ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2010
A new diagnosis grouping system for child emergency department visits.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review on the diagnosis of pediatric bacterial pneumonia: when gold is bronze.PloS one · 2010Pooled it
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- Community-Acquired Pneumonia Diagnosis Following Emergency Department Visits for Respiratory Illness.Clinical pediatrics · 2025Article
- Bias between capnometry and venous carbon dioxide during initial assessment of pediatric emergency department patients: A video-based study.Journal of the American College of Emergency Physicians open · 2024Article
- Drivers for low-acuity pediatric emergency department visits in two tertiary hospitals in Switzerland: a cross-sectional, questionnaire-based study.BMC health services research · 2024Article
- Frequency Distribution of Pediatric Primary Care Cases in a Rural Site in The Philippines: A Cross-Sectional Study.Acta medica Philippina · 2024Article
- Vaccine Hesitancy in Central Switzerland: Identifying and Characterizing Undervaccinated Children in a Pediatric Emergency Department.Pediatric reports · 2023Article
- Using Billing Codes to Create a Pediatric Functional Status e-Score for Children Receiving Inpatient Rehabilitation.Archives of physical medicine and rehabilitation · 2023Article
- Alternative care sites and resident exposure in pediatric emergency medicine: Who, what, and where.AEM education and training · 2023Article
- Patient and Family Factors Associated with Use of Telemedicine Visits for Pediatric Acute Respiratory Tract Infections, 2018-2019.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023Article
- Using Phecodes for Research with the Electronic Health Record: From PheWAS to PheRS.Annual review of biomedical data science · 2021Review
- Pediatric Emergency Departments and Urgent Care Visits in Houston after Hurricane Harvey.The western journal of emergency medicine · 2021Article
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- Article
- Trends in Severe Pediatric Emergency Conditions in a National Cohort, 2008 to 2014.Pediatric emergency care · 2020Article
- Initial effects of the COVID-19 pandemic on pediatric asthma emergency department utilization.The journal of allergy and clinical immunology. In practice · 2020Article
- Trends in Pediatric Primary Care Visits Among Commercially Insured US Children, 2008-2016.JAMA pediatrics · 2020Article
- Use of Commercial Direct-to-Consumer Telemedicine by Children.Academic pediatrics · 2019Article
- Classification of hospital admissions into emergency and elective care: a machine learning approach.Health care management science · 2019Article
- Clinical Risk Factors for Revisits for Children With Community-Acquired Pneumonia.Hospital pediatrics · 2018Article
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Authors and funding
5 authors.
Funding
Abstract
objectivesA clinically sensible system of grouping diseases is needed for describing pediatric emergency diagnoses for research and reporting. This project aimed to create an International Classification of Diseases (ICD)-based diagnosis grouping system (DGS) for child emergency department (ED) visits that is 1) clinically sensible with regard to how diagnoses are grouped and 2) comprehensive in accounting for nearly all diagnoses (>95%). The second objective was to assess the construct validity of the DGS by examining variation in the frequency of targeted groups of diagnoses within the concepts of season, age, sex, and hospital type.
methodsA panel of general and pediatric emergency physicians used the nominal group technique and Delphi surveys to create the DGS. The primary data source used to develop the DGS was the Pediatric Emergency Care Applied Research Network (PECARN) Core Data Project (PCDP).
resultsA total of 3,041 ICD-9 codes, accounting for 98.9% of all diagnoses in the PCDP, served as the basis for creation of the DGS. The expert panel developed a DGS framework representing a clinical approach to the diagnosis and treatment of pediatric emergency patients. The resulting DGS has 21 major groups and 77 subgroups and accounts for 96.5% to 99% of diagnoses when applied to three external data sets. Variations in the frequency of targeted groups of diagnoses related to seasonality, age, sex, and site of care confirm construct validity.
conclusionsThe DGS offers a clinically sensible method for describing pediatric ED visits by grouping ICD-9 codes in a consensus-derived classification scheme. This system may be used for research, reporting, needs assessment, and resource planning.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.