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Missed Registration of Disease Codes for Pediatric Anaphylaxis at the Emergency Department
Joint Authors
Choi, Byungho
Kim, Sun Hyu
Lee, Hyeji
Source
Emergency Medicine International
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-08-14
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
It is important to register anaphylaxis codes correctly to study the exact prevalence of anaphylaxis.
The purpose of this study was to analyze the clinical characteristics and disease codes of inaccurately registered groups in pediatric anaphylaxis patients.
Methods.
This study reviewed the medical records of all pediatric patients who presented to the university hospital emergency department over a 5-year period.
Study subjects were divided into 2 groups: the accurate group, including those registered under anaphylaxis codes, and the inaccurate coding group, including those registered under other codes.
Results.
From a total of 79,676 pediatric patients, 184 (0.23%) had anaphylaxis.
Of these, 23 (12.5%) and 161 (87.5%) patients were classified to the accurate and inaccurate coding groups, respectively.
Average age, time from symptom onset to emergency department presentation, past history of allergy, and penicillin and cephalosporin as causes of anaphylaxis differed between the 2 groups.
Cardiovascular (39.1% vs.
5.6%, p=0.001) and respiratory symptoms (65.2% vs.
42.2%, p=0.038) manifested more frequently in the accurate group, while gastrointestinal symptoms (68.3% vs.
26.1%, p=0.001) were more frequently observed in the inaccurate coding group.
Fluid administration (82.6% vs.
28.0%, p=0.001), steroid use (60.9% vs.
23.0%, p=0.001), and epinephrine use (65.2% vs.
13.0% p=0.001) were more common treatments for anaphylaxis in the emergency department in the accurate group.
Anaphylaxis patients with cardiovascular symptoms, steroid use, and epinephrine use were more likely to be accurately registered with anaphylaxis disease codes.
Conclusions.
In the case of pediatric anaphylaxis, more patients were registered inaccurately under other allergy-related codes and simple symptom codes, rather than under anaphylaxis codes.
Therefore, future research on anaphylaxis should consider inaccurately registered anaphylactic patients, as shown in this study.
American Psychological Association (APA)
Choi, Byungho& Kim, Sun Hyu& Lee, Hyeji. 2019. Missed Registration of Disease Codes for Pediatric Anaphylaxis at the Emergency Department. Emergency Medicine International،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1152200
Modern Language Association (MLA)
Choi, Byungho…[et al.]. Missed Registration of Disease Codes for Pediatric Anaphylaxis at the Emergency Department. Emergency Medicine International No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1152200
American Medical Association (AMA)
Choi, Byungho& Kim, Sun Hyu& Lee, Hyeji. Missed Registration of Disease Codes for Pediatric Anaphylaxis at the Emergency Department. Emergency Medicine International. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1152200
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1152200