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cervical sprain icd 10
Cuff S; DiRusso S; Sullivan T; Risucci D; Nealon P; Haider A; Slim M
BACKGROUND: Academician abrasion is the best important absolute augur of bloodshed and anguish in pediatric trauma. The Glasgow Coma Account (GCS) is the frequently acclimated analytic apparatus to appraise academician injury. However, the GCS or one of its apparatus is generally not applicative in accouchement beneath a assertive age or cannot be computed anxiously because of the patient's action or the affairs surrounding resuscitation efforts. This banned its account in statistical models of agony outcomes, which await on complete abstracts accumulating and access into agony registries. This abstraction provides affirmation acceptance use of a about arch abrasion severity calibration (RHISS) acquired from accessible International Classification of Diseases, 9th Revision (ICD-9) assay codes to coat amount of arch injury.
METHODS: The accommodating citizenry was acquired from the National Pediatric Agony Registry (NPTR;1994-2001). Survival Risk Ratios (SRRs) were computed for anniversary arch abrasion ICD-9 code. ICD-9 assay codes accompanying to arch abrasion were again assigned to a RHISS class based on continuance of accident of consciousness, area of skull fracture, or both: 0 = none; 1 = mild; 2 = moderate, or 3 = astringent arch injury. Assay of about-face compared beggarly SRRs beyond RHISS categories. Anniversary accommodating was again assigned to a RHISS class based on their distinct affliction ICD-9 arch abrasion code. Logistic corruption assay was acclimated to adumbrate bloodshed based on New Abrasion Severity Account (NISS), whether the accommodating had been intubated, RHISS, and the Abbreviated Abrasion Account (AIS) for arch and close injuries.
RESULTS: GCS account was missing for 96% of nonsurvivors in the NPTR. Beggarly SRRs differed decidedly (p < 0.001) amid ICD-9 codes assigned to anniversary RHISS category, as follows (Mean /- SD): RHISS (0) = 0.93 /- 0.16; RHISS (1) = 0.89 /- 0.22; RHISS (2) = 0.85 /- 0.26; RHISS (3) = 0.55 /- 0.35. Logistic corruption articular RHISS as an absolute cogent augur (p < 0.01) of mortality.
CONCLUSION: RHISS is a accurate basis of amount of arch abrasion in the pediatric agony population. Unlike GCS, RHISS is added acceptable to be accessible in agony registries, and can be computed from authoritative data. RHISS provides a achievable and accurate adjustment for quantifying the amount of academician abrasion in statistical models of pediatric agony outcome.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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