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Caryn A Turner, Jean A Orman, Zsolt T Stockinger, Steven J Hudak
Introduction: Genitourinary surgery constitutes approximately 1.15% of procedures performed for combat injuries. During forward deployment, surgeons usually deploy without urology support. To better understand the training and skills maintenance needs for genitourinary procedures by describing in detail the genitourinary surgical workload during 15 years of combat operations and compare our findings with those from previously published articles. Material and Methods: A retrospective analysis of the Department of Defense Trauma Registry (DoDTR) was performed for all Roles 2 and 3 medical treatment facilities in Iraq and Afghanistan, from January 2002 to May 2016...
June 13, 2018: Military Medicine
Makoto M Jones, Kevin L Winthrop, Scott D Nelson, Scott L Duvall, Olga V Patterson, Kevin E Nechodom, Kimberly E Findley, Lewis J Radonovich, Matthew H Samore, Kevin P Fennelly
OBJECTIVE: We identified patients with non-tuberculous mycobacterial (NTM) disease in the US Veterans Health Administration (VHA), examined the distribution of diseases by NTM species, and explored the association between NTM disease and the frequency of clinic visits and mortality. METHODS: We combined mycobacterial isolate (from natural language processing) with ICD-9-CM diagnoses from VHA data between 2008 and 2012 and then applied modified ATS/IDSA guidelines for NTM diagnosis...
2018: PloS One
Paul D Stein, Fadi Matta, Mary J Hughes
Background: Which patients with fractures, if any, have a lower mortality with prophylactic inferior vena cava filters has yet to be established. The purpose of this investigation is to determine if patients with low-risk fractures might benefit from a prophylactic inferior vena cava filter. Methods: Administrative data was analyzed from the National (Nationwide) Inpatient Sample using ICD-9-CM codes. Included patients were aged 18 years or older with a primary diagnosis of non-complex fracture of the pelvis, or fracture of the femuralone, or fracture of the tibia and/or fibula...
April 2018: Journal of Clinical Orthopaedics and Trauma
Andrew D Boyd, Jianrong 'John' Li, Colleen Kenost, Samir Rachid Zaim, Jacob Krive, Manish Mittal, Richard A Satava, Michael Burton, Jacob Smith, Yves A Lussier
The transition of procedure coding from ICD-9-CM-Vol-3 to ICD-10-PCS has generated problems for the medical community at large resulting from the lack of clarity required to integrate two non-congruent coding systems. We hypothesized that quantifying these issues with network topology analyses offers a better understanding of the issues, and therefore we developed solutions (online tools) to empower hospital administrators and researchers to address these challenges. Five topologies were identified: "identity"(I), "class-to-subclass"(C2S), "subclass-toclass"(S2C), "convoluted(C)", and "no mapping"(NM)...
2018: AMIA Summits on Translational Science Proceedings
Parag Goyal, Zaid I Almarzooq, Jim Cheung, Hooman Kamel, Udhay Krishnan, Dmitriy N Feldman, Evelyn M Horn, Luke K Kim
BACKGROUND: Atrial fibrillation (AF) and heart failure often occur concomitantly, representing a clinical phenotype at high-risk for poor outcomes. Differences in the characteristics, management, and in-hospital outcomes of AF among those with heart failure with preserved ejection fraction (HFpEF) and those with heart failure with reduced ejection fraction (HFrEF) are not well characterized. METHODS AND RESULTS: Using the National Inpatient Sample, we identified hospitalizations in 2008-2012 for HFpEF and for HFrEF, with and without AF based on ICD-9-CM codes...
September 1, 2018: International Journal of Cardiology
Deng-Ho Yang, Jing-Yang Huang, Jeng-Yuan Chiou, James Cheng-Chung Wei
Rheumatoid arthritis (RA) is a systemic inflammatory disease with different etiologies in different areas. Our study focused on the prevalence of RA in Taiwan from 2001 to 2011. This study contained longitudinal enrollment files, claims data, catastrophic illness files, and treatment registries from Taiwan Longitudinal Health Insurance Research Database. We identified RA patients by ICD-9-CM code 714.0. The demographical variables including age, sex, income and area of registration were evaluated. The multivariate Poisson regression was applied to calculate relative risk for developing RA...
June 7, 2018: International Journal of Environmental Research and Public Health
Cheng Chen, Jin Peng, Eric A Sribnick, Motao Zhu, Henry Xiang
Objective : To use the 2006⁻2013 Nationwide Emergency Department Sample (NEDS) database to describe trends of age-adjusted rates of pediatric traumatic brain injuries (TBI) treated in U.S. emergency departments. Methods : Time trend analysis was conducted on age-adjusted rates among children ≤17 years in the U.S. The annual percent change (APC) was calculated by fitting a least squares regression to the logarithm of the rates, using the calendar year as an independent variable. Results : In males, motor-vehicle-related trauma (APC -2...
