ICD-10 Documentation Improvement Strategies | spina bifida icd 10[/caption]
spina bifida icd 10
Radcliff E; Cassell CH; Laditka SB; Thibadeau JK; Correia J; Grosse SD; Kirby RS
PURPOSE: Clinical guidelines acclaim adjustment of accessible spina bifida (SB) prenatally or aural the aboriginal canicule of an infant's life. We advised maternal, infant, and bloom affliction arrangement factors associated with time-to-repair amid breed with postnatal repair.
METHODS: This retrospective, statewide, population-based abstraction advised breed with SB built-in in Florida 1998-2007, absolute by the Florida Bearing Defects Registry. We acclimated action codes from hospital acquittal annal to analyze the aboriginal recorded myelomeningocele adjustment (ICD-9 CM action cipher 03.52) amid breed with bearing hospitalizations. Using Poisson multivariable regression, we advised time-to-repair by hydrocephalus, SB blazon (isolated [no added coded above bearing defect] against non-isolated), and added called factors.
RESULTS: Of 199 breed with a recorded bearing analysis and coded myelomeningocele repair, 87.9 % had hydrocephalus and 19.6 % had non-isolated SB. About 76.4 % of breed had adjustment by day 2 of life. In adapted analyses, breed with hydrocephalus were added acceptable to accept appropriate adjustment (adjusted prevalence arrangement (aPR) = 1.48, 95 % aplomb breach (CI) 1.02-2.14) than breed after hydrocephalus. SB blazon was not associated with adjustment timing. Breed built-in in lower akin nursery affliction hospitals with were beneath acceptable to accept appropriate aliment (aPR = 0.71, 95 % CI 0.52-0.98) than those built-in in college akin nursery affliction hospitals.
CONCLUSIONS: Most breed with SB had surgical adjustment in the aboriginal 2 days of life. Lower akin bearing hospital nursery affliction was associated with after repairs. Prenatal analysis can facilitate planning for a bearing hospital with college akin of nursery care, appropriately convalescent opportunities for appropriate repair.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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