ArticlePublic health reports (Washington, D.C. : 1974)
ICD-10-CM-Based Definitions for Emergency Department Opioid Poisoning Surveillance: Electronic Health Record Case Confirmation Study.
Article in Public health reports (Washington, D.C. : 1974). 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.
- Development and evaluation of machine learning models for the detection of emergency department patients with opioid misuse from clinical notes.JAMIA open · 2026Article
- Opioid-related emergency department visits in Saudi Arabia: an interrupted time series analysis of visit patterns pre-COVID-19 and post-COVID-19.BMJ public health · 2026Article
- Risk of opioid overdose associated with concurrent use of hydrocodone and CYP3A4-inhibiting calcium channel blockers: a population-based cohort study.American journal of epidemiology · 2025Article
- Opioid overdose associated with concomitant use of hydrocodone and selective serotonin reuptake inhibitors.BMC medicine · 2025Article
- Emergency medical system response, emergency department visits, and hospital admissions in response to non-fatal opioid overdoses reported by a cohort of overdose survivors in San Francisco and Boston, 2019 - 2022.Drug and alcohol dependence reports · 2025Article
- Racial, ethnic, and sex disparities in buprenorphine treatment from emergency departments by discharge diagnosis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Readmissions and Mortality After "Before Medically Advised" Hospital Discharges Among Medicare Beneficiaries with Opioid Use Disorder.Journal of general internal medicine · 2025Article
- Comparative risk of opioid overdose in patients who initiated antibiotics for urinary tract infection while on long-term opioid therapy.American journal of epidemiology · 2025Article
- Using ICD Codes Alone May Misclassify Overdoses Among Perinatal People.American journal of preventive medicine · 2025Article
- Wastewater Surveillance for Xylazine in Kentucky.AJPM focus · 2024Article
- Association of medications for opioid use disorder with reduced risk of repeat opioid overdose in Medicaid: A cohort study.Journal of substance use and addiction treatment · 2024Article
- Promotion of training course on ICD-10 Poisoning coding : necessity to adopt preventive strategies.BMC medical education · 2023Article
- The effectiveness of a noninterruptive alert to increase prescription of take-home naloxone in emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2023Observational
- Sensitivity of health records for self-reported nonfatal drug and alcohol overdose.The American journal on addictions · 2022Article
- Long-term Risk of Overdose or Mental Health Crisis After Opioid Dose Tapering.JAMA network open · 2022Article
- Opioid overdose survivors: Medications for opioid use disorder and risk of repeat overdose in Medicaid patients.Drug and alcohol dependence · 2022Article
- Differences and similarities between emergency department syndromic surveillance and hospital discharge data for nonfatal drug overdose.Annals of epidemiology · 2021Article
- Observational
- Defining indicators for drug overdose emergency department visits and hospitalisations in ICD-10-CM coded discharge data.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021Article
- Descriptive exploration of overdose codes in hospital and emergency department discharge data to inform development of drug overdose morbidity surveillance indicator definitions in ICD-10-CM.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesValid opioid poisoning morbidity definitions are essential to the accuracy of national surveillance. The goal of our study was to estimate the positive predictive value (PPV) of case definitions identifying emergency department (ED) visits for heroin or other opioid poisonings, using billing records with
methodsWe examined billing records for ED visits from 4 health care networks (12 EDs) from October 2015 through December 2016. We conducted medical record reviews of representative samples to estimate the PPVs and 95% confidence intervals (CIs) of (1) first-listed heroin poisoning diagnoses (n = 398), (2) secondary heroin poisoning diagnoses (n = 102), (3) first-listed other opioid poisoning diagnoses (n = 452), and (4) secondary other opioid poisoning diagnoses (n = 103).
resultsFirst-listed heroin poisoning diagnoses had an estimated PPV of 93.2% (95% CI, 90.0%-96.3%), higher than secondary heroin poisoning diagnoses (76.5%; 95% CI, 68.1%-84.8%). Among other opioid poisoning diagnoses, the estimated PPV was 79.4% (95% CI, 75.7%-83.1%) for first-listed diagnoses and 67.0% (95% CI, 57.8%-76.2%) for secondary diagnoses. Naloxone was administered in 867 of 1055 (82.2%) cases; 254 patients received multiple doses. One-third of all patients had a previous drug poisoning. Drug testing was ordered in only 354 cases.
conclusionsThe study findings suggest that heroin or other opioid poisoning surveillance definitions that include multiple diagnoses (first-listed and secondary) would identify a high percentage of true-positive cases.
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