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https://www.readbyqxmd.com/read/27905953/improving-the-usefulness-of-us-mortality-data-new-methods-for-reclassification-of-underlying-cause-of-death
#1
Kyle J Foreman, Mohsen Naghavi, Majid Ezzati
BACKGROUND: Mortality data are affected by miscertification of the medical cause of death deaths and changes to cause of death classification systems. We present both mappings of ICD9 and ICD10 to a unified list of causes, and a new statistical model for reducing the impact of misclassification of cause of death. METHODS: We propose a Bayesian mixed-effects multinomial logistic model that can be run on individual record level death certificates to reclassify "garbage-coded" deaths onto causes that are more meaningful for public health purposes...
April 28, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27884150/identifying-and-prioritizing-lower-value-services-from-dutch-specialist-guidelines-and-a-comparison-with-the-uk-do-not-do-list
#2
Joost Johan Godert Wammes, M Elske van den Akker-van Marle, Eva W Verkerk, Simone A van Dulmen, Gert P Westert, Antoinette D I van Asselt, R B Kool
BACKGROUND: The term 'lower value services' concerns healthcare that is of little or no value to the patient and consequently should not be provided routinely, or not be provided at all. De-adoption of lower value care may occur through explicit recommendations in clinical guidelines. The present study aimed to generate a comprehensive list of lower value services for the Netherlands that assesses the type of care and associated medical conditions. The list was compared with the NICE do-not-do list (United Kingdom)...
November 25, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27834008/severe-gastrointestinal-haemorrhage-summary-of-a-national-quality-of-care-study-with-focus-on-radiological-services
#3
Simon J McPherson, Martin T Sinclair, Neil C E Smith
PURPOSE OF STUDY: To identify the remediable factors in the quality of care provided to patients with severe gastrointestinal (GI) bleeding. METHOD: All hospital admissions in the first four months of 2013 with ICD10 coding for GI bleeding who received a transfusion of 4 units or more of blood. Up to five cases/hospital randomly selected for structured case note peer review. National availability of GI bleeding services data derived from organisational questionnaire completed by all hospitals...
November 10, 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27792735/systematic-analysis-of-self-reported-comorbidities-in-large-cohort-studies-a-novel-stepwise-approach-by-evaluation-of-medication
#4
Tanja Lucke, Ronald Herrera, Margarethe Wacker, Rolf Holle, Frank Biertz, Dennis Nowak, Rudolf M Huber, Sandra Söhler, Claus Vogelmeier, Joachim H Ficker, Harald Mückter, Rudolf A Jörres
OBJECTIVE: In large cohort studies comorbidities are usually self-reported by the patients. This way to collect health information only represents conditions known, memorized and openly reported by the patients. Several studies addressed the relationship between self-reported comorbidities and medical records or pharmacy data, but none of them provided a structured, documented method of evaluation. We thus developed a detailed procedure to compare self-reported comorbidities with information on comorbidities derived from medication inspection...
2016: PloS One
https://www.readbyqxmd.com/read/27774710/closing-the-aboriginal-child-injury-gap-targets-for-injury-prevention
#5
Holger Möller, Kathleen Falster, Rebecca Ivers, Michael O Falster, Kathleen Clapham, Louisa Jorm
OBJECTIVE: To describe the leading mechanisms of hospitalised unintentional injury in Australian Aboriginal children and identify the injury mechanisms with the largest inequalities between Aboriginal and non-Aboriginal children. METHODS: We used linked hospital and mortality data to construct a whole of population birth cohort including 1,124,717 children (1,088,645 non-Aboriginal and 35,749 Aboriginal) born in the state of New South Wales (NSW), Australia, between 1 July 2000 and 31 December 2012...
