Understanding the biases to sepsis surveillance and quality assurance caused by inaccurate coding in administrative health data.
Daniel SchwarzkopfNorman RoseCarolin Fleischmann-StruzekBeate BodenHeike DorowAndreas EdelMarcus FriedrichFalk A GonnertJürgen GötzMatthias GründlingMarkus HeimKirill HolbeckUlrich JaschinskiChristian KochChristian KünzerKhanh Le NgocSimone LindauNgoc B MehlmannJan MeschedePatrick MeybohmDominique OuartChristian PutensenMichael SanderJens-Christian SchewePeter SchlattmannGötz SchmidtGerhard SchneiderClaudia D SpiesFerdinand SteinsbergerKai ZacharowskiSebastian ZinnKonrad ReinhartPublished in: Infection (2023)
Due to the under-coding of sepsis in IAHD, previous epidemiological studies underestimated the burden of sepsis in Germany. There is a large variability between hospitals in accuracy of diagnosing and coding of sepsis. Therefore, IAHD alone is not suited to assess quality of sepsis care.