Accuracy of administrative billing codes to detect urinary tract infection hospitalizations.

Abstract:

BACKGROUND:Hospital billing data are frequently used for quality measures and research, but the accuracy of the use of discharge codes to identify urinary tract infections (UTIs) is unknown. OBJECTIVE:To determine the accuracy of International Classification of Diseases, 9th revision (ICD-9) discharge codes to identify children hospitalized with UTIs. METHODS:This multicenter study conducted in 5 children's hospitals included children aged 3 days to 18 years who had been admitted to the hospital, undergone a urinalysis or urine culture, and discharged from the hospital. Data were obtained from the pediatric health information system database and medical record review. With the use of 2 gold-standard methods, the positive predictive value (PPV) was calculated for individual and combined UTI codes and for common UTI identification strategies. PPV was measured for all groupings for which the UTI code was the principal discharge diagnosis. RESULTS:There were 833 patients in the study. The PPV was 50.3% with the use of the gold standard of laboratory-confirmed UTIs but increased to 85% with provider confirmation. Restriction of the study cohort to patients with a principle diagnosis of UTI improved the PPV for laboratory-confirmed UTI (61.2%) and provider-confirmed UTI (93.2%), as well as the ability to benchmark performance. Other common identification strategies did not markedly affect the PPV. CONCLUSIONS:ICD-9 codes can be used to identify patients with UTIs but are most accurate when UTI is the principal discharge diagnosis. The identification strategies reported in this study can be used to improve the accuracy and applicability of benchmarking measures.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Tieder JS,Hall M,Auger KA,Hain PD,Jerardi KE,Myers AL,Rahman SS,Williams DJ,Shah SS

doi

10.1542/peds.2010-2064

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

323-30

issue

2

eissn

0031-4005

issn

1098-4275

pii

peds.2010-2064

journal_volume

128

pub_type

杂志文章,多中心研究
  • Food additives and hyperkinesis: a controlled double-blind experiment.

    abstract::A double-blind crossover trial involving a control diet and a diet eliminating artificial flavors, colors, and natural salicylates as recommended by Feingold was conducted on 15 hyperkinetic children. Teachers and parents observed the children for one month prior to treatment, using standardized rating scales. Both pa...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:

    authors: Conners CK,Goyette CH,Southwick DA,Lees JM,Andrulonis PA

    更新日期:1976-08-01 00:00:00

  • Length and body mass index at birth and target height influences on patterns of postnatal growth in children born small for gestational age.

    abstract:OBJECTIVE:Previous growth studies on children born small for gestational age (SGA) indicate that birth length, weight, and target height are important predictors for postnatal catch-up growth in SGA. Their influences on different phases of catch-up growth are still not described. The aim of this study was to clarify th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.102.6.e72

    authors: Luo ZC,Albertsson-Wikland K,Karlberg J

    更新日期:1998-12-01 00:00:00

  • Bone scintigraphy in the evaluation of children with obscure skeletal pain.

    abstract::A retrospective analysis of bone scans of 381 children with unexplained skeletal pain was made. Of these, findings are reported on 358 for whom there were sufficient clinical data. The bone scan results suggested trauma as the cause of pain in 43 patients, inflammatory disease in 73 patients, and neoplasia in ten pati...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: ter Meulen DC,Majd M

    更新日期:1987-04-01 00:00:00

  • Renal transplantation in children ages 1 to 5 years.

    abstract::Renal transplantation was carried out in 21 children ages 1 to 5 years. Eighteen received grafts from a living, related donor (LRD). Four children died, one following rejection, and three because of infection. Five children lost their initial grafts and two have received new transplants. Cumulative patient survival tw...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.61.3.458

    authors: Hodson EM,Najarian JS,Kjellstrand CM,Simmons RL,Mauer SM

    更新日期:1978-03-01 00:00:00

  • Recognizing and responding to medical neglect.

    abstract::A caregiver may fail to recognize or respond to a child's medical needs for a variety of reasons. An effective response by a health care professional to medical neglect requires a comprehensive assessment of the child's needs, the parents' resources, the parents' efforts to provide for the needs of the child, and opti...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2007-2903

    authors: Jenny C,Committee on Child Abuse and Neglect, American Academy of Pediatrics.

    更新日期:2007-12-01 00:00:00

  • Promoting best-care practices in childhood asthma: quality improvement in community health centers.

    abstract:OBJECTIVE:Outpatient asthma management remains suboptimal. We previously reported significant improvements in asthma guideline adherence and outcomes in children by using quality-improvement processes and community health workers. We hypothesized that a larger project could achieve comparable outcome improvements with ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2010-1962

    authors: Lob SH,Boer JH,Porter PG,Núñez D,Fox P

    更新日期:2011-07-01 00:00:00

  • The pediatric subspecialty workforce: public policy and forces for change.

    abstract::Policy has not adequately addressed the unique circumstances of pediatric subspecialties, many of which are facing workforce shortages. Pediatric subspecialties, which we define to include all medical and surgical subspecialties, are discrete disciplines that differ significantly from each other and from adult medicin...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-2339

    authors: Jewett EA,Anderson MR,Gilchrist GS

    更新日期:2005-11-01 00:00:00

  • Access to digital technology among families coming to urban pediatric primary care clinics.

    abstract:OBJECTIVE:Digital technologies offer new platforms for health promotion and disease management. Few studies have evaluated the use of digital technology among families receiving care in an urban pediatric primary care setting. METHODS:A self-administered survey was given to a convenience sample of caregivers bringing ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-0594

    authors: Demartini TL,Beck AF,Klein MD,Kahn RS

    更新日期:2013-07-01 00:00:00

  • Health supervision for children with fragile X syndrome.

    abstract::Fragile X syndrome (an FMR1-related disorder) is the most commonly inherited form of mental retardation. Early physical recognition is difficult, so boys with developmental delay should be strongly considered for molecular testing. The characteristic adult phenotype usually does not develop until the second decade of ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2010-3500

    authors: Hersh JH,Saul RA,Committee on Genetics.

    更新日期:2011-05-01 00:00:00

  • Serum tocopherol levels in very preterm infants after a single dose of vitamin E at birth.

    abstract:OBJECTIVE:Our aim was to examine the impact of a single enteral dose of vitamin E on serum tocopherol levels. The study was undertaken to see whether a single dose of vitamin E soon after birth can rapidly increase the low α-tocopherol levels seen in very preterm infants. If so, this intervention could be tested as a m...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2013-1684

    authors: Bell EF,Hansen NI,Brion LP,Ehrenkranz RA,Kennedy KA,Walsh MC,Shankaran S,Acarregui MJ,Johnson KJ,Hale EC,Messina LA,Crawford MM,Laptook AR,Goldberg RN,Van Meurs KP,Carlo WA,Poindexter BB,Faix RG,Carlton DP,Watterber

    更新日期:2013-12-01 00:00:00

  • Utilization of pediatric hospitals in New York State.

    abstract:BACKGROUND:Little published information is available regarding the proportion of hospitals that offer pediatric services at specified levels, or the actual utilization of such services. OBJECTIVE:To determine if an existing national accreditation process created for educational purposes identifies hospitals with a dis...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.111.5.1068

    authors: Kanter RK,Egan M

    更新日期:2003-05-01 00:00:00

  • Disaster Preparedness in Neonatal Intensive Care Units.

    abstract::Disasters disproportionally affect vulnerable, technology-dependent people, including preterm and critically ill newborn infants. It is important for health care providers to be aware of and prepared for the potential consequences of disasters for the NICU. Neonatal intensive care personnel can provide specialized exp...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-0507

    authors: Barfield WD,Krug SE,COMMITTEE ON FETUS AND NEWBORN.,DISASTER PREPAREDNESS ADVISORY COUNCIL.

    更新日期:2017-05-01 00:00:00

  • Contraceptive Provision to Adolescent Females Prescribed Teratogenic Medications.

    abstract:BACKGROUND AND OBJECTIVES:Rates of adult women receiving contraceptive provision when simultaneously prescribed a known teratogen are alarmingly low. The prevalence of this behavior among pediatric providers and their adolescent patients is unknown. The objective of this study was to describe pediatric provider behavio...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-1454

    authors: Stancil SL,Miller M,Briggs H,Lynch D,Goggin K,Kearns G

    更新日期:2016-01-01 00:00:00

  • Prolonged QTc interval in association with medium-chain acyl-coenzyme A dehydrogenase deficiency.

    abstract::Medium-chain acyl-coenzyme A dehydrogenase (MCAD) deficiency is the most common disorder of mitochondrial fatty acid oxidation. We report a term male infant who presented at 3 days of age with hypoglycemia, compensated metabolic acidosis, hypocalcemia, and prolonged QTc interval. Pregnancy was complicated by maternal ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2013-1105

    authors: Wiles JR,Leslie N,Knilans TK,Akinbi H

    更新日期:2014-06-01 00:00:00

  • Early-Life Predictors of Fetal Alcohol Spectrum Disorders.

