Sensitivity and specificity of an algorithm based on medico-administrative data to identify hospitalized patients with major bleeding presenting to an emergency department.

ABSTRACT: BACKGROUND:Validation studies on an ICD-10-based algorithm to identify major bleeding events are scarce, and mostly focused on positive predictive values. OBJECTIVE:To evaluate the sensitivity and specificity of an ICD-10-based algorithm in adult patients referred to hospital. METHODS:This was a cross-sectional, retrospective analysis. Among all hospital stays of adult patients referred to Rennes University Hospital, France, through the emergency ward in 2014, we identified major bleeding events according to an index test based on a list of ICD-10 diagnoses. As a reference, a two-step process was applied: firstly, a computerized request for electronic health records from the emergency ward, using several hemorrhage-related diagnostic codes and specific emergency therapies so as to discard

SUBMITTER: Oger E 

PROVIDER: S-EPMC6798331 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature