Describing agreement in the Main Condition coding field using Canadian ICD-11 inpatient data

Introduction Countries use varying coding standards, which impact international coded data comparability. The `main condition' (MC) field is coded within the Discharge Abstract Database as "reason for admission" or "largest resource use". Objective We offer a preliminary...

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Autores principales:	Natalie Wiebe, Hude Quan, Danielle A Southern, Chelsea Doktorchik, Catherine Eastwood
Formato:	article
Lenguaje:	EN
Publicado:	Swansea University 2021
Materias:	Demography. Population. Vital events HB848-3697
Acceso en línea:	https://doaj.org/article/709b6b73e21d48118d8f188eb1debb12
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spelling	oai:doaj.org-article:709b6b73e21d48118d8f188eb1debb122021-12-03T15:47:29ZDescribing agreement in the Main Condition coding field using Canadian ICD-11 inpatient data10.23889/ijpds.v6i1.13972399-4908https://doaj.org/article/709b6b73e21d48118d8f188eb1debb122021-10-01T00:00:00Zhttps://ijpds.org/article/view/1397https://doaj.org/toc/2399-4908 Introduction Countries use varying coding standards, which impact international coded data comparability. The `main condition' (MC) field is coded within the Discharge Abstract Database as "reason for admission" or "largest resource use". Objective We offer a preliminary analysis on the frequency of and contributing factors to MC definition agreements within an inpatient Canadian dataset. Methods Six professional coders performed a chart review between August 2016 and June 2017 on 3,000 randomly selected inpatient charts from three acute care hospitals in Calgary, Alberta. Coders classified the MC as "reason for admission", "largest resource use" or "both". Patients were admitted between 1st January and 30th June 2015 and met the inclusion criteria if they were >18 years, had an Alberta personal health care number, and had an inpatient visit for any service outside of obstetrics. Agreement between the two MC definitions was stratified by length of stay (LOS), emergency department admission, hospital of origin, discharge location, age, sex, procedures, and comorbidities. Chi-square analysis and frequency of inconsistencies were reported. Results Only 34 (1.51%) of the 2,250 patient charts had disagreeing MC definitions. Age, emergency visit on admit, LOS, hospital, and discharge location were associated with MC agreement. Chronic conditions were seen more often in MC definition agreements, and acute conditions seen within those disagreeing. Conclusion There was a small proportion of cases in which the condition bringing the patient to hospital was not also the condition occupying the largest resources. Within disagreements, further research using a larger sample size is needed to explore the presence of MC in a secondary/tertiary condition, the association between patient complexity and disagreeing MC definitions, and the nature of the conditions seen in the inconsistent MC definitions. Natalie WiebeHude QuanDanielle A SouthernChelsea DoktorchikCatherine EastwoodSwansea UniversityarticleDemography. Population. Vital eventsHB848-3697ENInternational Journal of Population Data Science, Vol 6, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Demography. Population. Vital events HB848-3697
spellingShingle	Demography. Population. Vital events HB848-3697 Natalie Wiebe Hude Quan Danielle A Southern Chelsea Doktorchik Catherine Eastwood Describing agreement in the Main Condition coding field using Canadian ICD-11 inpatient data
description	Introduction Countries use varying coding standards, which impact international coded data comparability. The `main condition' (MC) field is coded within the Discharge Abstract Database as "reason for admission" or "largest resource use". Objective We offer a preliminary analysis on the frequency of and contributing factors to MC definition agreements within an inpatient Canadian dataset. Methods Six professional coders performed a chart review between August 2016 and June 2017 on 3,000 randomly selected inpatient charts from three acute care hospitals in Calgary, Alberta. Coders classified the MC as "reason for admission", "largest resource use" or "both". Patients were admitted between 1st January and 30th June 2015 and met the inclusion criteria if they were >18 years, had an Alberta personal health care number, and had an inpatient visit for any service outside of obstetrics. Agreement between the two MC definitions was stratified by length of stay (LOS), emergency department admission, hospital of origin, discharge location, age, sex, procedures, and comorbidities. Chi-square analysis and frequency of inconsistencies were reported. Results Only 34 (1.51%) of the 2,250 patient charts had disagreeing MC definitions. Age, emergency visit on admit, LOS, hospital, and discharge location were associated with MC agreement. Chronic conditions were seen more often in MC definition agreements, and acute conditions seen within those disagreeing. Conclusion There was a small proportion of cases in which the condition bringing the patient to hospital was not also the condition occupying the largest resources. Within disagreements, further research using a larger sample size is needed to explore the presence of MC in a secondary/tertiary condition, the association between patient complexity and disagreeing MC definitions, and the nature of the conditions seen in the inconsistent MC definitions.
format	article
author	Natalie Wiebe Hude Quan Danielle A Southern Chelsea Doktorchik Catherine Eastwood
author_facet	Natalie Wiebe Hude Quan Danielle A Southern Chelsea Doktorchik Catherine Eastwood
author_sort	Natalie Wiebe
title	Describing agreement in the Main Condition coding field using Canadian ICD-11 inpatient data
title_short	Describing agreement in the Main Condition coding field using Canadian ICD-11 inpatient data
title_full	Describing agreement in the Main Condition coding field using Canadian ICD-11 inpatient data
title_fullStr	Describing agreement in the Main Condition coding field using Canadian ICD-11 inpatient data
title_full_unstemmed	Describing agreement in the Main Condition coding field using Canadian ICD-11 inpatient data
title_sort	describing agreement in the main condition coding field using canadian icd-11 inpatient data
publisher	Swansea University
publishDate	2021
url	https://doaj.org/article/709b6b73e21d48118d8f188eb1debb12
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Describing agreement in the Main Condition coding field using Canadian ICD-11 inpatient data

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