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Dublin Core
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Title
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April 2021 List
Text
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April 2021 List
URL Address
<a href="http://doi.org/10.1542/hpeds.2020-001263" target="_blank" rel="noreferrer noopener">http://doi.org/10.1542/hpeds.2020-001263</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Validation of Administrative Codes for Palliative Care Consultation Among Critically Ill Children
Publisher
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Hospital pediatrics
Date
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2021
Subject
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administrative codes; consultation; critically ill children; Pediatric palliative care; PICU
Creator
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O'Keefe S; Czaja AS
Description
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OBJECTIVES: To determine the validity of palliative care (PC) administrative codes (V66.7 and Z51.5) among critically ill pediatric patients. METHOD(S): In this single-center retrospective cohort study, we included all hospitalizations with a PICU admission between March 2016 and March 2018. Sensitivity, specificity, and positive and negative predictive values of the relevant codes were estimated by using a gold standard of a local PC registry. RESULT(S): During the study period, 4670 hospitalizations were included. The median admission age was 5 years (interquartile range 1.5-12.9) with 55% having at least 1 complex chronic condition. The median length of PICU stay was 1.8 days (interquartile range 1-3.4) and mortality was low (1.3%). A total 182 (3.9%) hospitalizations had evidence of a PC consultation. Administrative codes for PC had a sensitivity of 11% (95% confidence interval [CI] 6.8%-16.5%) and a specificity of 99.8% (95% CI 99.6%-99.9%). The positive and negative predictive values were 66.7% (95% CI 47.2%-82.7%) and 96.5% (95% CI 95.9%-97.0%), respectively. CONCLUSION(S): Among critically ill children, PC administrative codes had high specificity but poor sensitivity. The potential for underascertainment of this resource should be considered in future research using administrative data. Copyright © 2021 by the American Academy of Pediatrics.
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<a href="http://doi.org/10.1542/hpeds.2020-001263" target="_blank" rel="noreferrer noopener">10.1542/hpeds.2020-001263</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
administrative codes
April 2021 List
Consultation
Critically Ill Children
Czaja AS
Hospital Pediatrics
O'Keefe S
Pediatric Palliative Care
Picu