Evidence map›Paper›PMID 34007894›Full record

ArticleInternational journal of population data science2021

Visualisation and optimisation of alcohol-related hospital admissions ICD-10 codes in Welsh e-cohort data.

Laszl Trefan, Ashley Akbari, Jennifer Siân Morgan, Daniel Mark Farewell, David Fone, Ronan A Lyons, Merfyn Jones Hywel, Simon C Moore

Open access · goldAbstract read
In one paragraph

Article in International journal of population data science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Laszl TrefanHonorary Research Associate, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff CF14 4YS.
Ashley AkbariSenior Research Manager and Data Scientist, Health Data Research UK Wales and Northern Ireland, Swansea University Medical School, Institute of Life Science 2, Sketty, Swansea SA2 8QA.
Jennifer Siân MorganPerformance Analysis Manager, NHS Wales Delivery Unit, Pencoed, Bridgend CF35 5LJ.
Daniel Mark FarewellSenior Lecturer, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff CF14 4YS.
David FoneRetired professor, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff CF14 4YS.
Ronan A LyonsProfessor, Health Data Research UK Wales and Northern Ireland, Swansea University Medical School, Institute of Life Science 2, Sketty, Swansea SA2 8QA.
Merfyn Jones HywelResearch Associate / Statistician, Division of Population Medicine, Cardiff University, Cardiff CF14 4YS.
Simon C MooreProfessor of Public Health Research, Crime and Security Research Institute and School of Dentistry, Cardiff University, Cardiff CF14 4XY.
Cardiff University · GBSwansea University · GBNational Health Service Wales · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe excessive consumption of alcohol is detrimental to long term health and increases the likelihood of hospital admission. However, definitions of alcohol-related hospital admission vary, giving rise to uncertainty in the effect of alcohol on alcohol-related health care utilization.

objectivesTo compare diagnostic codes on hospital admission and discharge and to determine the ideal combination of codes necessary for an accurate determination of alcohol-related hospital admission.

methodsRoutine population-linked e-cohort data were extracted from the Secure Anonymised Information Linkage (SAIL) Databank containing all alcohol-related hospital admissions (n,= 92,553) from 2006 to 2011 in Wales, United Kingdom. The distributions of the diagnostic codes recorded at admission and discharge were compared. By calculating a misclassification rate (sensitivity-like measure) the appropriate number of coding fields to examine for alcohol-codes was established.

resultsThere was agreement between admission and discharge codes. When more than ten coding fields were used the misclassification rate was less than 1%.

conclusionWith the data at present and alcohol-related codes used, codes recorded at admission and discharge can be used equivalently to identify alcohol-related admissions. The appropriate number of coding fields to examine was established: fewer than ten is likely to lead to under-reporting of alcohol-related admissions. The methods developed here can be applied to other medical conditions that can be described using a certain set of diagnostic codes, each of which can be a known sole cause of the condition and recorded in multiple positions in e-cohort data.

Indexed as

HospitalizationInternational Classification of DiseasesCohort StudiesEthanolHospitalsHumansEthanolalcohole-cohort datahospital admissionICD-10 codesoptimisation

Identifiers

PMID34007894
PMCPMC8103565
OpenAlexW3136607801

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.