TY - JOUR
T1 - The validity of hospital diagnostic and procedure codes reflecting morbidity in preterm neonates born <32 weeks gestation
AU - Ryckman, Kelli K.
AU - Holdefer, Paul J.
AU - Sileo, Eva
AU - Carlson, Claire
AU - Weathers, Nancy
AU - Jasper, Elizabeth A.
AU - Cho, Hyunkeun
AU - Oltman, Scott P.
AU - Dagle, John M.
AU - Jelliffe-Pawlowski, Laura L.
AU - Rogers, Elizabeth E.
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2023/11
Y1 - 2023/11
N2 - Objective: To determine the validity of diagnostic hospital billing codes for complications of prematurity in neonates <32 weeks gestation. Study Design: Retrospective cohort data from discharge summaries and clinical notes (n = 160) were reviewed by trained, blinded abstractors for the presence of intraventricular hemorrhage (IVH) grades 3 or 4, periventricular leukomalacia (PVL), necrotizing enterocolitis (NEC), stage 3 or higher, retinopathy of prematurity (ROP), and surgery for NEC or ROP. Data were compared to diagnostic billing codes from the neonatal electronic health record. Results: IVH, PVL, ROP and ROP surgery had strong positive predictive values (PPV > 75%) and excellent negative predictive values (NPV > 95%). The PPVs for NEC (66.7%) and NEC surgery (37.1%) were low. Conclusion: Diagnostic hospital billing codes were observed to be a valid metric to evaluate preterm neonatal morbidities and surgeries except in the instance of more ambiguous diagnoses such as NEC and NEC surgery.
AB - Objective: To determine the validity of diagnostic hospital billing codes for complications of prematurity in neonates <32 weeks gestation. Study Design: Retrospective cohort data from discharge summaries and clinical notes (n = 160) were reviewed by trained, blinded abstractors for the presence of intraventricular hemorrhage (IVH) grades 3 or 4, periventricular leukomalacia (PVL), necrotizing enterocolitis (NEC), stage 3 or higher, retinopathy of prematurity (ROP), and surgery for NEC or ROP. Data were compared to diagnostic billing codes from the neonatal electronic health record. Results: IVH, PVL, ROP and ROP surgery had strong positive predictive values (PPV > 75%) and excellent negative predictive values (NPV > 95%). The PPVs for NEC (66.7%) and NEC surgery (37.1%) were low. Conclusion: Diagnostic hospital billing codes were observed to be a valid metric to evaluate preterm neonatal morbidities and surgeries except in the instance of more ambiguous diagnoses such as NEC and NEC surgery.
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U2 - 10.1038/s41372-023-01685-6
DO - 10.1038/s41372-023-01685-6
M3 - Article
C2 - 37138163
AN - SCOPUS:85158087648
SN - 0743-8346
VL - 43
SP - 1374
EP - 1378
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 11
ER -