Understanding the biases to sepsis surveillance and quality assurance caused by inaccurate coding in administrative health data.

ABSTRACT:

Purpose

Timely and accurate data on the epidemiology of sepsis are essential to inform policy decisions and research priorities. We aimed to investigate the validity of inpatient administrative health data (IAHD) for surveillance and quality assurance of sepsis care.

Methods

We conducted a retrospective validation study in a disproportional stratified random sample of 10,334 inpatient cases of age ≥ 15 years treated in 2015-2017 in ten German hospitals. The accuracy of coding of sepsis and risk factors for mortality in IAHD was assessed compared to reference standard diagnoses obtained by a chart review. Hospital-level risk-adjusted mortality of sepsis as calculated from IAHD information was compared to mortality calculated from chart review information.

Results

ICD-c

SUBMITTER: Schwarzkopf D 

PROVIDER: S-EPMC10954942 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature