High rate of false-positive postoperative venous thromboembolism identified using hospital ICD-10 coding.
Hadley BortzLinda ShiAdrian CheeHuyen A TranPublished in: Internal medicine journal (2023)
The Health Roundtable, a national benchmarking body, identified our institution as an outlier with a high number of postoperative venous thromboembolism (VTE) events. We performed a retrospective study to determine the accuracy of hospital coding for the incidence and severity of postoperative VTE. Of 232 patients identified from ICD-10 coding, 52 (22.4%) were incorrectly coded. Approximately one third (n = 68) of all VTE were asymptomatic, diagnosed incidentally. Thus, coding data are inherently flawed with inaccuracy and overrepresent the true number of VTE events, with a substantial proportion of limited clinical relevance.
Keyphrases
- venous thromboembolism
- direct oral anticoagulants
- patients undergoing
- healthcare
- end stage renal disease
- ejection fraction
- newly diagnosed
- public health
- chronic kidney disease
- peritoneal dialysis
- mental health
- risk factors
- acute care
- adverse drug
- emergency department
- health information
- social media
- patient reported
- artificial intelligence
- drug induced