The accuracy of International Classification of Diseases coding for dental problems not associated with trauma in a hospital emergency department
被引:7
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作者:
Figueiredo, Rafael L. F.
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机构:
Univ Toronto, Fac Dent, 124 Edward St, Toronto, ON M5G 1G, CanadaUniv Toronto, Fac Dent, 124 Edward St, Toronto, ON M5G 1G, Canada
Figueiredo, Rafael L. F.
[1
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Singhal, Sonica
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机构:
Univ Toronto, Fac Dent, 124 Edward St, Toronto, ON M5G 1G, CanadaUniv Toronto, Fac Dent, 124 Edward St, Toronto, ON M5G 1G, Canada
Singhal, Sonica
[1
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Dempster, Laura
[1
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Hwang, Stephen W.
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机构:
St Michaels Hosp, Ctr Res Inner City Hlth, 30 Bond St, Toronto, ON M5B 1W8, CanadaUniv Toronto, Fac Dent, 124 Edward St, Toronto, ON M5G 1G, Canada
Hwang, Stephen W.
[2
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Quinonez, Carlos
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机构:
Univ Toronto, Fac Dent, 124 Edward St, Toronto, ON M5G 1G, CanadaUniv Toronto, Fac Dent, 124 Edward St, Toronto, ON M5G 1G, Canada
Quinonez, Carlos
[1
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机构:
[1] Univ Toronto, Fac Dent, 124 Edward St, Toronto, ON M5G 1G, Canada
[2] St Michaels Hosp, Ctr Res Inner City Hlth, 30 Bond St, Toronto, ON M5B 1W8, Canada
Objectives: Emergency department (ED) visits for nontraumatic dental conditions (NTDCs) may be a sign of unmet need for dental care. The objective of this study was to determine the accuracy of the International Classification of Diseases codes (ICD-10-CA) for ED visits for NTDC. Methods: ED visits in 2008-2099 at one hospital in Toronto were identified if the discharge diagnosis in the administrative database system was an ICD-10-CA code for a NTDC(K00-K14). A random sample of 100 visits was selected, and the medical records for these visits were reviewed by a dentist. The description of the clinical signs and symptoms were evaluated, and a diagnosis was assigned. This diagnosis was compared with the diagnosis assigned by the physician and the code assigned to the visit. Results: The 100 ED visits reviewed were associated with 16 different ICD-10-CA codes for NTDC. Only 2 percent of these visits were clearly caused by trauma. The code K0887 (toothache) was the most frequent diagnostic code (31 percent). We found 43.3 percent disagreement on the discharge diagnosis reported by the physician, and 58.0 percent disagreement on the code in the administrative database assigned by the abstractor, compared with what it was suggested by the dentist reviewing the chart. Conclusion: There are substantial discrepancies between the ICD-10-CA diagnosis assigned in administrative databases and the diagnosis assigned by a dentist reviewing the chart retrospectively. However, ICD-10-CA codes can be used to accurately identify ED visits for NTDC.
机构:
Univ Toronto, Fac Med, Toronto, ON, Canada
McMaster Univ, Fac Med, Hamilton, ON, CanadaUniv Toronto, Fac Med, Toronto, ON, Canada
Chuen, Victoria L.
Chan, Adrian C. H.
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机构:
Univ Toronto, Fac Med, Toronto, ON, Canada
Univ Saskatchewan, Fac Med, Saskatoon, SK, CanadaUniv Toronto, Fac Med, Toronto, ON, Canada
Chan, Adrian C. H.
Ma, Jin
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机构:
Univ Hlth Network, Biostat Res Unit, Toronto, ON, CanadaUniv Toronto, Fac Med, Toronto, ON, Canada
Ma, Jin
Alibhai, Shabbir M. H.
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机构:
Univ Hlth Network, Dept Med, Div Gen Internal Med & Geriatr, Toronto, ON, Canada
Sinai Hlth Syst, Div Gen Internal Med & Geriatr, Dept Med, Toronto, ON, CanadaUniv Toronto, Fac Med, Toronto, ON, Canada
Alibhai, Shabbir M. H.
Chau, Vicky
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机构:
Univ Hlth Network, Dept Med, Div Gen Internal Med & Geriatr, Toronto, ON, Canada
Sinai Hlth Syst, Div Gen Internal Med & Geriatr, Dept Med, Toronto, ON, CanadaUniv Toronto, Fac Med, Toronto, ON, Canada