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Systematisk journalgranskning i Skåne - Diagnoskoder var ofta fel vid svår sepsis och septisk chock.

Johansson, Daniel LU ; Ekström, Helena; Beronius, Ellen and Rasmussen, Magnus LU (2015) In Läkartidningen 112. p.1-4
Abstract
The reliability of official registers of diagnosis depends on proper adherence to guidelines for diagnosis and diagnosis coding. Such guidelines for severe sepsis and septic shock have changed over the years, reflecting improved knowledge of these serious conditions. In order to investigate the compliance to current Swedish guidelines for diagnosis and coding of severe sepsis and septic shock, we studied the medical records from 300 patients with Escherichia coli bacteremia and 300 patients with Staphylococcus aureus bacteremia. Our study showed that out of 161 patients who fulfilled the criteria for either severe sepsis or septic shock, only 29 (18%) received an accurate diagnosis code. Thus, severe sepsis appears to be underappreciated... (More)
The reliability of official registers of diagnosis depends on proper adherence to guidelines for diagnosis and diagnosis coding. Such guidelines for severe sepsis and septic shock have changed over the years, reflecting improved knowledge of these serious conditions. In order to investigate the compliance to current Swedish guidelines for diagnosis and coding of severe sepsis and septic shock, we studied the medical records from 300 patients with Escherichia coli bacteremia and 300 patients with Staphylococcus aureus bacteremia. Our study showed that out of 161 patients who fulfilled the criteria for either severe sepsis or septic shock, only 29 (18%) received an accurate diagnosis code. Thus, severe sepsis appears to be underappreciated in official registers of diagnosis in Sweden. It is important to improve the adherence to the present diagnosis guidelines in order for the registers to be reliable. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
112
pages
1 - 4
publisher
Sveriges Läkarförbund
external identifiers
  • PMID:26371482
  • Scopus:84941687161
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
04ce5f88-2f2b-45d5-8686-58963604a15c (old id 8041969)
alternative location
http://www.lakartidningen.se/Klinik-och-vetenskap/Originalstudie/2015/09/Diagnoskoder-var-ofta-fel-vid-svar-sepsis-och-septisk-chock/
http://www.ncbi.nlm.nih.gov/pubmed/26371482?dopt=Abstract
date added to LUP
2015-10-05 20:03:56
date last changed
2017-01-01 07:46:34
@article{04ce5f88-2f2b-45d5-8686-58963604a15c,
  abstract     = {The reliability of official registers of diagnosis depends on proper adherence to guidelines for diagnosis and diagnosis coding. Such guidelines for severe sepsis and septic shock have changed over the years, reflecting improved knowledge of these serious conditions. In order to investigate the compliance to current Swedish guidelines for diagnosis and coding of severe sepsis and septic shock, we studied the medical records from 300 patients with Escherichia coli bacteremia and 300 patients with Staphylococcus aureus bacteremia. Our study showed that out of 161 patients who fulfilled the criteria for either severe sepsis or septic shock, only 29 (18%) received an accurate diagnosis code. Thus, severe sepsis appears to be underappreciated in official registers of diagnosis in Sweden. It is important to improve the adherence to the present diagnosis guidelines in order for the registers to be reliable.},
  articleno    = {DI7S},
  author       = {Johansson, Daniel and Ekström, Helena and Beronius, Ellen and Rasmussen, Magnus},
  issn         = {0023-7205},
  language     = {swe},
  pages        = {1--4},
  publisher    = {Sveriges Läkarförbund},
  series       = {Läkartidningen},
  title        = {Systematisk journalgranskning i Skåne - Diagnoskoder var ofta fel vid svår sepsis och septisk chock.},
  volume       = {112},
  year         = {2015},
}