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Critical Care
Published in: Critical Care 1/2015

Open Access 01-12-2015 | Letter

The rising incidence of severe sepsis based on administrative data — real change or coding-driven bias?

Author: Lavi Oud

Published in: Critical Care | Issue 1/2015

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Excerpt

Rhee and colleagues conclude in their recent study [1] that a substantial fraction of the administrative data-based rise in the incidence of severe sepsis is due to a decreasing threshold of documentation/coding of several types of organ dysfunction (OD). The conclusion was based mostly on diverging rates of rise in code-based OD versus that based on conservative clinical criteria, being faster among the former, coupled with a slower drop in hospital mortality among the latter. …
Literature
1.
Rhee C, Murphy MV, Li L, Platt R, Klompas M. Centers for Disease Control and Prevention Epicenters Program. Improving documentation and coding for acute organ dysfunction biases estimates of changing sepsis severity and burden: a retrospective study. Crit Care. 2015;19:338.CrossRef
2.
Hall WB, Willis LE, Medvedev S, Carson SS. The implications of long-term acute care hospital transfer practices for measures of in-hospital mortality and length of stay. Am J Respir Crit Care Med. 2012;185:53–7.CrossRef
3.
Kumar G, Kumar N, Taneja A, Kaleekal T, Tarima S, McGinley E, et al. Nationwide trends of severe sepsis in the 21st century (2000–2007). Chest. 2011;140:1223–31.CrossRef
Metadata
Title
The rising incidence of severe sepsis based on administrative data — real change or coding-driven bias?
Author
Lavi Oud
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2015
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-015-1113-4

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