October 23, 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/27749656/children-hospitalized-with-varicella-in-denmark-sensitivity-of-the-national-patient-register
#6
Ida Glode Helmuth, Marcella Ditte Broccia, Jonathan Peter Glenthøj, Katja Harder, Lise Jensen, Marie-Louise von Linstow, Anja Poulsen, Kåre Mølbak
BACKGROUND: Varicella, common in childhood and most often self-limiting, may cause complications including bacterial superinfection, pneumonia and encephalitis. Universal childhood varicella vaccination has been introduced in several countries, but is controversial in Europe. In Denmark, varicella is not part of the national immunization program and there is no national surveillance of varicella. The primary aim of the study was to describe the epidemiology and clinical characteristics of children hospitalized with varicella in Denmark...
October 3, 2016: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/27738704/-evaluation-of-an-icd-10-based-electronic-surveillance-of-acute-respiratory-infections-seed-ari-in-germany
#7
Karla Köpke, Kerstin Prahm, Silke Buda, Walter Haas
BACKGROUND: Every year epidemic waves of influenza and other acute respiratory infections (ARIs) cause a highly variable burden of disease in the population. Thus, assessment of the situation and adaptation of prevention strategies have to rely on real time syndromic surveillance. OBJECTIVE: We have established an ICD-10-based electronic system allowing rapid capture and transmission of information on ARI (SEED(ARI)), in Germany. Here we report the evaluation of this new system based on results of the syndromic and virologic surveillance carried out by the working group on influenza in Germany (AGI)...
October 13, 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/27652197/isass-policy-2016-update-minimally-invasive-sacroiliac-joint-fusion
#8
Morgan P Lorio
The index 2014 ISASS Policy Statement - Minimally Invasive Sacroiliac Joint Fusion was generated out of necessity to provide an ICD9-based background and emphasize tools to ensure correct diagnosis. A timely ICD10-based 2016 Update provides a granular threshold selection with improved level of evidence and a more robust, relevant database.
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27615323/increased-mortality-after-lower-extremity-fractures-in-patients-65-years-of-age
#9
Axel Somersalo, Juha Paloneva, Hannu Kautiainen, Eija LÖNnroos, Mikko HEinÄNen, Ilkka Kiviranta
Background and purpose - The association between mortality and lower extremity fractures (other than hip fractures in older individuals) is unclear. We therefore investigated mortality in adults of all ages after lower extremity fractures that required inpatient care. Patients and methods - Diagnosis code (ICD10), procedure code (NOMESCO), and 7 additional characteristics of patients admitted to the trauma ward at Central Finland Hospital were collected between 2002 and 2008 (n = 3,567). Patients were followed up until the end of 2012...
December 2016: Acta Orthopaedica
https://www.readbyqxmd.com/read/27614089/the-impact-of-serious-adverse-drug-reactions-a-population-based-study-of-a-decade-of-hospital-admissions-in-new-south-wales-australia
#10
Scott R Walter, Richard O Day, Blanca Gallego, Johanna I Westbrook
AIMS: Adverse drug reactions (ADR) have major impacts on patients and the hospital system. Methods identifying ADRs from selected ICD-10 diagnosis and external cause codes can be applied to population-level hospital admissions data, enabling the study of rare yet serious ADRs. This study aimed to use ICD10-based methods to identify four types of serious idiosyncratic ADRs in Australia, and to assess changes in incidence and their impact on length of stay (LOS), readmission and in-hospital mortality...
September 10, 2016: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/27607541/deaths-related-to-nontuberculous-mycobacterial-infections-in-the-united-states-1999-2014
#11
Christopher Vinnard, Sarah Longworth, Alyssa Mezochow, Amee Patrawalla, Barry N Kreiswirth, Keith Hamilton
RATIONALE: Nontuberculous mycobacteria are a diverse group of organisms related to M. tuberculosis and cause a wide range of human disease. Unlike tuberculosis, nontuberculous mycobacterial disease is not reportable to public health authorities in the United States (US), and the total burden of disease is uncertain. OBJECTIVES: To estimate the mortality burden of nontuberculous mycobacterial disease in the US over a 15-year period, and to identify temporal trends...
