SynthesisHealth services research2018
Validity and Reliability of Administrative Coded Data for the Identification of Hospital-Acquired Infections: An Updated Systematic Review with Meta-Analysis and Meta-Regression Analysis.
Synthesis in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Randomised controlled trial of a theory-based intervention to prompt front-line staff to take up the seasonal influenza vaccine.BMJ quality & safety · 2020Trial
- Association of Diagnostic Code Priority With Identification of True Cardiac Arrest in Patients Presenting to the Emergency Department.Journal of cardiovascular electrophysiology · 2026Article
- Does ability and willingness to use continuous RRT improve patient outcomes? A few answers, plenty of questions and opportunities for research.Intensive care medicine · 2025Article
- A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
- Best Practices for Identifying Hospitalized Lower Respiratory Tract Infections Using Administrative Data: A Systematic Literature Review of Validation Studies.Infectious diseases and therapy · 2024Review
- Renal disease and diabetes increase the risk of failed outpatient management of cellulitic hand infections: a retrospective cohort study.Journal of orthopaedic surgery and research · 2023Article
- Validation of the first computerized indicator for orthopaedic surgical site infections in France: ISO-ORTHO.Antimicrobial resistance and infection control · 2023Article
- Risk of and duration of protection from SARS-CoV-2 reinfection assessed with real-world data.PloS one · 2023Observational
- Standard Vocabularies to Improve Machine Learning Model Transferability With Electronic Health Record Data: Retrospective Cohort Study Using Health Care-Associated Infection.JMIR medical informatics · 2022Article
- Estimated costs of preoperative evaluation of postmenopausal hysterectomy for prolapse at a safety-net hospital: an observational descriptive study.AJOG global reports · 2022Article
- Evaluation of the accuracy of diagnostic coding for influenza compared to laboratory results: the availability of test results before hospital discharge facilitates improved coding accuracy.BMC medical informatics and decision making · 2021Article
- Spatial Patterns in Hospital-Acquired Infections in Portugal (2014-2017).International journal of environmental research and public health · 2021Article
- Effect of Early Tracheostomy on Mortality of Mechanically Ventilated Patients with Guillain-Barré Syndrome: A Nationwide Observational Study.Neurocritical care · 2020Observational
- Capturing adverse events in elective orthopedic surgery: comparison of administrative, surgeon and reviewer reportingCanadian journal of surgery. Journal canadien de chirurgie · 2020Article
- Validation for using electronic health records to identify community acquired pneumonia hospitalization among people with and without HIV.Pneumonia (Nathan Qld.) · 2020Article
- Effectiveness of a multistate quality improvement campaign in reducing risk of surgical site infections following hip and knee arthroplasty.BMJ quality & safety · 2019Article
- An ethnographic study of improving data collection and completeness in large-scale data exercises.Wellcome open research · 2019Article
- Risk of Clostridium difficile Infection in Patients With Celiac Disease: A Population-Based Study.The American journal of gastroenterology · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo conduct an updated assessment of the validity and reliability of administrative coded data (ACD) in identifying hospital-acquired infections (HAIs).
methodsWe systematically searched three libraries for studies on ACD detecting HAIs compared to manual chart review. Meta-analyses were conducted for prosthetic and nonprosthetic surgical site infections (SSIs), Clostridium difficile infections (CDIs), ventilator-associated pneumonias/events (VAPs/VAEs) and non-VAPs/VAEs, catheter-associated urinary tract infections (CAUTIs), and central venous catheter-related bloodstream infections (CLABSIs). A random-effects meta-regression model was constructed.
resultsOf 1,906 references found, we retrieved 38 documents, of which 33 provided meta-analyzable data (N = 567,826 patients). ACD identified HAI incidence with high specificity (≥93 percent), prosthetic SSIs with high sensitivity (95 percent), and both CDIs and nonprosthetic SSIs with moderate sensitivity (65 percent). ACD exhibited substantial agreement with traditional surveillance methods for CDI (κ = 0.70) and provided strong diagnostic odds ratios (DORs) for the identification of CDIs (DOR = 772.07) and SSIs (DOR = 78.20). ACD performance in identifying nosocomial pneumonia depended on the ICD coding system (DOR
conclusionsAdministrative coded data may not be sufficiently accurate or reliable for the majority of HAIs. Still, subgrouping and algorithmic coding as tools for improving ACD validity deserve further investigation, specifically for prosthetic SSIs. Analyzing a potential lower discriminative ability of ICD-10 coding system is also a pending issue.
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