Should International Classification of Diseases codes be used to survey hospital-acquired pneumonia? - 06/04/18

Doi : 10.1016/j.jhin.2018.01.017

A. Wolfensberger ^a,^⁎ , A.H. Meier ^a, S.P. Kuster ^a, T. Mehra ^b, M.-T. Meier ^a, H. Sax ^a
^a Division of Infectious Diseases and Hospital Epidemiology, University Hospital Zürich, University of Zurich, Zurich, Switzerland
^b Department of Internal Medicine, University Hospital of Zurich, University of Zurich, Zurich, Switzerland

^∗Corresponding author. Address: Division of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Rämistrasse 100, CH-8091, Zurich, Switzerland. Tel.: +41 44 255 14 57; fax: +41 44 255 45 58.Division of Infectious Diseases and Hospital EpidemiologyUniversity Hospital ZurichUniversity of ZurichRämistrasse 100ZurichCH-8091Switzerland

Summary

As surveillance of hospital-acquired pneumonia (HAP) is very resource intensive, alternatives for HAP surveillance are needed urgently. This study compared HAP rates according to routine discharge diagnostic codes of the International Classification of Diseases, 10^th Revision (ICD-10; ICD-HAP) with HAP rates according to the validated surveillance definitions of the Hospitals in Europe Link for Infection Control through Surveillance (HELICS/IPSE; HELICS-HAP) by manual retrospective re-evaluation of patient records. The positive predictive value of ICD-HAP for HELICS-HAP was 0.35, and sensitivity was 0.59. Therefore, the currently available ICD-10-based routine discharge data do not allow reliable identification of patients with HAP.

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Keywords : Healthcare-associated infections, Surveillance, Diagnosis-related groups, Incidence

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Vol 99 - N° 1

P. 81-84 - mai 2018 Retour au numéro

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Should International Classification of Diseases codes be used to survey hospital-acquired pneumonia? - 06/04/18

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