June 5, 2018: International Journal of Environmental Research and Public Health
Chun-An Cheng, Chun-Gu Cheng, Hsin Chu, Hung-Che Lin, Chi-Hsiang Chung, Hung-Wen Chiu, Wu-Chien Chien
There is a typographical error in the International Classification of Disease Ninth Revision, Clinical Modification (ICD-9-CM) diagnostic code used for palmar hyperhidrosis. The published manuscript wrongly reports that the ICD-9-CM code used for palmar hyperhidrosis was 708.8 (which indicates a diagnosis of "Other specified urticaria"), when, in actuality, the correct code 780.8 ("Hyperhidrosis") was applied. The authors regret this typographical error.
June 2, 2018: Clinical Autonomic Research: Official Journal of the Clinical Autonomic Research Society
Garth H Utter, Ginger L Cox, Oluseun O Atolagbe, Pamela L Owens, Patrick S Romano
OBJECTIVE: To convert the Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) from International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) specifications to ICD, 10th Revision, Clinical Modification and Procedure Classification System (ICD-10-CM/PCS) specifications. DATA SOURCES: ICD-9-CM and ICD-10-CM/PCS classifications, General Equivalence Maps (GEMs). STUDY DESIGN: We convened 77 clinicians and coders to evaluate ICD-10-CM/PCS codes mapped from ICD-9-CM using automated GEMs...
May 30, 2018: Health Services Research
Brigg Reilley, Jessica Leston, Mona Doshani, Dana L Haberling, Marissa Person, Thomas Weiser, Melissa Collier, Jonathan Iralu, Jorge Mera, Rick Haverkate
Hepatitis C virus (HCV) disproportionately affects American Indians/Alaska Natives (AI/AN). The Indian Health Service (IHS), via federal and tribal health facilities provides medical services to an estimated 2.2 million AI/AN people in the United States. HCV diagnoses, defined by International Classification of Diseases 9th Revision, Clinical Modification (ICD-9-CM) codes, were analyzed from 2005 to 2015. Results showed 29,803 patients with an HCV diagnosis; 53.4% were among persons born 1945-1965 and overall HCV burden was higher among males than females...
May 28, 2018: Journal of Community Health
Olga Bougie, Sukhbir S Singh, Innie Chen, Ellen P McCarthy
STUDY OBJECTIVE: To examine the association between race/ethnicity and (1) route of hysterectomy and (2) risk of inpatient surgical complications. DESIGN: A cross-sectional analysis of women who underwent hysterectomy during 2009-2013 was performed using the Nationwide Inpatient Sample (NIS). DESIGN CLASSIFICATION: Canadian Task Force Classification III. SETTING: Inpatient hospitals in the United States. PATIENTS/INTERVENTIONS: There were 114,719 women age 18 and older who underwent an elective hysterectomy for benign indications using International Classification of Diseases (ICD-9-CM) codes...
May 25, 2018: Journal of Minimally Invasive Gynecology
Wesley M Durand, Jack H Ruddell, Adam E M Eltorai, J Mason DePasse, Alan H Daniels
BACKGROUND: Postoperative ileus (POI) is a common complication after spine surgery, with particularly high rates after adult spinal deformity surgery (ASD). Few investigations have been conducted, however, on predictors of POI following ASD. The objective of this investigation was to determine risk factors for POI in patients undergoing ASD. We also sought to determine the association between POI and in-hospital mortality, length of stay, and total charges. METHODS: Data were obtained from the National/Nationwide Inpatient Sample, years 2010 - 2014...
May 23, 2018: World Neurosurgery
Tarush Rustagi, Swamy Kurra, Katherine Sullivan, Ravi Dhawan, William F Lavelle
BACKGROUND CONTEXT: Early onset scoliosis is a challenging problem that is defined as a curvature of the spine of more than 10 degrees identified in a child less than 10 years. Early onset idiopathic scoliosis (EOIS) can cause substantial morbidity and may require surgical intervention. PURPOSE: The aim of the current study was to identify the trends of EOIS type of surgeries, length of hospital stay, in-hospital complications and total inpatient admission charges over a 15-year study period in United States from 1997-2012...
May 23, 2018: Spine Journal: Official Journal of the North American Spine Society
Allyson Tank, Jonathan Hobbs, Edwin Ramos, Daniel S Rubin
STUDY DESIGN: Retrospective cohort utilizing the National Inpatient Sample (NIS) 2003 - 2014. OBJECTIVE: To investigate the association of opioid dependence with prolonged length of stay (LOS), costs, and surgical complications in elective one-to-two level lumbar fusion. SUMMARY OF BACKGROUND DATA: Opioids are the most commonly prescribed drug class to treat back pain. Few studies have examined the impact of opioid dependence on spinal fusion outcomes...
May 22, 2018: Spine
Sarah A Arias, Edwin D Boudreaux, Elizabeth Chen, Ivan Miller, Carlos A Camargo, Richard N Jones, Lisa Uebelacker
OBJECTIVE: In an emergency department (ED) sample, we investigated the concordance between identification of suicide-related visits through standardized comprehensive chart review versus a subset of three specific chart elements: ICD-9-CM codes, free-text presenting complaints, and free-text physician discharge diagnoses. METHODS: Review of medical records for adults (≥18 years) at eight EDs across the United States. RESULTS: A total of 3,776 charts were reviewed...
May 23, 2018: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
Chun-Gu Cheng, Chun-An Cheng, Wu-Chien Chien, Chi-Hsiang Chung, Jiunn-Tay Lee
BACKGROUND: Endoscopic thoracic sympathectomy (ETS) was performed to cure palmar hyperhidrosis (PH). After ETS, blood pressure decreased, and cerebral flow velocity increased within 1 month. However, no studies distinguish between subsequent ischemic and hemorrhagic stroke following ETS for PH. The association between stroke type and PH after ETS must be evaluated. METHODS: We surveyed newly diagnosed patients with PH using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnostic code 708...
May 18, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Sabrina Gmuca, Rui Xiao, Pamela F Weiss, Amy T Waldman, Jeffrey S Gerber
Background: Treatment algorithms for neuromyelitis optica spectrum disorder (NMOSD) vary, and sparse data exist regarding the impact of initial treatments on disease course. We aimed to determine whether administration of rituximab during first hospitalization reduces 1-year readmission rates. Methods: We conducted a retrospective cohort study of subjects with NMOSD using the Pediatric Health Information System database from 2005-2015. Subjects were ages 1 to 21 years who received glucocorticoids and an ICD-9-CM code indicating neuromyelitis optica (NMO) during first hospitalization...
April 2018: Multiple Sclerosis and Demyelinating Disorders
Alessandro Montedori, Ettore Bidoli, Diego Serraino, Mario Fusco, Gianni Giovannini, Paola Casucci, David Franchini, Annalisa Granata, Valerio Ciullo, Maria Francesca Vitale, Michele Gobbato, Rita Chiari, Francesco Cozzolino, Massimiliano Orso, Walter Orlandi, Iosief Abraha
OBJECTIVES: To assess the accuracy of International Classification of Diseases 9th Revision-Clinical Modification (ICD-9-CM) codes in identifying subjects with lung cancer. DESIGN: A cross-sectional diagnostic accuracy study comparing ICD-9-CM 162.x code (index test) in primary position with medical chart (reference standard). Case ascertainment was based on the presence of a primary nodular lesion in the lung and cytological or histological documentation of cancer from a primary or metastatic site...
May 17, 2018: BMJ Open
Sandipan Bhattacharjee, Majed Al Yami, Sawsan Kurdi, David Rhys Axon
BACKGROUND: Depression is one of the most common psychiatric conditions among stroke survivors and is associated with several negative health outcomes. However, little is known about the depression treatment patterns among stroke survivors. The objective of this study was to examine national-level prevalence, patterns and predictors of depression treatment among community-dwelling stroke survivors. METHODS: This study adopted a retrospective, cross-sectional study design using multiple years of Medical Expenditure Panel Survey (MEPS) (2002-2012) data...
May 16, 2018: BMC Psychiatry
Brittany N Burton, Sapideh Gilani, Matthew W Swisher, Richard D Urman, Ulrich H Schmidt, Rodney A Gabriel
OBJECTIVE: The impact of perioperative risk factors on outcomes following outpatient sinus surgery is well defined; however, risk factors and outcomes following inpatient surgery remain poorly understood. We aimed to define risk factors of postoperative acute respiratory failure following inpatient sinus surgery. METHODS: Utilizing data from the Nationwide Inpatient Sample Database from the years 2010 to 2014, we identified patients (≥18 years of age) with an Internal Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) procedure code of sinus surgery...
May 1, 2018: Annals of Otology, Rhinology, and Laryngology
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