Validity of ICD-10 Codes for Cerebral Venous Thrombosis Depends on Clinical Context.
Lily W ZhouAmy Ying Xin YuWilliam HallMichael D HillThalia Shoshana FieldPublished in: The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques (2021)
We examined the accuracy of International Classification of Disease 10th iteration (ICD-10) diagnosis codes within Canadian administrative data in identifying cerebral venous thrombosis (CVT). Of 289 confirmed cases of CVT admitted to our comprehensive stroke center between 2008 and 2018, 239/289 were new diagnoses and 204/239 were acute events with only 75/204 representing symptomatic CVTs not provoked by trauma or structural processes. Using ICD-10 codes in any position, sensitivity was 39.1% and positive predictive value was 94.2% for patients with a current or history of CVT and 84.0% and 52.5% for acute and symptomatic CVTs not provoked by trauma or structural processes.
Keyphrases
- liver failure
- respiratory failure
- subarachnoid hemorrhage
- aortic dissection
- drug induced
- cerebral ischemia
- atrial fibrillation
- trauma patients
- machine learning
- electronic health record
- intensive care unit
- big data
- extracorporeal membrane oxygenation
- mechanical ventilation
- blood brain barrier
- acute respiratory distress syndrome