opioid misuse from clinical documentation in the month preceding and three months following initial ICD code listing, and categorized patients into: 1) high likelihood of OUD, 2) limited aberrant opioid use, 3) prescribed opioid use without evidence of aberrant use, and 4) insufficient information...
Other work using natural language processing has shown that more than one-third of patients with inappropriate opioid use in the setting of chronic pain did not have an ICD code associated with their opioid misuse.18 This finding is consistent with our finding that very few patients had ICD-9...
We searched for opioid poisoning and opioid use disorder from ICD-9 to ICD-10 code diagnosis after their initial injury. Patients that filled an opioid prescription within a 3-month period after sustaining the trauma were compared to those who did not, using Cox proportional hazards regressions....
ICD-10 code for OUD, or (3) at least 1 inpatient or outpatient claim with an ICD-10 code for OUD and at least 1 claim with a confirmatory event (opioid overdose; hepatitis C, an infection potentially secondary to injection drug use; or inpatient detoxification or rehabilitation treatment [...
Trajectory 3: moderate use 295 (781) 527 (1472) 117.4 (87.0; 147.8) Trajectory 4: sustained use 1797 (3087) 1719 (2642) 13.0 (−91.8; 117.8) Supplementary Table a). Opioid Medicines Included in the Study OpioidATC codePBS item code Buprenorphine N02AE01 08865N, 08866P, 08867Q, 1074...
the limitations inherent in the use of theICD-9opioid dependence/abuse diagnostic criteria combined with our finding that nearly 40% of an OAT-CP sample showed evidence of PPOU underscores the importance of eightened patient awareness regarding the delicate balance between the benefits and potential...
Step 3:./code/03_flag_opioid_deaths.R: This file will use the underlying cause and contributory cause fields to flag opioid deaths by broad opioid type and when applicable, by ICD-10 type, resulting in our working data set. Inputs:./data/cleaned_mcod_XXXX.RDS(37 files) ...
and the SPARCS identifiers only had a non-specific code of “Poisoning; Other” (Supplemental Content, Appendix Table2). Additionally, due to the coding variations between ICD-9 and ICD-10, in which unintentional overdose data was not consistently available, the data does not capture patients wh...
Outcome Our primary outcome of interest was unintentional overdoses that were coded as drug or medication poisonings of accidental intent using ICD-9 codes (E850.x-860.x) or undetermined intent (E980.x or drug poisoning [960.x-980.x] without an accompanying external cause of injury code)....
We used ICD-9 codes 812, 813, 821, and 823 to identify visits with long-bone fracture and code 592 for those with nephrolithiasis. Primary Predictor: Race/Ethnicity Race (white, black, Asian/Pacific Islander, Native American, other, multiple) and ethnicity (Hispanic or non-Hispanic) were ...