The impact of changes in coding on mortality reports using the example of sepsis.

ABSTRACT:

Objectives

NHS Digital issued new guidance on sepsis coding in April 2017 which was further modified in April 2018. During these timeframes some centres reported increased sepsis associated mortality, whilst others reported reduced mortality, in some cases coincident with specific quality improvement programmes. We hypothesised that changes in reported mortality could not be separated from changes in coding practice.

Methods

Hospital Episode Statistics from the Admitted Patient Care dataset for NHS hospitals in England, from April 2016 to March 2020 were analysed. Admissions of adults with sepsis: an International Classification of Diseases 10 (ICD-10) code associated with the Agency for Healthcare Research and Quality Clinical Classifications Software class 'Septicaemia (ex

SUBMITTER: Atkin C 

PROVIDER: S-EPMC9341053 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature