
Maternal Complications ◽  
The North ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification ◽  
Using Data ◽  
Brazilian Health System

AbstractCases of maternal near miss are those in which women survive severe maternal complications during pregnancy or the puerperium. This ecological study aimed to identify the temporal trend of near-miss cases in different regions of Brazil between 2010 and 2018, using data from the Hospital Information System (HIS) of the Unified Brazilian Health System (SUS, in the Portuguese acronym). Hospital admission records of women between 10 and 49 years old with diagnosis included in the 10th Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) and codes indicating near-miss events were selected. From 20,891,040 admissions due to obstetric causes, 766,249 (3.66%) near-miss cases were identified, and 31,475 women needed admission to the intensive care unit (ICU). The cases were found to be more predominant in black women over 35 years old from the North and Northeast regions. There was a trend of increase in near-miss rates of ∼ 13.5% a year during the period of the study. The trend presented a different behavior depending on the level of development of the region studied. The main causes of near miss were preeclampsia (47%), hemorrhage (24%), and sepsis (18%).

scholarly journals Application of MRI for the Diagnosis of Neoplasms

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Ewa Bejer-Oleńska ◽  
Michael Thoene ◽  
Andrzej Włodarczyk ◽  
Joanna Wojtkiewicz
Keyword(s):  
Benign Neoplasms ◽  
Young Males ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Mri Scans ◽  
International Statistical Classification ◽  
The Central Nervous System ◽  
Spss Software ◽  
The Brain

Aim. The aim of the study was to determine the most commonly diagnosed neoplasms in the MRI scanned patient population and indicate correlations based on the descriptive variables. Methods. The SPSS software was used to determine the incidence of neoplasms within the specific diagnoses based on the descriptive variables of the studied population. Over a five year period, 791 patients and 839 MRI scans were identified in neoplasm category (C00-D48 according to the International Statistical Classification of Diseases and Related Health Problems ICD-10). Results. More women (56%) than men (44%) represented C00-D48. Three categories of neoplasms were recorded. Furthermore, benign neoplasms were the most numerous, diagnosed mainly in patients in the fifth decade of life, and included benign neoplasms of the brain and other parts of the central nervous system. Conclusions. Males ≤ 30 years of age with neoplasms had three times higher MRI scans rate than females of the same age group; even though females had much higher scans rate in every other category. The young males are more often selected for these scans if a neoplasm is suspected. Finally, the number of MRI-diagnosed neoplasms showed a linear annual increase.

A Mixed-Methods Comparison of a National and State Opioid Overdose Surveillance Definition

2021 ◽  
Vol 136 (1_suppl) ◽  
pp. 31S-39S
Author(s):  
Danielle M. Brathwaite ◽  
Catherine S. Wolff ◽  
Amy I. Ising ◽  
Scott K. Proescholdbell ◽  
Anna E. Waller
Keyword(s):  
North Carolina ◽  
False Positive ◽  
False Positive Rate ◽  
International Classification Of Diseases ◽  
Opioid Overdose ◽  
The North ◽  
Classification Of Diseases ◽  
Positive Rate ◽  
Icd 10 ◽  
Ed Visits

Objectives We assessed the differences between the first version of the Centers for Disease Control and Prevention (CDC) opioid surveillance definition for suspected nonfatal opioid overdoses (hereinafter, CDC definition) and the North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) surveillance definition to determine whether the North Carolina definition should include additional International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes and/or chief complaint keywords. Methods Two independent reviewers retrospectively reviewed data on North Carolina emergency department (ED) visits generated by components of the CDC definition not included in the NC DETECT definition from January 1 through July 31, 2018. Clinical reviewers identified false positives as any ED visit in which available evidence supported an alternative explanation for patient presentation deemed more likely than an opioid overdose. After individual assessment, reviewers reconciled disagreements. Results We identified 2296 ED visits under the CDC definition that were not identified under the NC DETECT definition during the study period. False-positive rates ranged from 2.6% to 41.4% for codes and keywords uniquely identifying ≥10 ED visits. Based on uniquely identifying ≥10 ED visits and a false-positive rate ≤10.0%, 4 of 16 ICD-10-CM codes evaluated were identified for NC DETECT definition inclusion. Only 2 of 25 keywords evaluated, “OD” and “overdose,” met inclusion criteria to be considered a meaningful addition to the NC DETECT definition. Practice Implications Quantitative and qualitative trends in coding and keyword use identified in this analysis may prove helpful for future evaluations of surveillance definitions.

scholarly journals Zmiany kryteriów w diagnozowaniu zaburzeń związanych z hazardem oraz uzależnień chemicznych i czynnościowych

2017 ◽  
Vol 12 ◽  
pp. 91
Author(s):  
Iwona Niewiadomska ◽  
Agnieszka Palacz-Chrisidis
Keyword(s):  
Mental Disorders ◽  
Health Problems ◽  
Statistical Classification ◽  
Addictive Disorders ◽  
Statistical Manual ◽  
Dsm V ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification

Autorki poruszają kwestię zmian w kryteriach diagnostycznych dotyczących zaburzeń związanych z hazardem oraz uzależnień chemicznych i czynnościowych w literaturze przedmiotu. Prezentują też krótki przegląd kolejnych edycji podręczników międzynarodowych klasyfikacji, zarówno Diagnostics and Statistical Manual of Mental Disorders – DSM, jak i The International Statistical Classification of Diseases and Related Health Problems – ICD. W artykule przedstawiona jest również dyskusja badaczy na temat umiejscowienia zaburzeń związanych z hazardem w klasyfikacjach diagnostycznych. DSM-V umiejscawia zaburzenie hazardowe w kategorii „zaburzenia używania substancji i nałogów” (ang. Substance-Related and Addictive Disorders, DSM-V), w podkategorii „zaburzenia niezwiązane z substancjami” (ang. Non-Substace Related Disorders, DSM-V). Natomiast według nadal obowiązującego ICD-10, zaburzenie hazardowe pozostaje w obszarze zaburzeń kontroli i impulsów, pod nazwą „hazard patologiczny”.

Varying impact of co-morbid conditions on self-harm resulting in mortality in Australia

2016 ◽  
Vol 47 (1) ◽  
pp. 28-37 ◽  
Author(s):  
Kate Churruca ◽  
Brian Draper ◽  
Rebecca Mitchell
Keyword(s):  
Chronic Conditions ◽  
Mortality Data ◽  
Free Text ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification ◽  
Self Harm ◽  
Australian Bureau Of Statistics ◽  
The Impact ◽  
Morbid Conditions

Background: Research has associated some chronic conditions with self-harm and suicide. Quantifying such a relationship in mortality data relies on accurate death records and adequate techniques for identifying these conditions. Objective: This study aimed to quantify the impact of identification methods for co-morbid conditions on suicides in individuals aged 30 years and older in Australia and examined differences by gender. Method: A retrospective examination of mortality records in the National Coronial Information System (NCIS) was conducted. Two different methods for identifying co-morbidities were compared: International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) coded data, which are provided to the NCIS by the Australian Bureau of Statistics, and free-text searches of Medical Cause of Death fields. Descriptive statistics and χ2 tests were used to compare the methods for identifying co-morbidities and look at differences by gender. Results: Results showed inconsistencies between ICD-10 coded and coronial reports in the identification of suicide and chronic conditions, particularly by type (physical or mental). There were also significant differences in the proportion of co-morbid conditions by gender. Conclusion: While ICD-10 coded mortality data more comprehensively identified co-morbidities, discrepancies in the identification of suicide and co-morbid conditions in both systems require further investigation to determine their nature (linkage errors, human subjectivity) and address them. Furthermore, due to the prescriptive coding procedures, the extent to which medico-legal databases may be used to explore potential and previously unrecognised associations between chronic conditions and self-harm deaths remains limited.

Development of the ICD-10 simplified version and field test

2017 ◽  
Vol 47 (2) ◽  
pp. 77-84 ◽  
Author(s):  
Wansa Paoin ◽  
Maliwan Yuenyongsuwan ◽  
Yukiko Yokobori ◽  
Hiroyoshi Endo ◽  
Sukil Kim
Keyword(s):  
Developing Countries ◽  
Field Testing ◽  
World Health ◽  
Asia Pacific ◽  
Clinical Coding ◽  
Average Accuracy ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification ◽  
Health Organization

Background: The International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) has been used in various Asia-Pacific countries for more than 20 years. Although ICD-10 is a powerful tool, clinical coding processes are complex; therefore, many developing countries have not been able to implement ICD-10-based health statistics (WHO-FIC APN, 2007). Objective: This study aimed to simplify ICD-10 clinical coding processes, to modify index terms to facilitate computer searching and to provide a simplified version of ICD-10 for use in developing countries. Method: The World Health Organization Family of International Classifications Asia-Pacific Network (APN) developed a simplified version of the ICD-10 and conducted field testing in Cambodia during February and March 2016. Ten hospitals were selected to participate. Each hospital sent a team to join a training workshop before using the ICD-10 simplified version to code 100 cases. All hospitals subsequently sent their coded records to the researchers. Results: Overall, there were 1038 coded records with a total of 1099 ICD clinical codes assigned. The average accuracy rate was calculated as 80.71% (66.67–93.41%). Three types of clinical coding errors were found. These related to errors relating to the coder (14.56%), those resulting from the physician documentation (1.27%) and those considered system errors (3.46%). Discussion: The field trial results demonstrated that the APN ICD-10 simplified version is feasible for implementation as an effective tool to implement ICD-10 clinical coding for hospitals. Conclusion: Developing countries may consider adopting the APN ICD-10 simplified version for ICD-10 code assignment in hospitals and health care centres. The simplified version can be viewed as an introductory tool which leads to the implementation of the full ICD-10 and may support subsequent ICD-11 adoption.

Fall-related mortality in southern Sweden: a multiple cause of death analysis, 1998–2014

2017 ◽  
Vol 25 (2) ◽  
pp. 129-135 ◽  
Author(s):  
Aliasghar A Kiadaliri ◽  
Björn E Rosengren ◽  
Martin Englund
Keyword(s):  
Cause Of Death ◽  
Temporal Trends ◽  
Circulatory System ◽  
Southern Sweden ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification ◽  
The Mean ◽  
Related Mortality

ObjectivesTo investigate temporal trend in fall mortality among adults (aged ≥20 years) in southern Sweden using multiple cause of death data.MethodsWe examined all death certificates (DCs, n=2 01 488) in adults recorded in the Skåne region during 1998–2014. We identified all fall deaths using International Statistical Classification of Diseases (ICD)-10 codes (W00-W19) and calculated the mortality rates by age and sex. Temporal trends were evaluated using joinpoint regression and associated causes were identified by age-adjusted and sex-adjusted observed/expected ratios.ResultsFalls were mentioned on 1.0% and selected as underlying cause in 0.7% of all DCs, with the highest frequency among those aged ≥70 years. The majority (75.6%) of fall deaths were coded as unspecified fall (ICD-10 code: W19) followed by falling on or from stairs/steps (7.7%, ICD-10 code: W10) and other falls on the same level (6.3%, ICD-10 code: W18). The mean age at fall deaths increased from 77.5 years in 1998–2002 to 82.9 years in 2010–2014 while for other deaths it increased from 78.5 to 79.8 years over the same period. The overall mean age-standardised rate of fall mortality was 8.3 and 4.0 per 1 00 000 person-years in men and women, respectively, and increased by 1.7% per year in men and 0.8% per year in women during 1998–2014. Head injury and diseases of the circulatory system were recorded as contributing cause on 48.7% of fall deaths.ConclusionsThere is an increasing trend of deaths due to falls in southern Sweden. Further investigations are required to explain this observation particularly among elderly men.

Bipolar and related disorders in DSM-5 and ICD-10

CNS Spectrums ◽  
2016 ◽  
Vol 21 (4) ◽  
pp. 318-323 ◽  
Author(s):  
Alexander Kaltenboeck ◽  
Dietmar Winkler ◽  
Siegfried Kasper
Keyword(s):  
Negative Impact ◽  
Bipolar Disorders ◽  
Diagnostic Categories ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Previous Edition ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification

Bipolar disorders are a group of psychiatric disorders with profound negative impact on affected patients. Even if their symptomatology has long been recognized, diagnostic criteria have changed over time and diagnosis often remains difficult. The Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), issued in May 2013, comprises several changes regarding the diagnosis of bipolar disorders compared to the previous edition. Diagnostic categories and criteria for bipolar disorders show some concordance with the internationally also widely used Tenth Edition of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). However, there are also major differences that are worth highlighting. The aim of the following text is to depict and discuss those.

scholarly journals Analysis of the admissions and deaths in the Brazilians Regions by Viral Meningitis in the last decade

2021 ◽  
Author(s):  
Natali Rocha Bernich ◽  
René Ochagavia Chagas de Oliveira ◽  
Isabella Montemaggiore Busin ◽  
Vanessa Saling Guglielmi ◽  
Lucas Henrique Skalei Redmann ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Age Groups ◽  
Length Of Hospital Stay ◽  
Viral Meningitis ◽  
The North ◽  
Neurological Alterations ◽  
The Mean ◽  
Using Data ◽  
The One ◽  
Brazilian Health System

Background: Viral meningitis is a neuroinfection that presents neurological alterations that usually evolve benignly. In Brazil, during the last decade, the disease caused 30,731 admissions and 1,048 deaths. Objectives: Analyze the number of hospital admissions for Viral Meningitis, between from 2011 to 2021 in all the regions of Brazil. Design and setting: Study realized using data from the Department of Information of the Brazilian Health System (DATASUS). The variables researched were hospitalizations, deaths, age, gender, race e Brazilian regions. Results: The regions with the highest number of admissions for viral meningitis are the Southeast (42.51%), followed by the Northeast (24.07%) and the South region (22.10%).It was observed that, in all age groups analyzed, males constitute the majority of admissions (58%). In terms of race, 37.51% were white and 28.41% were brown. In the case of deaths (1,048 in total), men were the majority. The mean length of hospital stay was 7.4 days and the average cost was R $1,119.07. Conclusion: Male, white, and aged between 1 and 4 years old are the characteristics that form the profile of the patient frequently hospitalized for Viral Meningitis. The region of Brazil with the highest number of admissions was in the Southeast and the one with the lowest was the North region. Regarding the number of deaths, it is higher in males.

scholarly journals Eight-year outcome after invasive treatment of infrainguinal intermittent claudication: A population-based analysis from the Swedish vascular register (Swedvasc)

2020 ◽  
Vol 8 ◽  
pp. 205031212092678
Author(s):  
Thordur Gunnarsson ◽  
Anders Gottsäter ◽  
Stefan Bergman ◽  
Thomas Troëng ◽  
Hans Lindgren
Keyword(s):  
Intermittent Claudication ◽  
Circulatory System ◽  
Population Based ◽  
High Morbidity ◽  
Invasive Treatment ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Positive Treatment ◽  
International Statistical Classification

Objectives: Invasive treatment of infrainguinal intermittent claudication is controversial, and long-term outcomes are scarce. The study aim was to evaluate 8 years results regarding new vascular interventions on index and contralateral limb, hospitalization, mortality, and amputation in 775 patients revascularized for infrainguinal intermittent claudication in 2009. Methods: Data on new vascular interventions retrieved from the Swedish vascular register (Swedvasc) were linked to the Inpatient Register and Cause of Death Register with information on hospitalizations, primary discharge diagnoses according to the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10), deaths, causes of death, and amputations. Results: During 8 years of follow-up, 486 new vascular interventions were performed. Patients were admitted for a total of 4662 hospitalizations and spent 25,970 days in hospital. Between 79% and 99% of surviving subjects were hospitalized each year. During follow-up, 311 (40.1%) patients died. The most common causes of hospitalization and death were cerebrovascular disease, ischemic heart disease, or other diseases of the circulatory system, causing 47.5% of hospitalizations and 42.4% of deaths. Seventy-seven major lower limb amputations were performed in 52 patients. Conclusion: As patients undergoing invasive treatment of infrainguinal intermittent claudication have high morbidity and mortality, during 8 years of follow-up, the indication for invasive treatment should be carefully weighed against concomitant comorbidities and the timing of this treatment optimized with regard to the patient’s possibilities to enjoy positive treatment effects on quality of life.

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