September 8, 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27566470/racial-disparities-in-prostate-cancer-mortality-in-the-50-largest-us-cities
#12
Maureen R Benjamins, Bijou R Hunt, Sarah M Raleigh, Jana L Hirschtick, Michelle M Hughes
INTRODUCTION: This paper presents race-specific prostate cancer mortality rates and the corresponding disparities for the largest cities in the US over two decades. METHODS: The 50 largest cities in the US were the units of analysis. Data from two 5-year periods were analyzed: 1990-1994 and 2005-2009. Numerator data were abstracted from national death files where the cause was malignant neoplasm of prostate (prostate cancer) (ICD9=185 and ICD10=C61). Population-based denominators were obtained from US Census data...
October 2016: Cancer Epidemiology
https://www.readbyqxmd.com/read/27547191/physical-functional-capacity-and-c-reactive-protein-in-schizophrenia
#13
Michele Fonseca Vieira Szortyka, Viviane Batista Cristiano, Keila Maria Ceresér, Lenise Petter Francesconi, Maria Inês Lobato, Clarissa Gama, Paulo Belmonte-de-Abreu
INTRODUCTION: Schizophrenia is a severe, debilitating mental disorder that affects both the physical health and the functional capacity of patients, causing great impairment throughout the life course. Although physical and cognitive impairments may represent different expressions of a single systemic inflammatory process, little is known about the relationship between motor function and schizophrenia. OBJECTIVE: To evaluate physical functional capacity in patients with schizophrenia and ascertain whether it correlates with markers of inflammation, disease severity, and pharmacotherapy...
2016: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/27544662/the-costs-of-hazardous-alcohol-consumption-in-germany
#14
Tobias Effertz, Frank Verheyen, Roland Linder
Hazardous alcohol consumption in Germany is a main threat to health. By using insurance claim data from the German Statutory Health Insurance and a classification strategy based on ICD10 diagnoses-codes we analyzed a sample of 146,000 subjects with more than 19,000 hazardous alcohol consumers. Employing different regression models with a control function approach, we calculate life years lost due to alcohol consumption, annual direct and indirect health costs, and the burden of pain and suffering measured by the Charlson-Index and assessed pain diagnoses...
August 20, 2016: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/27521230/impact-of-pneumococcal-conjugate-vaccine-in-children-morbidity-and-mortality-in-peru-time-series-analyses
#15
Victor Suarez, Fabiana Michel, Cristiana M Toscano, Ana Luiza Bierrenbach, Marco Gonzales, Airlane Pereira Alencar, Cuauhtemoc Ruiz Matus, Jon K Andrus, Lucia H de Oliveira
Streptococcus pneumoniae is the leading cause of bacterial pneumonia, meningitis and sepsis in children worldwide. Despite available evidence on pneumococcal conjugate vaccine (PCV) impact on pneumonia hospitalizations in children, studies demonstrating PCV impact in morbidity and mortality in middle-income countries are still scarce. Given the disease burden, PCV7 was introduced in Peru in 2009, and then switched to PCV10 in late 2011. National public healthcare system provides care for 60% of the population, and national hospitalization, outpatient and mortality data are available...
September 7, 2016: Vaccine
https://www.readbyqxmd.com/read/27479903/short-term-outcome-of-substance-induced-psychotic-disorder-in-a-large-uk-first-episode-psychosis-cohort
#16
A Thompson, S Marwaha, C Winsper, L Everard, P B Jones, D Fowler, T Amos, N Freemantle, S P Singh, M Marshall, V Sharma, M Birchwood
OBJECTIVE: The incidence and outcome of first-episode substance-induced psychotic disorder (SIPD) are unclear. The study aimed to compare the 1-year outcomes of those given a SIPD diagnosis by clinicians compared to other psychosis diagnoses in a first-episode cohort. METHOD: Data were from a large (n = 1027) cohort of first-episode psychosis (FEP) patients admitted to early intervention services in the UK (National EDEN). Diagnosis, including that of SIPD, was made by treating psychiatrists at baseline using ICD10 criteria...
October 2016: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/27455925/epidemiology-of-inpatient-gout-in-australia-and-new-zealand-temporal-trends-comorbidities-and-gout-flare-site
#17
Philip C Robinson, Sarina Kempe, Ian Tebbutt, Lynden Roberts
AIM: To assess the epidemiology of inpatient gout in Australia and New Zealand during the years 2009-2014. METHODS: Using the Health Roundtable Limited (HRT) dataset, all patients with a coded ICD10 primary or secondary discharge diagnosis of gout from a HRT participating Australian or New Zealand hospital between the years 2009 and 2014 were identified. The number of inpatient gout admissions, length of stay, body site of gout flare, temporal trends and comorbidities were assessed...
July 26, 2016: International Journal of Rheumatic Diseases
https://www.readbyqxmd.com/read/27429625/predictive-factors-of-short-term-survival-from-acute-myocardial-infarction-in-early-and-late-patients-in-isfahan-and-najafabad-iran
#18
Mohammad Abdolazimi, Alireza Khosravi, Masoumeh Sadeghi, Abdollah Mohammadian-Hafshejani, Nizal Sarrafzadegan, Hamid Salehiniya, Jafar Golshahi
BACKGROUND: Cardiovascular disease (CVD) is the primary cause of mortality in the world and Iran. The aim of this study was to determine the prognostic factors of short-term survival from acute myocardial infarction (AMI) in early and late patients in the Najafabad and Isfahan County, Iran. METHODS: This hospital-based cohort study was conducted using the hospital registry of 1999-2009 in Iran. All patients (n = 14426) with an AMI referred to hospitals of Isfahan and Najafabad were investigated...
March 2016: ARYA Atherosclerosis
https://www.readbyqxmd.com/read/27384070/let-s-call-it-aphasia-rationales-for-eliminating-the-term-dysphasia
#19
Linda Worrall, Nina Simmons-Mackie, Sarah J Wallace, Tanya Rose, Marian C Brady, Anthony Pak Hin Kong, Laura Murray, Brooke Hallowell
Health professionals, researchers, and policy makers often consider the two terms aphasia and dysphasia to be synonymous. The aim of this article is to argue the merits of the exclusive use of the term aphasia and present a strategy for creating change through institutions such as the WHO-ICD. Our contention is that one term avoids confusion, speech-language pathologists prefer aphasia, scholarly publications indicate a preference for the term aphasia, stroke clinical guidelines indicate a preference for the term aphasia, consumer organizations use the title aphasia in their name and on their websites, and languages other than English use a term similar to aphasia...
July 6, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27311912/identifying-risk-factors-for-progression-to-critical-care-admission-and-death-among-individuals-with-acute-pancreatitis-a-record-linkage-analysis-of-scottish-healthcare-databases
#20
Damian J Mole, Usha Gungabissoon, Philip Johnston, Lynda Cochrane, Leanne Hopkins, Grant M A Wyper, Christos Skouras, Chris Dibben, Frank Sullivan, Andrew Morris, Hester J T Ward, Andrew M Lawton, Peter T Donnan
OBJECTIVES: Acute pancreatitis (AP) can initiate systemic complications that require support in critical care (CC). Our objective was to use the unified national health record to define the epidemiology of AP in Scotland, with a specific focus on deterministic and prognostic factors for CC admission in AP. SETTING: Health boards in Scotland (n=4). PARTICIPANTS: We included all individuals in a retrospective observational cohort with at least one episode of AP (ICD10 code K85) occurring in Scotland from 1 April 2009 to 31 March 2012...
June 15, 2016: BMJ Open
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