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.

scholarly journals Postelimination Status of Childhood Leprosy: Report from a Tertiary-Care Hospital in South India

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
P. Chaitra ◽  
Ramesh Marne Bhat
Keyword(s):  
Medical Records ◽  
South India ◽  
Tertiary Care Hospital ◽  
Pediatric Population ◽  
Tertiary Care ◽  
Care Hospital ◽  
Older Children ◽  
History Of ◽  
Clinicopathological Pattern ◽  
Different Parts

Introduction. Leprosy, a statistically “eliminated” disease from the globe, continues to linger around in its endemic countries including India.Objective. This study describes the epidemiological and clinicopathological pattern of the disease seen in children over a period of 8 years following its elimination in India.Materials and Methods. Medical records of all leprosy cases up to 14 years of age registered between April 2005 and March 2013 were retrospectively analyzed. Data were retrieved using a predesigned proforma and entered into the database system for analysis.Results. Child proportion of newly registered leprosy cases did not show a significant decline in the years following its elimination. The disease seemed to manifest frequently in older children with an insignificant gender predilection. More than half of child cases had a history of household contact. Paucibacillary leprosy dominated in them with a solitary skin lesion as the most frequent presentation. Although nerve thickening was seen in nearly half of these children, neuritis and lepra reactions were less common. Deformity at the time of diagnosis was noted in 13.89% of cases. Although smear positivity was not a common feature in children affected with leprosy, a good clinicohistopathological correlation was observed in those who underwent biopsy.Conclusion. Our study and reports from different parts of the country depict the unturned curves in the epidemiology of childhood leprosy which mirrors active transmission in the community, lacunae in diagnosis, and the need to strengthen contact screening activities in the pediatric population to sustain elimination.

Accuracy of Malignant Hyperthermia Diagnoses in Hospital Discharge Records

2015 ◽  
Vol 59 (3) ◽  
pp. 159
Author(s):  
Teeda Pinyavat ◽  
Henry Rosenberg ◽  
Barbara H. Lang ◽  
Cynthia A. Wong ◽  
Sheila Riazi ◽  
...  
Keyword(s):  
Malignant Hyperthermia ◽  
Hospital Discharge ◽  
Hospital Discharge Records

scholarly journals Accuracy of the diagnosis of malignant hyperthermia in hospital discharge records

2014 ◽  
Vol 14 (Suppl 1) ◽  
pp. A23
Author(s):  
Teeda Pinyavat ◽  
Henry Rosenberg ◽  
Barbara H Lang ◽  
Cynthia A Wong ◽  
Sheila Riazi ◽  
...  
Keyword(s):  
Malignant Hyperthermia ◽  
Hospital Discharge ◽  
Hospital Discharge Records

scholarly journals Predicting Risk of Suicide Attempt Using History of Physical Illnesses From Electronic Medical Records

2016 ◽  
Vol 3 (3) ◽  
pp. e19 ◽  
Author(s):  
Chandan Karmakar ◽  
Wei Luo ◽  
Truyen Tran ◽  
Michael Berk ◽  
Svetha Venkatesh
Keyword(s):  
Risk Assessment ◽  
Electronic Medical Records ◽  
Behavioral Disorders ◽  
Medical Records ◽  
Suicide Risk ◽  
Lookup Table ◽  
Icd 10 ◽  
History Of ◽  
Time Periods ◽  
Mental And Behavioral Disorders

Background Although physical illnesses, routinely documented in electronic medical records (EMR), have been found to be a contributing factor to suicides, no automated systems use this information to predict suicide risk. Objective The aim of this study is to quantify the impact of physical illnesses on suicide risk, and develop a predictive model that captures this relationship using EMR data. Methods We used history of physical illnesses (except chapter V: Mental and behavioral disorders) from EMR data over different time-periods to build a lookup table that contains the probability of suicide risk for each chapter of the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) codes. The lookup table was then used to predict the probability of suicide risk for any new assessment. Based on the different lengths of history of physical illnesses, we developed six different models to predict suicide risk. We tested the performance of developed models to predict 90-day risk using historical data over differing time-periods ranging from 3 to 48 months. A total of 16,858 assessments from 7399 mental health patients with at least one risk assessment was used for the validation of the developed model. The performance was measured using area under the receiver operating characteristic curve (AUC). Results The best predictive results were derived (AUC=0.71) using combined data across all time-periods, which significantly outperformed the clinical baseline derived from routine risk assessment (AUC=0.56). The proposed approach thus shows potential to be incorporated in the broader risk assessment processes used by clinicians. Conclusions This study provides a novel approach to exploit the history of physical illnesses extracted from EMR (ICD-10 codes without chapter V-mental and behavioral disorders) to predict suicide risk, and this model outperforms existing clinical assessments of suicide risk.

scholarly journals Prevalence of Depression in Patients with Chronic Backache

2019 ◽  
Vol 7 (2) ◽  
pp. 4-8
Author(s):  
Sandip Subedi ◽  
Alok Pandey ◽  
Shirish Aryal
Keyword(s):  
Tertiary Care ◽  
Developed Countries ◽  
Psychiatric Evaluation ◽  
Care Hospital ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Prevalence Of Depression ◽  
Icd 10 ◽  
Minimum Age ◽  
History Of

INTRODUCTION:-Backache is a common problem with about 70% of people in developed countries experience low back pain at some time in their lives. A number of studies done previously shows that there is high prevalence of depression in patients with chronic backache. This study was carried out to find out the prevalence of depression in patients with chronic backache in Nepalese subjects. MATERIAL AND METHODS:-This was a cross-sectional descriptive study conducted in Universal College of Medical Sciences, Bhairahawa, Nepal. Patients presenting to Orthopaedics OPD with history of backache lasting for more than 12 weeks were referred for psychiatric evaluation. One Hundred cases were included in the study based on inclusion / exclusion criteria in six months period (from 1st  Jan 2019 to 30th  June 2019). Detailed evaluation was done by a psychiatrist to find out the presence of depression. Diagnosis of depression was made based on ICD-10 DCR. Data was analysed using SPSS. RESULTS: Out of total 100 subjects, more than half (56%) were females. Majority of the subjects (61% ) were below 45 years of age. The average age of the subjects was 45 years minimum age being 16 and maximum 77. About 59% were also suffering from depressive disorder. CONCLUSION: This study concludes that significant number of patients with chronic backache attending OPD of tertiary care hospital suffers from depression. It is therefore essential to screen for depression in these patients.

Recurrent wheezing, allergic rhinitis, and maternal asthma as predictors of asthma in children

2020 ◽  
Vol 41 (3) ◽  
pp. 204-209
Author(s):  
Ilson Meireles-Neto ◽  
Alexandre M. Pimentel ◽  
Juliana N. Parreira ◽  
Maria-Socorro H. Fontoura ◽  
Cristiana M. Nascimento-Carvalho
Keyword(s):  
Allergic Rhinitis ◽  
Medical Records ◽  
Case Control Study ◽  
Personal History ◽  
School Age Children ◽  
Recurrent Wheezing ◽  
Maternal History ◽  
History Of ◽  
Asthma In Children ◽  
Control Study

Background: Early prediction of asthma is crucial for asthma prevention. Objective: We estimated the odds ratio (OR) of recurrent wheezing during the first 3 years of life, atopic rhinitis, and maternal asthma for asthma in school-age children (ages ≥ 6 years). Methods: This case-control study was conducted in Salvador, Brazil. Medical records of children diagnosed with asthma (cases) and of children screened for pulmonary illnesses and without asthma (controls) were reviewed. Information was retrieved and registered in standardized forms. Results: We included 125 subjects (cases) and 375 controls, whose median (percentile 25th‐percentile 75th) age was 8.1 years (6.6‐10.0 years) and 9.2 years (7.0‐11.9 years), respectively. The subjects (cases) and the controls had at least three episodes of wheezing during the first 3 years of life (69.7% and 1.4%, respectively), a maternal history of asthma (36.0% and 4.0%, respectively), and atopic rhinitis (95.9% and 35.1%, respectively). The adjusted OR of three or more episodes of wheezing during the first 3 years of life was OR 132.5 (95% confidence interval [CI], 36.8‐477.1), of a personal history of atopic rhinitis was OR 21.3 (95% CI, 5.3‐85.0), and of maternal asthma was OR 10.2 (95% CI, 3.1‐33.6) for asthma in a logistic regression (which also included age, gender, and maternal history of allergic rhinitis [OR insignificant for these factors]). Conclusion: Children with a history of three or more episodes of wheezing during the first 3 years of life were at least 37 times more likely to develop asthma than children without this history. A maternal history of asthma and a personal history of atopic rhinitis are also predictors of asthma in children.

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