ArticlePediatrics2019
Perinatal Risk Factors and Outcome Coding in Clinical and Administrative Databases.
Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Maternal sleep disordered breathing and offspring growth outcome: A systematic review and meta-analysis.Sleep medicine reviews · 2024Pooled it
- Systematic review of validated case definitions to identify hypertensive disorders of pregnancy in administrative healthcare databases.Open heart · 2023Pooled it
- False-Positive Maternal Serum Screens in the Second Trimester as Markers of Placentally Mediated Complications Later in Pregnancy: A Systematic Review and Meta-Analysis.Disease markers · 2021Pooled it
- Composite neonatal morbidity indicators using hospital discharge data: A systematic review.Paediatric and perinatal epidemiology · 2020Pooled it
- Why & where perinatal deaths: trends and determinants in Pakistan.Maternal health, neonatology and perinatology · 2026Article
- Multicenter, Multinational, and Multivendor Validation of an Artificial Intelligence Application for Acute Cervical Spine Fracture Detection on CT.Diagnostics (Basel, Switzerland) · 2026Article
- Prenatal homelessness, food insecurity, and unemployment and adverse infant outcomes in a California cohort, 2007-2020.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- A validated NICU database: recounting 50 years of clinical growth, quality improvement and research.Pediatric research · 2025Article
- Are racial and ethnic disparities in brachial plexus birth injuries explained by known risk factors?Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Laryngeal Mask Airway Method for Minimally Invasive Surfactant Therapy in Neonates with Pneumothorax Complicating Respiratory Distress Syndrome.Children (Basel, Switzerland) · 2025Article
- Cardiovascular morbidity and mortality following hypertensive disorders of pregnancy.Pregnancy hypertension · 2024Article
- A Multifunctional, Low Cost and Sustainable Neonatal Database System.Children (Basel, Switzerland) · 2024Article
- The validity of hospital diagnostic and procedure codes reflecting morbidity in preterm neonates born <32 weeks gestation.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Performance of administrative databases for identifying individuals with multiple sclerosis.Scientific reports · 2023Article
- Linked birth cohort files for perinatal health research: California as a model for methodology and implementation.Annals of epidemiology · 2023Article
- Prenatal cannabis use disorder and infant hospitalization and death in the first year of life.Drug and alcohol dependence · 2023Article
- Latent class analysis to characterize neonatal risk for neurodevelopmental differences.Journal of child psychology and psychiatry, and allied disciplines · 2023Article
- Seven years later: state neonatal risk-appropriate care policy consistency with the 2012 American Academy of Pediatrics Policy.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Validity of Administrative Data for Identifying Birth-Related Outcomes with the End Date of Pregnancy in a Japanese University Hospital.International journal of environmental research and public health · 2022Article
- Association of Alcohol Use Diagnostic Codes in Pregnancy and Offspring Conotruncal and Endocardial Cushion Heart Defects.Journal of the American Heart Association · 2022Article
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Funding
Abstract
BACKGROUND AND
objectivesAdministrative databases may allow true population-based studies and quality improvement endeavors, but the accuracy of billing codes for capturing key risk factors and outcomes needs to be assessed. We sought to describe the performance of a statewide administrative database and the clinical database from the California Perinatal Quality Care Collaborative (CPQCC).
methodsThis population-based retrospective cohort study linked key perinatal risk factors and outcomes from the 133-unit CPQCC database to relevant billing codes from administrative maternal and newborn inpatient discharge records, for 50 631 infants born from 2006 to 2012. Using the CPQCC record as the gold standard, we calculated the positive predictive value, negative predictive value, and Matthews correlation coefficient for each item, then evaluated comparative performance across units.
resultsThe Matthews correlation coefficient was highest (>0.7; strong positive correlation) for multiple delivery, Cesarean delivery, very low birth weight, maternal hypertension, maternal diabetes, patent ductus arteriosus, in-hospital death, patent ductus arteriosus and retinopathy of prematurity surgeries, extracorporeal life support, and intraventricular hemorrhage. Maternal chorioamnionitis, fetal distress, retinopathy of prematurity staging, chronic lung disease, and pneumothorax were the least reliably coded. Maternal factors and delivery details were more reliably coded in the maternal inpatient record than the newborn inpatient record.
conclusionsSeveral important perinatal risk factors and outcomes are highly congruent between these administrative and clinical databases. Several subjective risk factors and outcomes are appropriate targets for data improvement initiatives. The ability for timely extraction of administrative inpatient data will be key to their usefulness in quality metrics.
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