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- Published on: 16 November 2018
- Published on: 16 November 2018Improving the specificity of Suspicion of Sepsis
We know that coding of sepsis is poor.
This absence of reliable data makes it hard to compare approaches over time and between locations.
The SoS paper basically lists a lot of codes that the authors associated with infection.
The authors identified 267 codes indicating possible infection.
There were 47475 cases with these codes as a primary diagnosis, with 3440 associated deaths.
We felt that several of these reflected conditions that were not primarily infective in nature
(or at least in which antibiotics would not be a main component of acute management)
We removed the most common of these.
11. N12.X - Tubulo-interstitial nephritis, not specified as acute or chronic
13. J69.0 - Pneumonitis due to food and vomit
54. N10.X - Acute tubulo-interstitial nephritis
62. J84.9 - Interstitial pulmonary disease, unspecified
73. N71.9 - Inflammatory disease of uterus, unspecified
86. K57.1 - Diverticular disease of small intestine without perforation or abscess
90. N48.1 - Balanoposthitis
99. N48.2 - Other inflammatory disorders of penis
130. J69.8 - Pneumonitis due to other solids and liquids
The remaining 258 codes had 45521 cases with 3163 associated deaths.
95% of cases are captured using the first 76 diagnostic codes.
We felt that many of the cases reflected infections that...
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None declared.