用于识别炎症性肠病患者腹部手术和肠梗阻的管理代码算法的开发与验证
Development and Validation of an Administrative Codes Algorithm to Identify Abdominal Surgery and Bowel Obstruction in Patients With Inflammatory Bowel Disease.
作者信息
Gandle Cassandra, Scott Frank I, Waljee Akbar, Vajravelu Ravy K, Sansgiry Shubhada, Hou Jason K
机构信息
Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Department of Medicine, Section of Gastroenterology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
出版信息
Crohns Colitis 360. 2021 Feb 25;3(1):otab010. doi: 10.1093/crocol/otab010. eCollection 2021 Jan.
BACKGROUND
Validated administrative codes (CPT and ICD) can permit the use of large databases to study diseases and outcomes. The aim of this study was to validate administrative codes for surgery and obstructive complications in patients with inflammatory bowel disease (IBD).
METHODS
We performed a retrospective study of IBD patients within the Veterans Affairs Health Administration (VA) from 2000 to 2015 with administrative codes for bowel surgery and complications validated by chart review. Positive predictive values (PPVs) and negative predictive value (NPV) were calculated.
RESULTS
The PPV for bowel surgery was 96.4%; PPV of obstruction codes for bowel obstruction was 80.5% (95% confidence interval: 69.1%, 89.2%).
CONCLUSIONS
CPT and ICD codes for abdominal surgery and obstructive complications can be accurately utilized in IBD patients in VA.
背景
经过验证的管理代码（CPT和ICD）可允许使用大型数据库来研究疾病和结局。本研究的目的是验证炎症性肠病（IBD）患者手术及梗阻性并发症的管理代码。
方法
我们对2000年至2015年退伍军人事务卫生管理局（VA）内的IBD患者进行了一项回顾性研究，通过病历审查对肠道手术和并发症的管理代码进行验证。计算阳性预测值（PPV）和阴性预测值（NPV）。
结果
肠道手术的PPV为96.4%；肠梗阻梗阻代码的PPV为80.5%（95%置信区间：69.1%，89.2%）。
结论
CPT和ICD腹部手术及梗阻性并发症代码可在VA的IBD患者中准确使用。
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