Abstract 16159: Pacemaker in the Elderly: A Nationwide Cohort to Determine Complications Associated With Pacemakers

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Chaitanya Rojulpote ◽  
Abhijit Bhattaru ◽  
Karthik Gonuguntla ◽  
Shivaraj Patil ◽  
Pranav Karambelkar ◽  
...  
Keyword(s):  
Sinus Node ◽  
The Elderly ◽  
International Classification Of Diseases ◽  
Limited Data ◽  
Dual Chamber ◽  
Geriatric Population ◽  
Diagnosis Codes ◽  
Classification Of Diseases ◽  
To Receive

Introduction: The geriatric population represents over half of the patients who receive permanent pacemakers (PPM). There are complications associated with the use of PPM in the elderly. Hypothesis: There is limited data on the use of PPM in the elderly population. We aimed to analyze complications and trends associated with various PPM device implantations in the geriatric population over the age of 80. Methods: We used the National Inpatient Sample Database for the years 2010 to 2014 using the International Classification of Diseases-9 procedure code for PPM Implantation and diagnosis codes for complications associated with pacemaker use in patients above the age of 80 years. Results: We identified a total of 265,001 hospitalizations from 2010 to 2014 where patients above the age of 80 years received PPM implantation. Among those who received the PPM, 68 % of patients had Sinus Node Dysfunction (SND) and in-hospital mortality associated with PPM implantation of 1.8%. The majority of this cohort consisted of Caucasians (83%) and males (50%). They had a mean length of stay of 4.4±4.2 (mean ± SD) days. Various types of pacemakers implanted included dual chamber (72 %), single chamber (15 %), and biventricular (13 %). Complications associated with PPM implantation were venous thromboembolism (1%), cardiac tamponade (0.2%), sepsis and severe sepsis (1.1%), septic shock (0.3%), pneumothorax (0.2%), pacemaker hematoma (1.4%). Conclusion: As observed in our study, dual chamber pacemaker is the most commonly used implantable device in age 80+ geriatric patient population. This study identified a variety of PPM-related complications, of which pacemaker hematoma was the most common. Although there are associated complications with the use of this device, the benefits outweigh the risks as age should not be considered a barrier to receive a PPM.

scholarly journals Association Between Diagnosis Code Expansion and Changes in 30‐Day Risk‐Adjusted Outcomes for Cardiovascular Diseases

2021 ◽  
Author(s):  
Lauren Gilstrap ◽  
Rishi K. Wadhera ◽  
Andrea M. Austin ◽  
Stephen Kearing ◽  
Karen E. Joynt Maddox ◽  
...  
Keyword(s):  
Logistic Regression ◽  
International Classification Of Diseases ◽  
Fee For Service ◽  
Readmission Rates ◽  
Difference In Differences ◽  
Diagnosis Codes ◽  
Classification Of Diseases ◽  
Changes In Risk ◽  
The Impact

BACKGROUND In January 2011, Centers for Medicare and Medicaid Services expanded the number of inpatient diagnosis codes from 9 to 25, which may influence comorbidity counts and risk‐adjusted outcome rates for studies spanning January 2011. This study examines the association between (1) limiting versus not limiting diagnosis codes after 2011, (2) using inpatient‐only versus inpatient and outpatient data, and (3) using logistic regression versus the Centers for Medicare and Medicaid Services risk‐standardized methodology and changes in risk‐adjusted outcomes. METHODS AND RESULTS Using 100% Medicare inpatient and outpatient files between January 2009 and December 2013, we created 2 cohorts of fee‐for‐service beneficiaries aged ≥65 years. The acute myocardial infarction cohort and the heart failure cohort had 578 728 and 1 595 069 hospitalizations, respectively. We calculate comorbidities using (1) inpatient‐only limited diagnoses, (2) inpatient‐only unlimited diagnoses, (3) inpatient and outpatient limited diagnoses, and (4) inpatient and outpatient unlimited diagnoses. Across both cohorts, International Classification of Diseases, Ninth Revision ( ICD‐9 ) diagnoses and hierarchical condition categories increased after 2011. When outpatient data were included, there were no significant differences in risk‐adjusted readmission rates using logistic regression or the Centers for Medicare and Medicaid Services risk standardization. A difference‐in‐differences analysis of risk‐adjusted readmission trends before versus after 2011 found that no significant differences between limited and unlimited models for either cohort. CONCLUSIONS For studies that span 2011, researchers should consider limiting the number of inpatient diagnosis codes to 9 and/or including outpatient data to minimize the impact of the code expansion on comorbidity counts. However, the 2011 code expansion does not appear to significantly affect risk‐adjusted readmission rate estimates using either logistic or risk‐standardization models or when using or excluding outpatient data.

scholarly journals Use of Diagnosis Codes and/or Wound Culture Results for Surveillance of Surgical Site Infection after Mastectomy and Breast Reconstruction

2010 ◽  
Vol 31 (05) ◽  
pp. 544-547 ◽  
Author(s):  
Margaret A. Olsen ◽  
Victoria J. Fraser
Keyword(s):  
Surgical Site Infection ◽  
Claims Data ◽  
Breast Surgery ◽  
International Classification Of Diseases ◽  
Site Infection ◽  
Wound Culture ◽  
Diagnosis Codes ◽  
Classification Of Diseases ◽  
Major Breast

We compared surveillance of surgical site infection (SSI) after major breast surgery by using a combination of International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes and microbiology-based surveillance. The sensitivity of the coding algorithm for identification of SSI was 87.5%, and the sensitivity of wound culture for identification of SSI was 78.1%. Our results suggest that SSI surveillance can be reliably performed using claims data.

The prevalence of localised scleroderma in childhood assessed in the administrative claims data from the United States

2018 ◽  
Vol 4 (1) ◽  
pp. 77-78
Author(s):  
Timothy Beukelman ◽  
Fenglong Xie ◽  
Ivan Foeldvari
Keyword(s):  
United States ◽  
Systemic Sclerosis ◽  
Claims Data ◽  
International Classification Of Diseases ◽  
The United States ◽  
Administrative Claims ◽  
Administrative Claims Data ◽  
Diagnosis Codes ◽  
Classification Of Diseases

Juvenile localised scleroderma is believed an orphan autoimmune disease, which occurs 10 times more often than systemic sclerosis in childhood and is believed to have a prevalence of 1 per 100,000 children. To gain data regarding the prevalence of juvenile localised scleroderma, we assessed the administrative claims data in the United States using the International Classification of Diseases, Ninth Revision diagnosis codes. We found an estimated prevalence in each year ranging from 3.2 to 3.6 per 10,000 children. This estimate is significantly higher as found in previous studies.

scholarly journals Addressing the Gaps in Post-Stroke Sexual Activity Rehabilitation: Patient Perspectives

Healthcare ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 25 ◽  
Author(s):  
Sarah Prior ◽  
Nicole Reeves ◽  
Gregory Peterson ◽  
Linda Jaffray ◽  
Steven Campbell
Keyword(s):  
Sexual Activity ◽  
International Classification Of Diseases ◽  
Public Hospitals ◽  
Post Stroke ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
The Mean ◽  
To Receive ◽  
Activity Information

Sexual dysfunction is common but often under-recognised or neglected after stroke. This study sought to identify the existing methods for providing information and discussion on post-stroke sexual activity, and perceived gaps from the patient perspective. A sample of 1265 participants who had been admitted to any of the four major public hospitals in Tasmania, Australia, with stroke (International Classification of Diseases (ICD-10) group B70) were mailed a survey assessing their experiences with, and opinions about, receipt of post-stroke sexual activity education. One hundred and eighty-three participants (14.5%) responded; of these, 65% were male and the mean age was 69.1 years. The results indicated that, whilst over 30% or participants wanted to receive information related to post-stroke sexual activity, only a small proportion of participants (8.2%) had received this. In terms of the method of receiving this information, participants preferred to receive this from a doctor in a private discussion with or without their partner present. The delivery of post-stroke sexual activity information and education is inconsistent and fails to meet patient needs within major Tasmanian hospitals, highlighting the importance of developing sound, routine, post-stroke education and information processes.

Evaluation of International Classification of Diseases, Ninth Revision, Clinical Modification Codes for Reporting Methicillin-Resistant Staphylococcus aureus Infections at a Hospital in Illinois

2010 ◽  
Vol 31 (05) ◽  
pp. 463-468 ◽  
Author(s):  
Melissa K. Schaefer ◽  
Katherine Ellingson ◽  
Craig Conover ◽  
Alicia E. Genisca ◽  
Donna Currie ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
International Classification Of Diseases ◽  
International Classification ◽  
Care Hospital ◽  
Methicillin Resistant ◽  
Diagnosis Codes ◽  
Classification Of Diseases ◽  
Mrsa Infection ◽  
Healthcare Associated

Background. States, including Illinois, have passed legislation mandating the use of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for reporting healthcare-associated infections, such as methicillin-resistant Staphylococcus aureus (MRSA). Objective. To evaluate the sensitivity of ICD-9-CM code combinations for detection of MRSA infection and to understand implications for reporting. Methods. We reviewed discharge and microbiology databases from July through August of 2005, 2006, and 2007 for ICD-9-CM codes or microbiology results suggesting MRSA infection at a tertiary care hospital near Chicago, Illinois. Medical records were reviewed to confirm MRSA infection. Time from admission to first positive MRSA culture result was evaluated to identify hospital-onset MRSA (HO-MRSA) infections. The sensitivity of MRSA code combinations for detecting confirmed MRSA infections was calculated using all codes present in the discharge record (up to 15); the effect of reviewing only 9 diagnosis codes, the number reported to the Centers for Medicare and Medicaid Services, was also evaluated. The sensitivity of the combination of diagnosis codes for detection of HO-MRSA infections was compared with that for community-onset MRSA (CO-MRSA) infections. Results. We identified 571 potential MRSA infections with the use of screening criteria; 403 (71%) were confirmed MRSA infections, of which 61 (15%) were classified as HO-MRSA. The sensitivity of MRSA code combinations was 59% for all confirmed MRSA infections when 15 diagnoses were reviewed compared with 31% if only 9 diagnoses were reviewed (P < .001). The sensitivity of code combinations was 33% for HO-MRSA infections compared with 62% for CO-MRSA infections (P < .001). Conclusions. Limiting analysis to 9 diagnosis codes resulted in low sensitivity. Furthermore, code combinations were better at revealing CO-MRSA infections than HO-MRSA infections. These limitations could compromise the validity of ICD-9-CM codes for interfacility comparisons and for reporting of healthcare-associated MRSA infections.

scholarly journals Validity of the International Classification of Diseases, 10th revision discharge diagnosis codes for hyponatraemia in the Danish National Registry of Patients

BMJ Open ◽  
2014 ◽  
Vol 4 (4) ◽  
pp. e004956 ◽  
Author(s):  
Louise Holland-Bill ◽  
Christian Fynbo Christiansen ◽  
Sinna Pilgaard Ulrichsen ◽  
Troels Ring ◽  
Jens Otto Lunde Jørgensen ◽  
...  
Keyword(s):  
International Classification Of Diseases ◽  
National Registry ◽  
International Classification ◽  
Discharge Diagnosis ◽  
Diagnosis Codes ◽  
Classification Of Diseases

Changes in the accuracy of administrative data for the detection of surgical site infections

2020 ◽  
pp. 1-3
Author(s):  
Brian T. Bucher ◽  
Meng Yang ◽  
Julie Arndorfer ◽  
Cherie Frame ◽  
Jan Orton ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Retrospective Analysis ◽  
Surgical Site Infections ◽  
International Classification Of Diseases ◽  
Site Infection ◽  
Diagnosis Codes ◽  
Infection Surveillance ◽  
Classification Of Diseases ◽  
Ninth Edition

Abstract We performed a retrospective analysis of the changes in accuracy of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis codes for colectomy and hysterectomy surgical site infection surveillance. After the transition from ICD-CM ninth edition to tenth edition codes, there was no significant change in the accuracy of these codes for SSI surveillance.

scholarly journals CAUSAS DE MORTALIDAD A CONSECUENCIA DE LA VEJEZ EN JEREZ DE LOS CABALLEROS (BADAJOZ, ESPAÑA) EN EL SIGLO XIX

2015 ◽  
Vol 63 (2) ◽  
pp. 229-234
Author(s):  
FRANCISCO JAVIER SUÁREZ GUZMÁN
Keyword(s):  
Mortality Rate ◽  
Cause Of Death ◽  
The Elderly ◽  
International Classification Of Diseases ◽  
Age Related ◽  
Historical Archives ◽  
Classification Of Diseases ◽  
Siglo Xix ◽  
Las Mujeres

<p><strong>RESUMEN</strong></p><p><strong>         </strong>Introducción:<strong> </strong>Según la Clasificación Internacional de Enfermedades de Bertillon de 1899, se han reunido las causas de defunción ocasionadas por la vejez en Jerez de los Caballeros (Badajoz) durante el siglo XIX.</p><p>Material y métodos: Se han recopilado un total de 26.203 defunciones de las cuales en 7.665 no consta la causa del fallecimiento, y sí en 18.538, para ello se han estudiado los Libros de Defunciones del Archivo Parroquial y legajos del Archivo Histórico.</p><p>Resultados: El primer difunto aparece el 28 de junio de 1808. Las tasas brutas de mortalidad específica promedian un 0,3‰. El término vejez fue cambiado a lo largo de los años, sobre todo al aumentar la esperanza de vida, pero continuaría la condición de marginado social del anciano.</p><p>Conclusiones: Las enfermedades relacionadas con el envejecimiento causaron 204 defunciones, el 1,1% del total de la mortalidad de la población durante el siglo XIX, correspondiendo a la decimosegunda causa de mortalidad en la población. La mayor mortalidad se da entre los 75 y 84 años con 85 defunciones (41,7%). Las mujeres presentan las cifras más elevadas 128 fallecimientos (62,7%). Enero es el mes con más óbitos.</p><p><strong>ABSTRACT</strong></p><p>Introduction: We have compiled the causes of age-related decease in Jerez de los Caballeros (Badajoz) during the 20th century following Bertillon’s International Classification of Diseases of 1899.</p><p>Materials and Methods: A total of 26.203 deceases has been found. For 7.665 of these no cause of death is recorded. We have consulted the Books of the Death, located in the Parish Archives, and files of the Historical Archives.</p><p>Results: The first decease appears on 28th June 1808. Gross specific mortality rates average 00,3‰. The application of the term old age changed with the passing of time, especially with the increase in life expectancy, but the elderly remain an object of social marginalization.</p><p>Conclusions: Age-related diseases caused 204 deceases, 1,1% of the total for the period under research, being the twelfth most frequent cause of death in the population. The highest mortality rate occurs between the ages of 75 and 84 (41%). Females have a higher mortality rate than males (128 deceases, 62,7%). January is the month with most deceases.</p><br /><p> </p><p> </p>

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