ArticleJournal of epidemiology2016
Comparison of Procedure-Based and Diagnosis-Based Identifications of Severe Sepsis and Disseminated Intravascular Coagulation in Administrative Data.
Article in Journal of epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Association between hospital case volume and mortality in pediatric sepsis: A retrospective observational study using a Japanese nationwide inpatient database.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025Article
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- Studies of Health Insurance Claims Data in Japan: A Scoping Review.JMA journal · 2023Article
- Comparison of bleeding following gastrointestinal endoscopic biopsy in patients treated with and without direct oral anticoagulants.Endoscopy international open · 2023Article
- Validity of operative information in Japanese administrative data: a chart review-based analysis of 1221 cases at a single institution.Surgery today · 2022Review
- Additional effect of azithromycin over β-lactam alone for severe community-acquired pneumonia-associated acute respiratory distress syndrome: a retrospective cohort study.Pneumonia (Nathan Qld.) · 2022Article
- Existing Data Sources for Clinical Epidemiology: Database of the National Hospital Organization in Japan.Clinical epidemiology · 2022Review
- Association between intensive care unit admission of a patient and mental disorders in the spouse: a retrospective matched-pair cohort study.Journal of intensive care · 2021Article
- ERCP improves mortality in acute biliary pancreatitis without cholangitis.Endoscopy international open · 2021Article
- Claims-based algorithms for common chronic conditions were efficiently constructed using machine learning methods.PloS one · 2021Article
- Underlying Disorders, Clinical Phenotypes, and Treatment Diversity among Patients with Disseminated Intravascular Coagulation.JMA journal · 2020Article
- Time Trends of the Outcomes and Treatment Options for Disseminated Intravascular Coagulation: A Nationwide Observational Study in Japan.JMA journal · 2020Article
- Observational
- Levetiracetam vs. Fosphenytoin for Second-Line Treatment of Status Epilepticus: Propensity Score Matching Analysis Using a Nationwide Inpatient Database.Frontiers in neurology · 2020Article
- Histamine-2 receptor antagonists versus proton pump inhibitors for septic shock after lower gastrointestinal tract perforation: a retrospective cohort study using a national inpatient database.Journal of intensive care · 2020Article
- The effect of antithrombin added to recombinant human-soluble thrombomodulin for severe community-acquired pneumonia-associated disseminated intravascular coagulation: a retrospective cohort study using a nationwide inpatient database.Journal of intensive care · 2020Article
- Treatment costs and cost drivers among osteoporotic fracture patients in Japan: a retrospective database analysis.Archives of osteoporosis · 2018Article
- Validity of diagnoses, procedures, and laboratory data in Japanese administrative data.Journal of epidemiology · 2017Article
- Outcomes after early and delayed rehabilitation for exacerbation of chronic obstructive pulmonary disease: a nationwide retrospective cohort study in Japan.Respiratory research · 2017Article
- Associations of Polyethylenimine-Coated AN69ST Membrane in Continuous Renal Replacement Therapy with the Intensive Care Outcomes: Observations from a Claims Database from Japan.Blood purification · 2017Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
backgroundDiagnoses recorded in administrative databases have limited utility for accurate identification of severe sepsis and disseminated intravascular coagulation (DIC). We evaluated the performance of alternative identification methods that use procedure records.
methodsWe obtained data for adult patients admitted to intensive care units in three hospitals during a 1-year period. Severe sepsis and DIC were identified by three means: laboratory data, diagnoses, and procedures. Using laboratory data as a reference, the sensitivity and specificity of procedure-based methods and diagnosis-based methods were compared.
resultsOf 595 intensive care unit admissions, 212 (35.6%) and 81 (13.6%) were identified as severe sepsis and DIC, respectively, using laboratory data. The sensitivity of procedure-based methods for identifying severe sepsis was 64.2%, and the specificity was 65.3%. Two diagnosis-based methods -the Angus and Martin algorithms- exhibited sensitivities of 21.7% and 14.6% and specificities of 98.7% and 99.5%, respectively, for severe sepsis. For DIC, the sensitivity of procedure-based methods was 55.6%, and the specificity was 67.1%, and the sensitivity and specificity of diagnosis-based methods were 35.8% and 98.2%, respectively.
conclusionsProcedure-based methods were more sensitive and less specific than diagnosis-based methods in identifying severe sepsis and DIC. Procedure records could improve disease identification in administrative databases.
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