    abstract:BACKGROUND AND OBJECTIVES:Fetal alcohol spectrum disorders (FASD) comprise the continuum of disabilities associated with prenatal alcohol exposure. Although infancy remains the most effective time for initiation of intervention services, current diagnostic schemes demonstrate the greatest confidence, accuracy, and reli...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2018-2141

    authors: Kalberg WO,May PA,Buckley D,Hasken JM,Marais AS,De Vries MM,Bezuidenhout H,Manning MA,Robinson LK,Adam MP,Hoyme DB,Parry CDH,Seedat S,Elliott AJ,Hoyme HE

    更新日期:2019-12-01 00:00:00

  • Impact of education for physicians on patient outcomes.

    abstract:OBJECTIVES:This study was conducted to assess the impact of an interactive seminar based on self-regulation theory on 1) the treatment practices and communications and education behavior of physicians, 2) the health status and medical care utilization of their pediatric patients with asthma, and 3) the satisfaction wit...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.101.5.831

    authors: Clark NM,Gong M,Schork MA,Evans D,Roloff D,Hurwitz M,Maiman L,Mellins RB

    更新日期:1998-05-01 00:00:00

  • Effect of iron therapy on behavior performance in nonanemic, iron-deficient infants.

    abstract::In an effort to determine whether iron deficiency, in the absence of anemia (hemoglobin greater than 11.0 g/dL), might produce alterations in behavioral development, four groups of nonanemic infants, 9 to 12 months of age, with varying degrees of iron deficiency were studied. Infants were classified as iron sufficient...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Oski FA,Honig AS,Helu B,Howanitz P

    更新日期:1983-06-01 00:00:00

  • Ostensible versus actual reasons for seeking pediatric attention: another look at the parental ticket of admission.

    abstract::The presentation of parental anxiety that appears excessive in view of the nature of the child's "chief complaint" is a frequent occurrence in pediatric practice. This study reviews 370 sick-patient visits in one pediatric office during a three-month period. Additional questioning in the area of parental anxieties con...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Bass LW,Cohen RL

    更新日期:1982-12-01 00:00:00

  • Prevention and management of positional skull deformities in infants. American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery.

    abstract::Cranial asymmetry may be present at birth or may develop during the first few months of life. Over the past several years, pediatricians have seen an increase in the number of children with cranial asymmetry, particularly unilateral flattening of the occiput. This increase likely is attributable to parents following t...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章,实务指引

    doi:10.1542/peds.112.1.199

    authors: Persing J,James H,Swanson J,Kattwinkel J,American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery.

    更新日期:2003-07-01 00:00:00

  • Decreasing hypothermia during delivery room stabilization of preterm neonates.

    abstract:BACKGROUND AND OBJECTIVE:Hypothermia during delivery room stabilization of very low birth weight (VLBW) newborns is independently associated with mortality, yet it occurred frequently both in collaborative networks and at our institution. We aimed to attain admission temperatures in the target range of 36 °C to 38 °C i...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-1293

    authors: Pinheiro JM,Furdon SA,Boynton S,Dugan R,Reu-Donlon C,Jensen S

    更新日期:2014-01-01 00:00:00

  • The Use of Systemic and Topical Fluoroquinolones.

    abstract::Appropriate prescribing practices for fluoroquinolones, as well as all antimicrobial agents, are essential as evolving resistance patterns are considered, additional treatment indications are identified, and the toxicity profile of fluoroquinolones in children has become better defined. Earlier recommendations for sys...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2016-2706

    authors: Jackson MA,Schutze GE,COMMITTEE ON INFECTIOUS DISEASES.

    更新日期:2016-11-01 00:00:00

  • Cost-effective treatment of phimosis.

    abstract:OBJECTIVE:To determine the most cost-effective treatment for phimosis. DESIGN:The costs of three treatment strategies for treating phimosis were evaluated using a decision-tree analysis. Three therapeutic approaches were considered: circumcision, preputial plasty (the use of plastic surgical techniques to enlarge the ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.102.4.e43

    authors: Van Howe RS

    更新日期:1998-10-01 00:00:00

  • Active, population-based surveillance for severe rotavirus gastroenteritis in children in the United States.

    abstract:OBJECTIVES:Routine vaccination of US infants against rotavirus was implemented in 2006, prompting the Centers for Disease Control and Prevention New Vaccine Surveillance Network to begin population-based acute gastroenteritis surveillance among US children<3 years of age. This surveillance system establishes baseline e...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-3378

    authors: Payne DC,Staat MA,Edwards KM,Szilagyi PG,Gentsch JR,Stockman LJ,Curns AT,Griffin M,Weinberg GA,Hall CB,Fairbrother G,Alexander J,Parashar UD

    更新日期:2008-12-01 00:00:00

  • A treatable metabolic cause of encephalopathy: cobalamin C deficiency in an 8-year-old male.

    abstract::Neurologic regression in a previously healthy child may be caused by metabolic or neurodegenerative disorders, many of which have no definitive treatment. We report a case of a previously healthy 8-year-old boy who presented with a month-long history of waxing and waning encephalopathy and acute regression, followed b...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-1427

    authors: Krueger JM,Piantino J,Smith CM,Angle B,Venkatesan C,Wainwright MS

    更新日期:2015-01-01 00:00:00

  • Intelligence and Academic Achievement With Asymptomatic Congenital Cytomegalovirus Infection.

    abstract:OBJECTIVES:To examine intelligence, language, and academic achievement through 18 years of age among children with congenital cytomegalovirus infection identified through hospital-based newborn screening who were asymptomatic at birth compared with uninfected infants. METHODS:We used growth curve modeling to analyze t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-1517

    authors: Lopez AS,Lanzieri TM,Claussen AH,Vinson SS,Turcich MR,Iovino IR,Voigt RG,Caviness AC,Miller JA,Williamson WD,Hales CM,Bialek SR,Demmler-Harrison G,Congenital Cytomegalovirus Longitudinal Study Group.

    更新日期:2017-11-01 00:00:00

  • Growth patterns of large for gestational age children up to age 4 years.

    abstract:OBJECTIVE:To determine how growth of large for gestational age (LGA) preterm (PT) children was affected by their PT birth and their LGA status. METHODS:This is a community-based cohort study of 1302 PT and 489 full-term (FT) children, born 2002 and 2003. RESULTS:We found that growth in height, weight, and head circum...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-0985

    authors: Bocca-Tjeertes IF,Kerstjens JM,Reijneveld SA,Veldman K,Bos AF,de Winter AF

    更新日期:2014-03-01 00:00:00

  • Hyperbilirubinemia in low birth weight infants and outcome at 5 years of age.

    abstract::The collaborative national survey on morbidity and mortality in preterm and small for gestational age infants in the Netherlands enrolled initially 1338 infants born in 1983. The relationship between maximal serum total bilirubin concentration in the neonatal period and neurodevelopmental outcome in the survivors of t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: van de Bor M,Ens-Dokkum M,Schreuder AM,Veen S,Brand R,Verloove-Vanhorick SP

    更新日期:1992-03-01 00:00:00

  • Local anesthetic and stylet styles: factors associated with resident lumbar puncture success.

    abstract:OBJECTIVE:To assess the effects of procedural techniques, local anesthetic use, and postgraduate training level on lumbar puncture (LP) success rates. METHODS:In this prospective observational study, medical students and residents ("trainees") reported techniques used for infant LPs in an urban teaching emergency depa...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-0519

    authors: Baxter AL,Fisher RG,Burke BL,Goldblatt SS,Isaacman DJ,Lawson ML

    更新日期:2006-03-01 00:00:00

  • Hypoglycemia in small-for-dates newborn infants.

    abstract::In 24% (18 out of 76) small-for-dates a "significant" though asymptomatic hypoglycemia was demonstrated during the first six hours of life. The cord blood glucose concentration was lower in the hypoglycemic compared to that of the small-for-date normoglycemic group. In the hypoglycemic infants, the disappearance rate ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: de Leeuw R,de Vries IJ

    更新日期:1976-07-01 00:00:00

  • Routine cerebrospinal fluid enterovirus polymerase chain reaction testing reduces hospitalization and antibiotic use for infants 90 days of age or younger.

    abstract:OBJECTIVE:The goal was to evaluate the impact of cerebrospinal fluid enterovirus polymerase chain reaction testing on the length of hospitalization and the duration of antibiotic use for infants < or = 90 days of age with suspected aseptic meningitis. METHODS:This retrospective cohort study was conducted at an urban, ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-0252

    authors: King RL,Lorch SA,Cohen DM,Hodinka RL,Cohn KA,Shah SS

    更新日期:2007-09-01 00:00:00