Concordance of ICD-10 Codes and the Clinical Diagnosis of Alcoholic Hepatitis.
cross_sectional · Level IV
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- Record sourced from PubMed, PMID 35973184.
- Also identified by DOI 10.14309/ajg.0000000000001886.
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Abstract
Many studies on alcoholic hepatitis (AH) use the International Classification of Disease (ICD) coding to identify patients. Data regarding the diagnostic accuracy of ICD codes for AH are limited. A total of 151 patients with ICD-10 codes for AH were reviewed for the presence or absence of AH using standardized diagnostic criteria. Sixty-eight of the 151 patients met AH criteria, corresponding to a positive predictive value of 45%. Patients with AH experienced higher model for end-stage liver disease and mortality than those who did not ( P < 0.05). Our results suggest ICD-10 codes are not reliable for identifying AH. Studies using the ICD codes should be interpreted cautiously.
Medical subject headings
- End Stage Liver Disease
- Hepatitis, Alcoholic