Comparing ICD-9-CM and ICD-10 Classification Systems in a Primary Health Care Setting: Some Initial Observations

Walker, Sue M.; Wood, Maryann; Wilks, Jeffrey; Nicol, Jennifer

doi:10.1177/183335839502500305

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Since some travel insurance policies specifically exclude cover for certain activities such as horse riding and motor cycling, further research on the nature of all transport accidents would be of benefit to insurance companies and health service providers. In this area, the ICD-10 diagnostic coding framework (World Health Organization 1992) has recently been shown to offer greater detail than the ICD-9-CM (Walker et al 1995b). Again, the use of a standard classification system across studies would greatly enhance the comparison of research findings.…”

Section: Discussionmentioning

confidence: 99%

Tourists as inpatients in Queensland regional hospitals

Nicol¹,

Wilks²,

Wood³

1996

Aust. Health Review

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This study analysed medical record data from seven regional hospitals in Queensland to determine the types of medical conditions and injuries that resulted in overseas and interstate tourists being admitted to hospital. From a total of 135,128 admissions to the participating hospitals, 695 (0.51 per cent) were identified as overseas tourists and 3479 (2.57 per cent) were from interstate. The main reasons for admission of overseas tourists, based on principal diagnoses, were injuries and poisonings (37.6 per cent), circulatory disorders (11.7 per cent), digestive conditions (9.8 per cent), and genito-urinary disorders (8.8 per cent). For interstate tourists, the main reasons for admission were genito-urinary disorders (19.8 per cent), injuries and poisonings (15.4 percent), neoplasms (11.4 per cent) and circulatory disorders (10.6 per cent). These findings are discussed in relation to current literature in the field of travel medicine, emphasising the burden of care placed on the admitting hospital's resources, and the growing number of visitors to Queensland needing health care.

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Section: Discussionmentioning

confidence: 99%

Tourists as inpatients in Queensland regional hospitals

Nicol¹,

Wilks²,

Wood³

1996

Aust. Health Review

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“…Improvements in areas such as number of codes and an expanded external cause framework are expected to make the ICD-10 a more streamlined system. 10,11 Stroke definitions are shown in Table 1.…”

Section: Methodsmentioning

confidence: 99%

Impact of a Stroke Unit on Length of Hospital Stay and In-Hospital Case Fatality

Zhu

Newcommon

Cooper

et al. 2009

Stroke

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Background and Purpose-Randomized trials have demonstrated reduced morbidity and mortality with stroke unit care; however, the effect on length of stay, and hence the economic benefit, is less well-defined. In 2001, a multidisciplinary stroke unit was opened at our institution. We observed whether a stroke unit reduces length of stay and in-hospital case fatality when compared to admission to a general neurology/medical ward. Methods-A retrospective study of 2 cohorts in the Foothills Medical Center in Calgary was conducted using administrative databases. We compared a cohort of stroke patients managed on general neurology/medical wards before 2001, with a similar cohort of stroke patients managed on a stroke unit after 2003. The length of stay was dichotomized after being centered to 7 days and the Charlson Index was dichotomized for analysis. Multivariable logistic regression was used to compare the length of stay and case fatality in 2 cohorts, adjusted for age, gender, and patient comorbid conditions defined by the Charlson Index. Results-Average length of stay for patients on a stroke unit (nϭ2461) was 15 days vs 19 days for patients managed on general neurology/medical wards (nϭ1567). The proportion of patients with length of stay Ͼ7 days on general neurology/medical wards was 53.8% vs 44.4% on the stroke unit (difference 9.4%; PϽ0.0001). The adjusted odds of a length of stay Ͼ7 days was reduced by 30% (PϽ0.0001) on a stroke unit compared to general neurology/medical wards. Overall in-hospital case fatality was reduced by 4.5% with stroke unit care. Conclusions-We observed a reduced length of stay and reduced in-hospital case-fatality in a stroke unit compared to general neurology/medical wards. (Stroke. 2009;40:18-23.)

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“…One is certainly the fact that the degree of detail varies in different studies, a graver problem is that it is not always clear which framework of case classification has been used. The most widely used ICD-9-CM has been tested in a tourist health context by Walker et al (1995) against the newer ICD-10 system, which does provide more detail and, if applied globally, will allow the production of data which are more valid and reliable. Nevertheless, consulting currently available information reveals that tourists are at a considerable risk of being harmed by environmental factors.…”

Section: Tourist Health Problemsmentioning

confidence: 99%

Tourism and the environment, the other side of the coin

Bauer

2001

Tourist Studies

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The rapid growth in tourism has lead to an increased need for suitable health education designed to ensure safe and healthy travel. While this advice usually concentrates on appropriate behaviour and preventable infections, it rarely includes the environmental health hazards travellers are exposed to. This article attempts to demonstrate the wide range of such health hazards. It is then argued that the current approach to risk management and health education may be based on a framework which ignores the strong interdependence between environment and humans as proposed, for example, by Beck, and hence fails to develop strategies which can minimize environmental harm to travellers. The need of a new approach is discussed to allow innovative research which will provide a better knowledge base for such strategies.keywords environment and risk health education health hazards health impact tourism and environment tourism and health

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Comparing ICD-9-CM and ICD-10 Classification Systems in a Primary Health Care Setting: Some Initial Observations

Cited by 4 publications

References 5 publications

Tourists as inpatients in Queensland regional hospitals

Tourists as inpatients in Queensland regional hospitals

Impact of a Stroke Unit on Length of Hospital Stay and In-Hospital Case Fatality

Tourism and the environment, the other side of the coin

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