Validation of an algorithm to identify fractures among patients within the Veterans Health Administration.

ABSTRACT:

Objective

To validate an algorithm that identifies fractures using billing codes from the International Classification of Diseases Ninth Revision (ICD-9) and Tenth Revision (ICD-10) for inpatient, outpatient, and emergency department visits in a population of patients.

Methods

We identified and reviewed a random sample of 543 encounters for adults receiving care within a single Veterans Health Administration healthcare system and had a first fracture episode between 2010 and 2019. To determine if an encounter represented a true incident fracture, we performed chart abstraction and assessed the type of fracture and mechanism. We calculated the positive predictive value (PPV) for the overall algorithm and each component diagnosis code along with 95% confidence intervals. Inver

SUBMITTER: Horton TG 

PROVIDER: S-EPMC10543449 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature