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Low Completeness of Bacteraemia Registration in the Danish National Patient Registry
Bacteraemia is associated with significant morbidity and mortality and timely access to relia-ble information is essential for health care administrators. Therefore, we investigated the complete-ness of bacteraemia registration in the Danish National Patient Registry (DNPR) containing hospital disch...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488274/ https://www.ncbi.nlm.nih.gov/pubmed/26121584 http://dx.doi.org/10.1371/journal.pone.0131682 |
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author | Gradel, Kim Oren Nielsen, Stig Lønberg Pedersen, Court Knudsen, Jenny Dahl Østergaard, Christian Arpi, Magnus Jensen, Thøger Gorm Kolmos, Hans Jørn Søgaard, Mette Lassen, Annmarie Touborg Schønheyder, Henrik Carl |
author_facet | Gradel, Kim Oren Nielsen, Stig Lønberg Pedersen, Court Knudsen, Jenny Dahl Østergaard, Christian Arpi, Magnus Jensen, Thøger Gorm Kolmos, Hans Jørn Søgaard, Mette Lassen, Annmarie Touborg Schønheyder, Henrik Carl |
author_sort | Gradel, Kim Oren |
collection | PubMed |
description | Bacteraemia is associated with significant morbidity and mortality and timely access to relia-ble information is essential for health care administrators. Therefore, we investigated the complete-ness of bacteraemia registration in the Danish National Patient Registry (DNPR) containing hospital discharge diagnoses and surgical procedures for all non-psychiatric patients. As gold standard we identified bacteraemia patients in three defined areas of Denmark (~2.3 million inhabitants) from 2000 through 2011 by use of blood culture data retrieved from electronic microbiology databases. Diagnoses coded according to the International Classification of Diseases, version 10, and surgical procedure codes were retrieved from the DNPR. The codes were categorized into seven groups, ranked a priori according to the likelihood of bacteraemia. Completeness was analysed by contin-gency tables, for all patients and subgroups. We identified 58,139 bacteraemic episodes in 48,450 patients; 37,740 episodes (64.9%) were covered by one or more discharge diagnoses within the sev-en diagnosis/surgery groups and 18,786 episodes (32.3%) had a code within the highest priority group. Completeness varied substantially according to speciality (from 17.9% for surgical to 36.4% for medical), place of acquisition (from 26.0% for nosocomial to 36.2% for community), and mi-croorganism (from 19.5% for anaerobic Gram-negative bacteria to 36.8% for haemolytic strepto-cocci). The completeness increased from 25.1% in 2000 to 35.1% in 2011. In conclusion, one third of the bacteraemic episodes did not have a relevant diagnosis in the Danish administrative registry recording all non-psychiatric contacts. This source of information should be used cautiously to iden-tify patients with bacteraemia. |
format | Online Article Text |
id | pubmed-4488274 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-44882742015-07-02 Low Completeness of Bacteraemia Registration in the Danish National Patient Registry Gradel, Kim Oren Nielsen, Stig Lønberg Pedersen, Court Knudsen, Jenny Dahl Østergaard, Christian Arpi, Magnus Jensen, Thøger Gorm Kolmos, Hans Jørn Søgaard, Mette Lassen, Annmarie Touborg Schønheyder, Henrik Carl PLoS One Research Article Bacteraemia is associated with significant morbidity and mortality and timely access to relia-ble information is essential for health care administrators. Therefore, we investigated the complete-ness of bacteraemia registration in the Danish National Patient Registry (DNPR) containing hospital discharge diagnoses and surgical procedures for all non-psychiatric patients. As gold standard we identified bacteraemia patients in three defined areas of Denmark (~2.3 million inhabitants) from 2000 through 2011 by use of blood culture data retrieved from electronic microbiology databases. Diagnoses coded according to the International Classification of Diseases, version 10, and surgical procedure codes were retrieved from the DNPR. The codes were categorized into seven groups, ranked a priori according to the likelihood of bacteraemia. Completeness was analysed by contin-gency tables, for all patients and subgroups. We identified 58,139 bacteraemic episodes in 48,450 patients; 37,740 episodes (64.9%) were covered by one or more discharge diagnoses within the sev-en diagnosis/surgery groups and 18,786 episodes (32.3%) had a code within the highest priority group. Completeness varied substantially according to speciality (from 17.9% for surgical to 36.4% for medical), place of acquisition (from 26.0% for nosocomial to 36.2% for community), and mi-croorganism (from 19.5% for anaerobic Gram-negative bacteria to 36.8% for haemolytic strepto-cocci). The completeness increased from 25.1% in 2000 to 35.1% in 2011. In conclusion, one third of the bacteraemic episodes did not have a relevant diagnosis in the Danish administrative registry recording all non-psychiatric contacts. This source of information should be used cautiously to iden-tify patients with bacteraemia. Public Library of Science 2015-06-29 /pmc/articles/PMC4488274/ /pubmed/26121584 http://dx.doi.org/10.1371/journal.pone.0131682 Text en © 2015 Gradel et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Gradel, Kim Oren Nielsen, Stig Lønberg Pedersen, Court Knudsen, Jenny Dahl Østergaard, Christian Arpi, Magnus Jensen, Thøger Gorm Kolmos, Hans Jørn Søgaard, Mette Lassen, Annmarie Touborg Schønheyder, Henrik Carl Low Completeness of Bacteraemia Registration in the Danish National Patient Registry |
title | Low Completeness of Bacteraemia Registration in the Danish National Patient Registry |
title_full | Low Completeness of Bacteraemia Registration in the Danish National Patient Registry |
title_fullStr | Low Completeness of Bacteraemia Registration in the Danish National Patient Registry |
title_full_unstemmed | Low Completeness of Bacteraemia Registration in the Danish National Patient Registry |
title_short | Low Completeness of Bacteraemia Registration in the Danish National Patient Registry |
title_sort | low completeness of bacteraemia registration in the danish national patient registry |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488274/ https://www.ncbi.nlm.nih.gov/pubmed/26121584 http://dx.doi.org/10.1371/journal.pone.0131682 |
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