Qureshi Adnan I, Harris-Lane Pansy, Siddiqi Faisal, Kirmani Jawad F
Zeenat Qureshi Stroke Research Center, Department of Neurology and Neurosciences, University of Medicine and Dentistry of New Jersey, 90 Bergen Streeet, DOC-8100, Newark, NJ 07103, USA.
J Clin Epidemiol. 2006 Aug;59(8):856-8. doi: 10.1016/j.jclinepi.2006.01.004. Epub 2006 May 23.
To determine the accuracy of recently introduced International Classification of Diseases Ninth Revision (ICD-9) procedure and Current Procedural Terminology (CPT) codes designed for injection or infusion of thrombolytic agents.
We determined the accuracy of ICD-9 procedure code 99.10 and CPT codes 37201, 37202 for use of thrombolysis in ischemic stroke by comparing procedure codes of University Hospital discharge data with a concurrent prospective registry.
Of the 369 ischemic stroke patients, 49 (13.3%) received either intravenous and/or intraarterial thrombolysis. The sensitivity and specificity for ICD-9 procedure code 99.10 was 55% and 98% and CPT procedure code 37201 and 37202 was 49% and 99%. Identification by either ICD-9 codes or CPT codes yielded a high sensitivity and specificity of 82% and 98%.
The use of ICD-9 and CPT codes alone may underestimate the use of thrombolytics using national and regional database. Best results are achieved when a combination of ICD-9 and CPT codes are used to identify the use of thrombolytics.
确定最近引入的用于注射或输注溶栓药物的国际疾病分类第九版（ICD - 9）程序编码和现行程序术语（CPT）编码的准确性。
通过将大学医院出院数据的程序编码与同期前瞻性登记数据进行比较，我们确定了ICD - 9程序编码99.10以及CPT编码37201、37202在缺血性卒中溶栓治疗中的使用准确性。
在369例缺血性卒中患者中，49例（13.3%）接受了静脉和/或动脉内溶栓治疗。ICD - 9程序编码99.10的敏感性和特异性分别为55%和98%，CPT程序编码37201和37202的敏感性和特异性分别为49%和99%。使用ICD - 9编码或CPT编码进行识别时，敏感性和特异性分别高达82%和98%。
仅使用ICD - 9和CPT编码可能会低估国家和地区数据库中溶栓药物的使用情况。当联合使用ICD - 9和CPT编码来识别溶栓药物的使用时，能取得最佳结果。
