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Accuracy of the All Patient Refined Diagnosis Related Groups Classification System in Congenital Heart Surgery

Thursday, February 6, 2014

Submitted by

Mark Ferguson

Source

Source Name: Annals of Thoracic Surgery

Source URL: http://www.annalsthoracicsurgery.org/article/S0003-4975(13)01874-2/abstract

Author(s)

Aimee S. Parnell, Justine Shults, J. William Gaynor, Mary B. Leonard,Dingwei Dai, Chris Feudtner

The accuracy of the diagnosis in patients undergoing congenital heart surgery in a large administrative database was examined in over 14,000 patients aged 0 to 5. Patients admitted on day 1 of life and those undergoing ECMO had a much higher chance of being assigned non-cardiac diagnoses. Pts so misclassified had a substantially higher risk of mortality. This systematic misclassification may lead to inaccurate determination of case volumes and outcomes.