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  1. Can hospital discharge diagnoses be used for intensive care unit administrative and quality management functions ?

    Article - En anglais


    To determine whether hospital discharge diagnoses can be used for intensive care unit (ICU) - related activities.


    Comparison between the diagnoses coded by physicians at the time of ICU admission and those diagnoses coded by medical records personnel.


    University hospital adult surgical ICU.


    Consecutive ICU admissions (n=622).



    Measurements and Main Results 

    The ICU admission and hospital discharge codes were compared in two ways.

    Initially, each discharge code was subtracted from the corresponding ICU admission code.

    There was no difference in 150 (24%) cases.

    In 216 (35%) patients, the codes differed by ±10

    In 221 (36%) instances, the codes differed by>200.

    The secondary discharge diagnoses were also compared with the ICU admission diagnoses.

    In 56 patients, the ICU admission diagnosis was one of the secondary diagnoses.

    The second comparison involved having two physicians not associated with the study examine each pair of codes to determine if the two diagnoses were medically different.

    Review of the codes by physicians not involved in the study found that in 318 (48%) patients, the two diagnoses were not different, i.e., the codes were either the same or the codes were so similar as not to functionally change the actual diagnosis. (...)

    Mots-clés Pascal : Admission hôpital, Diagnostic, Unité soin intensif, Etude comparative, Gestion administrative, Sortie hôpital, Homme

    Mots-clés Pascal anglais : Hospital admission, Diagnosis, Intensive care unit, Comparative study, Administrative management, Hospital discharge, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0444602

    Code Inist : 002B30A04D. Création : 03/02/1998.