Validation of HES coding for the detection of major bleeding events: insights from the ROBOT-ACS study.

ABSTRACT:

Background

Increasingly research studies use HES (Hospital Episode Statistics) data to report clinical outcomes. No data exists on the performance of individual ICD-10 (International Classification of Diseases 10th Revision) diagnostic codes for identifying major bleeding events. Data from the ROBOT-ACS study provide a unique opportunity to assess this compared to conventionally adjudicated bleeding by standard definitions.

Methods

A secondary analysis was performed on the 1172 HES records from ROBOT-ACS follow up data containing bleeding or anaemia codes. The 213 adjudicated major bleeds in ROBOT-ACS served as the gold standard comparator. Individual bleeding codes, and groups by type, were assessed for their positive predictive value (PPV).

Results

The PPV of most c

SUBMITTER: Mullen L 

PROVIDER: S-EPMC11844057 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature