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Concordance of ICD-10 Codes and the Clinical Diagnosis of Alcoholic Hepatitis.
Geng, Calvin X; Gudur, Anuragh R; Patterson, Daniel R; Stotts, Matthew J.
  • Geng CX; Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
  • Gudur AR; Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
  • Patterson DR; Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
  • Stotts MJ; Division of Gastroenterology & Hepatology, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Am J Gastroenterol ; 117(10): 1706-1708, 2022 10 01.
Article in English | MEDLINE | ID: covidwho-2056479
ABSTRACT

INTRODUCTION:

Many studies on alcoholic hepatitis (AH) use the International Classification of Disease (ICD) coding to identify patients. Data regarding the diagnostic accuracy of ICD codes for AH are limited.

METHODS:

A total of 151 patients with ICD-10 codes for AH were reviewed for the presence or absence of AH using standardized diagnostic criteria.

RESULTS:

Sixty-eight of the 151 patients met AH criteria, corresponding to a positive predictive value of 45%. Patients with AH experienced higher model for end-stage liver disease and mortality than those who did not ( P < 0.05).

DISCUSSION:

Our results suggest ICD-10 codes are not reliable for identifying AH. Studies using the ICD codes should be interpreted cautiously.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: End Stage Liver Disease / Hepatitis, Alcoholic Type of study: Diagnostic study / Prognostic study Limits: Humans Language: English Journal: Am J Gastroenterol Year: 2022 Document Type: Article Affiliation country: Ajg.0000000000001886

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Full text: Available Collection: International databases Database: MEDLINE Main subject: End Stage Liver Disease / Hepatitis, Alcoholic Type of study: Diagnostic study / Prognostic study Limits: Humans Language: English Journal: Am J Gastroenterol Year: 2022 Document Type: Article Affiliation country: Ajg.0000000000001886