Low Completeness of Bacteraemia Registration in the Danish National Patient Registry

Danish Collaborative Bacteraemia Network (DACOBAN), Danish Observational Registry of Infectious Syndromes (DORIS)

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Bacteraemia is associated with significant morbidity and mortality and timely access to relia-ble information is essential for health care administrators. Therefore, we investigated the complete-ness of bacteraemia registration in the Danish National Patient Registry (DNPR) containing hospital discharge diagnoses and surgical procedures for all non-psychiatric patients. As gold standard we identified bacteraemia patients in three defined areas of Denmark (~2.3 million inhabitants) from 2000 through 2011 by use of blood culture data retrieved from electronic microbiology databases. Diagnoses coded according to the International Classification of Diseases, version 10, and surgical procedure codes were retrieved from the DNPR. The codes were categorized into seven groups, ranked a priori according to the likelihood of bacteraemia. Completeness was analysed by contin-gency tables, for all patients and subgroups. We identified 58,139 bacteraemic episodes in 48,450 patients; 37,740 episodes (64.9%) were covered by one or more discharge diagnoses within the sev-en diagnosis/surgery groups and 18,786 episodes (32.3%) had a code within the highest priority group. Completeness varied substantially according to speciality (from 17.9% for surgical to 36.4% for medical), place of acquisition (from 26.0% for nosocomial to 36.2% for community), and mi-croorganism (from 19.5% for anaerobic Gram-negative bacteria to 36.8% for haemolytic strepto-cocci). The completeness increased from 25.1% in 2000 to 35.1% in 2011. In conclusion, one third of the bacteraemic episodes did not have a relevant diagnosis in the Danish administrative registry recording all non-psychiatric contacts. This source of information should be used cautiously to iden-tify patients with bacteraemia.

OriginalsprogEngelsk
TidsskriftPLOS ONE
Vol/bind10
Udgave nummer6
Sider (fra-til)e0131682
ISSN1932-6203
DOI
StatusUdgivet - 2015

Fingeraftryk

bacteremia
Registries
surgery
Microbiology
Health care
Surgery
Coccus
Bacteria
Blood
International Classification of Diseases
Denmark
information sources
microbiology
Administrative Personnel
Gram-negative bacteria
health services
gold
electronics
morbidity
Databases

Citer dette

Danish Collaborative Bacteraemia Network (DACOBAN), & Danish Observational Registry of Infectious Syndromes (DORIS) (2015). Low Completeness of Bacteraemia Registration in the Danish National Patient Registry. PLOS ONE, 10(6), e0131682. https://doi.org/10.1371/journal.pone.0131682
Danish Collaborative Bacteraemia Network (DACOBAN) ; Danish Observational Registry of Infectious Syndromes (DORIS). / Low Completeness of Bacteraemia Registration in the Danish National Patient Registry. I: PLOS ONE. 2015 ; Bind 10, Nr. 6. s. e0131682.
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title = "Low Completeness of Bacteraemia Registration in the Danish National Patient Registry",
abstract = "Bacteraemia is associated with significant morbidity and mortality and timely access to relia-ble information is essential for health care administrators. Therefore, we investigated the complete-ness of bacteraemia registration in the Danish National Patient Registry (DNPR) containing hospital discharge diagnoses and surgical procedures for all non-psychiatric patients. As gold standard we identified bacteraemia patients in three defined areas of Denmark (~2.3 million inhabitants) from 2000 through 2011 by use of blood culture data retrieved from electronic microbiology databases. Diagnoses coded according to the International Classification of Diseases, version 10, and surgical procedure codes were retrieved from the DNPR. The codes were categorized into seven groups, ranked a priori according to the likelihood of bacteraemia. Completeness was analysed by contin-gency tables, for all patients and subgroups. We identified 58,139 bacteraemic episodes in 48,450 patients; 37,740 episodes (64.9{\%}) were covered by one or more discharge diagnoses within the sev-en diagnosis/surgery groups and 18,786 episodes (32.3{\%}) had a code within the highest priority group. Completeness varied substantially according to speciality (from 17.9{\%} for surgical to 36.4{\%} for medical), place of acquisition (from 26.0{\%} for nosocomial to 36.2{\%} for community), and mi-croorganism (from 19.5{\%} for anaerobic Gram-negative bacteria to 36.8{\%} for haemolytic strepto-cocci). The completeness increased from 25.1{\%} in 2000 to 35.1{\%} in 2011. In conclusion, one third of the bacteraemic episodes did not have a relevant diagnosis in the Danish administrative registry recording all non-psychiatric contacts. This source of information should be used cautiously to iden-tify patients with bacteraemia.",
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Danish Collaborative Bacteraemia Network (DACOBAN) & Danish Observational Registry of Infectious Syndromes (DORIS) 2015, 'Low Completeness of Bacteraemia Registration in the Danish National Patient Registry', PLOS ONE, bind 10, nr. 6, s. e0131682. https://doi.org/10.1371/journal.pone.0131682

Low Completeness of Bacteraemia Registration in the Danish National Patient Registry. / Danish Collaborative Bacteraemia Network (DACOBAN); Danish Observational Registry of Infectious Syndromes (DORIS).

