Aggregate databases are increasingly being used to evaluate appropriateness of care, and, for cesarean sections, Anderson and Lomas'International Classification of Diseases, 9th Revision (ICD-9), coding hierarchy is a widely used toot.
The aim of this study was to assess the validity of the hierarchy and expand its applicability to repeat cesareans.
Hospital records of 1885 singleton cesareans were reviewed.
Clinical indications and ICD-9 hierarchical codes were concordant for 83% of primary and 86% of repeat cesareans ; modification allowed elective repeat cesareans to be distinguished from indicated procedures.
The Anderson and Lomas ICD-9 hierarchy is a valid tool for assessing indications for cesarean.
The current modification improves its clinical utility and expands its application to repeat procedures. (Am J Public Health. 1995,8S : 1143-1146).
Mots-clés Pascal : Césarienne, Homme, Femelle, Indication, Qualité, Technique obstétricale, Classification, Méthodologie, Evaluation, Etats Unis, Amérique du Nord, Amérique, Chirurgie
Mots-clés Pascal anglais : Cesarean section, Human, Female, Indication, Quality, Obstetrical technique, Classification, Methodology, Evaluation, United States, North America, America, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0483847
Code Inist : 002B20G02. Création : 01/03/1996.