Transforming the German ICD-10 (ICD-10-GM) into Injury Severity Score (ISS)-Introducing a new method for automated re-coding.

<h4>Background</h4>While potentially timesaving, there is no program to automatically transform diagnosis codes of the ICD-10 German modification (ICD-10-GM) into the injury severity score (ISS).<h4>Objective</h4>To develop a mapping method from ICD-10-GM into ICD-10 clinical...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Marcel Niemann, Sven Märdian, Pascal Niemann, Liv Tetteh, Serafeim Tsitsilonis, Karl F Braun, Ulrich Stöckle, Frank Graef
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/010b6324a34c433f87d638269b7bab63
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:010b6324a34c433f87d638269b7bab63
record_format dspace
spelling oai:doaj.org-article:010b6324a34c433f87d638269b7bab632021-12-02T20:08:19ZTransforming the German ICD-10 (ICD-10-GM) into Injury Severity Score (ISS)-Introducing a new method for automated re-coding.1932-620310.1371/journal.pone.0257183https://doaj.org/article/010b6324a34c433f87d638269b7bab632021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257183https://doaj.org/toc/1932-6203<h4>Background</h4>While potentially timesaving, there is no program to automatically transform diagnosis codes of the ICD-10 German modification (ICD-10-GM) into the injury severity score (ISS).<h4>Objective</h4>To develop a mapping method from ICD-10-GM into ICD-10 clinical modification (ICD-10-CM) to calculate the abbreviated injury scale (AIS) and ISS of each patient using the ICDPIC-R and to compare the manually and automatically calculated scores.<h4>Methods</h4>Between January 2019 and June 2021, the most severe AIS of each body region and the ISS were manually calculated using medical documentation and radiology reports of all major trauma patients of a German level I trauma centre. The ICD-10-GM codes of these patients were exported from the electronic medical data system SAP, and a Java program was written to transform these into ICD-10-CM codes. Afterwards, the ICDPIC-R was used to automatically generate the most severe AIS of each body region and the ISS. The automatically and manually determined ISS and AIS scores were then tested for equivalence.<h4>Results</h4>Statistical analysis revealed that the manually and automatically calculated ISS were significantly equivalent over the entire patient cohort. Further sub-group analysis, however, showed that equivalence could only be demonstrated for patients with an ISS between 16 and 24. Likewise, the highest AIS scores of each body region were not equal in the manually and automatically calculated group.<h4>Conclusion</h4>Though achieving mapping results highly comparable to previous mapping methods of ICD-10-CM diagnosis codes, it is not unrestrictedly possible to automatically calculate the AIS and ISS using ICD-10-GM codes.Marcel NiemannSven MärdianPascal NiemannLiv TettehSerafeim TsitsilonisKarl F BraunUlrich StöckleFrank GraefPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257183 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Marcel Niemann
Sven Märdian
Pascal Niemann
Liv Tetteh
Serafeim Tsitsilonis
Karl F Braun
Ulrich Stöckle
Frank Graef
Transforming the German ICD-10 (ICD-10-GM) into Injury Severity Score (ISS)-Introducing a new method for automated re-coding.
description <h4>Background</h4>While potentially timesaving, there is no program to automatically transform diagnosis codes of the ICD-10 German modification (ICD-10-GM) into the injury severity score (ISS).<h4>Objective</h4>To develop a mapping method from ICD-10-GM into ICD-10 clinical modification (ICD-10-CM) to calculate the abbreviated injury scale (AIS) and ISS of each patient using the ICDPIC-R and to compare the manually and automatically calculated scores.<h4>Methods</h4>Between January 2019 and June 2021, the most severe AIS of each body region and the ISS were manually calculated using medical documentation and radiology reports of all major trauma patients of a German level I trauma centre. The ICD-10-GM codes of these patients were exported from the electronic medical data system SAP, and a Java program was written to transform these into ICD-10-CM codes. Afterwards, the ICDPIC-R was used to automatically generate the most severe AIS of each body region and the ISS. The automatically and manually determined ISS and AIS scores were then tested for equivalence.<h4>Results</h4>Statistical analysis revealed that the manually and automatically calculated ISS were significantly equivalent over the entire patient cohort. Further sub-group analysis, however, showed that equivalence could only be demonstrated for patients with an ISS between 16 and 24. Likewise, the highest AIS scores of each body region were not equal in the manually and automatically calculated group.<h4>Conclusion</h4>Though achieving mapping results highly comparable to previous mapping methods of ICD-10-CM diagnosis codes, it is not unrestrictedly possible to automatically calculate the AIS and ISS using ICD-10-GM codes.
format article
author Marcel Niemann
Sven Märdian
Pascal Niemann
Liv Tetteh
Serafeim Tsitsilonis
Karl F Braun
Ulrich Stöckle
Frank Graef
author_facet Marcel Niemann
Sven Märdian
Pascal Niemann
Liv Tetteh
Serafeim Tsitsilonis
Karl F Braun
Ulrich Stöckle
Frank Graef
author_sort Marcel Niemann
title Transforming the German ICD-10 (ICD-10-GM) into Injury Severity Score (ISS)-Introducing a new method for automated re-coding.
title_short Transforming the German ICD-10 (ICD-10-GM) into Injury Severity Score (ISS)-Introducing a new method for automated re-coding.
title_full Transforming the German ICD-10 (ICD-10-GM) into Injury Severity Score (ISS)-Introducing a new method for automated re-coding.
title_fullStr Transforming the German ICD-10 (ICD-10-GM) into Injury Severity Score (ISS)-Introducing a new method for automated re-coding.
title_full_unstemmed Transforming the German ICD-10 (ICD-10-GM) into Injury Severity Score (ISS)-Introducing a new method for automated re-coding.
title_sort transforming the german icd-10 (icd-10-gm) into injury severity score (iss)-introducing a new method for automated re-coding.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/010b6324a34c433f87d638269b7bab63
work_keys_str_mv AT marcelniemann transformingthegermanicd10icd10gmintoinjuryseverityscoreissintroducinganewmethodforautomatedrecoding
AT svenmardian transformingthegermanicd10icd10gmintoinjuryseverityscoreissintroducinganewmethodforautomatedrecoding
AT pascalniemann transformingthegermanicd10icd10gmintoinjuryseverityscoreissintroducinganewmethodforautomatedrecoding
AT livtetteh transformingthegermanicd10icd10gmintoinjuryseverityscoreissintroducinganewmethodforautomatedrecoding
AT serafeimtsitsilonis transformingthegermanicd10icd10gmintoinjuryseverityscoreissintroducinganewmethodforautomatedrecoding
AT karlfbraun transformingthegermanicd10icd10gmintoinjuryseverityscoreissintroducinganewmethodforautomatedrecoding
AT ulrichstockle transformingthegermanicd10icd10gmintoinjuryseverityscoreissintroducinganewmethodforautomatedrecoding
AT frankgraef transformingthegermanicd10icd10gmintoinjuryseverityscoreissintroducinganewmethodforautomatedrecoding
_version_ 1718375161084772352