I: PLOS ONE, Bind 10, Nr. 6, 2015, s. e0131682.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Low Completeness of Bacteraemia Registration in the Danish National Patient Registry

AU - Gradel, Kim Oren

AU - Nielsen, Stig Lønberg

AU - Pedersen, Court

AU - Knudsen, Jenny Dahl

AU - Østergaard, Christian

AU - Arpi, Magnus

AU - Jensen, Thøger Gorm

AU - Kolmos, Hans Jørn

AU - Søgaard, Mette

AU - Lassen, Annmarie Touborg

AU - Schønheyder, Henrik Carl

AU - Danish Collaborative Bacteraemia Network (DACOBAN)

AU - Danish Observational Registry of Infectious Syndromes (DORIS)

PY - 2015

Y1 - 2015

N2 - Bacteraemia is associated with significant morbidity and mortality and timely access to relia-ble information is essential for health care administrators. Therefore, we investigated the complete-ness of bacteraemia registration in the Danish National Patient Registry (DNPR) containing hospital discharge diagnoses and surgical procedures for all non-psychiatric patients. As gold standard we identified bacteraemia patients in three defined areas of Denmark (~2.3 million inhabitants) from 2000 through 2011 by use of blood culture data retrieved from electronic microbiology databases. Diagnoses coded according to the International Classification of Diseases, version 10, and surgical procedure codes were retrieved from the DNPR. The codes were categorized into seven groups, ranked a priori according to the likelihood of bacteraemia. Completeness was analysed by contin-gency tables, for all patients and subgroups. We identified 58,139 bacteraemic episodes in 48,450 patients; 37,740 episodes (64.9%) were covered by one or more discharge diagnoses within the sev-en diagnosis/surgery groups and 18,786 episodes (32.3%) had a code within the highest priority group. Completeness varied substantially according to speciality (from 17.9% for surgical to 36.4% for medical), place of acquisition (from 26.0% for nosocomial to 36.2% for community), and mi-croorganism (from 19.5% for anaerobic Gram-negative bacteria to 36.8% for haemolytic strepto-cocci). The completeness increased from 25.1% in 2000 to 35.1% in 2011. In conclusion, one third of the bacteraemic episodes did not have a relevant diagnosis in the Danish administrative registry recording all non-psychiatric contacts. This source of information should be used cautiously to iden-tify patients with bacteraemia.

AB - Bacteraemia is associated with significant morbidity and mortality and timely access to relia-ble information is essential for health care administrators. Therefore, we investigated the complete-ness of bacteraemia registration in the Danish National Patient Registry (DNPR) containing hospital discharge diagnoses and surgical procedures for all non-psychiatric patients. As gold standard we identified bacteraemia patients in three defined areas of Denmark (~2.3 million inhabitants) from 2000 through 2011 by use of blood culture data retrieved from electronic microbiology databases. Diagnoses coded according to the International Classification of Diseases, version 10, and surgical procedure codes were retrieved from the DNPR. The codes were categorized into seven groups, ranked a priori according to the likelihood of bacteraemia. Completeness was analysed by contin-gency tables, for all patients and subgroups. We identified 58,139 bacteraemic episodes in 48,450 patients; 37,740 episodes (64.9%) were covered by one or more discharge diagnoses within the sev-en diagnosis/surgery groups and 18,786 episodes (32.3%) had a code within the highest priority group. Completeness varied substantially according to speciality (from 17.9% for surgical to 36.4% for medical), place of acquisition (from 26.0% for nosocomial to 36.2% for community), and mi-croorganism (from 19.5% for anaerobic Gram-negative bacteria to 36.8% for haemolytic strepto-cocci). The completeness increased from 25.1% in 2000 to 35.1% in 2011. In conclusion, one third of the bacteraemic episodes did not have a relevant diagnosis in the Danish administrative registry recording all non-psychiatric contacts. This source of information should be used cautiously to iden-tify patients with bacteraemia.

U2 - 10.1371/journal.pone.0131682

DO - 10.1371/journal.pone.0131682

M3 - Journal article

C2 - 26121584

VL - 10

SP - e0131682

JO - P L o S One

JF - P L o S One

SN - 1932-6203

IS - 6

ER -

Danish Collaborative Bacteraemia Network (DACOBAN), Danish Observational Registry of Infectious Syndromes (DORIS). Low Completeness of Bacteraemia Registration in the Danish National Patient Registry. PLOS ONE. 2015;10(6):e0131682. https://doi.org/10.1371/journal.pone.0131682