Open AccessSensitivity of Administrative Coding in Identifying Inpatient Acute Strokes Complicating Procedures or Other Diseases in UK Hospitals
Author(s) -
Li Linxin,
Binney Lucy E,
Carter Samantha,
Gutnikov Sergei A.,
Beebe Sally,
BowsherBrown Karen,
Silver Louise E.,
Rothwell Peter M.
Publication year - 2019
Publication title -
journal of the american heart association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.494
H-Index - 85
ISSN - 2047-9980
DOI - 10.1161/jaha.119.012995
Subject(s) - medicine , diagnosis code , emergency medicine , stroke (engine) , complication , cohort , acute stroke , population , mechanical engineering , environmental health , tissue plasminogen activator , engineering
Background Administrative hospital diagnostic coding data are increasingly used in “big data” research and to assess complication rates after surgery or acute medical conditions. Acute stroke is a common complication of several procedures/conditions, such as carotid interventions, but data are lacking on the sensitivity of administrative coding in identifying acute stroke during inpatient stay. Methods and Results Using all acute strokes ascertained in a population‐based cohort (2002–2017) as the reference, we determined the sensitivity of hospital administrative diagnostic codes ( International Classification of Diseases, Tenth Revision ; ICD‐10 ) for identifying acute strokes that occurred during hospital admission for other reasons, stratified by coding strategies, study periods, and stroke severity (National Institutes of Health Stroke Score