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Association of Diagnostic Coding With Trends in Hospitalizations and Mortality of Patients With Pneumonia, 2003-2009

Association of Diagnostic Coding With Trends in Hospitalizations and Mortality of Patients With... ORIGINAL CONTRIBUTION Association of Diagnostic Coding With Trends in Hospitalizations and Mortality of Patients With Pneumonia, 2003-2009 Peter K. Lindenauer, MD, MSc Context Recent reports suggest that the mortality rate of patients hospitalized with pneumonia has steadily declined. While this may be the result of advances in clinical Tara Lagu, MD, MPH care or improvements in quality, it may also represent an artifact of changes in diag- Meng-Shiou Shieh, PhD nostic coding. Penelope S. Pekow, PhD Objective To compare estimates of trends in hospitalizations and inpatient mortal- ity among patients with pneumonia using 2 approaches to case definition: one limited Michael B. Rothberg, MD, MPH to patients with a principal diagnosis of pneumonia, and another that includes pa- NEUMONIA IS A LEADING CAUSE tients with a secondary diagnosis of pneumonia if the principal diagnosis is sepsis or of morbidity and mortality respiratory failure. among US adults, resulting in Design, Setting, and Participants Trends study using data from the 2003-2009 Pmore than 1 million annual releases of the Nationwide Inpatient Sample. hospital admissions and accounting for Main Outcome Measures Change in the annual hospitalization rate and change more than $10.5 billion in aggregate in inpatient mortality over time. 1,2 costs. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Association of Diagnostic Coding With Trends in Hospitalizations and Mortality of Patients With Pneumonia, 2003-2009

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References (47)

Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2012.384
pmid
22474204
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL CONTRIBUTION Association of Diagnostic Coding With Trends in Hospitalizations and Mortality of Patients With Pneumonia, 2003-2009 Peter K. Lindenauer, MD, MSc Context Recent reports suggest that the mortality rate of patients hospitalized with pneumonia has steadily declined. While this may be the result of advances in clinical Tara Lagu, MD, MPH care or improvements in quality, it may also represent an artifact of changes in diag- Meng-Shiou Shieh, PhD nostic coding. Penelope S. Pekow, PhD Objective To compare estimates of trends in hospitalizations and inpatient mortal- ity among patients with pneumonia using 2 approaches to case definition: one limited Michael B. Rothberg, MD, MPH to patients with a principal diagnosis of pneumonia, and another that includes pa- NEUMONIA IS A LEADING CAUSE tients with a secondary diagnosis of pneumonia if the principal diagnosis is sepsis or of morbidity and mortality respiratory failure. among US adults, resulting in Design, Setting, and Participants Trends study using data from the 2003-2009 Pmore than 1 million annual releases of the Nationwide Inpatient Sample. hospital admissions and accounting for Main Outcome Measures Change in the annual hospitalization rate and change more than $10.5 billion in aggregate in inpatient mortality over time. 1,2 costs.

Journal

JAMAAmerican Medical Association

Published: Apr 4, 2012

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