Hyperbare Zuurstoftherapie: Rapid Assessment - KCE

KCE Reports 74 Hyperbaric Oxygenation Therapy 65
Diagnosis selection
First of all, for MCD with a relevant procedure code, the diagnosis related to the
procedure code was selected. If this related diagnosis was a dummy or a diagnosis
‘urgent care’, the primary diagnosis of the “deelverblijf” (with the same specialization
number) was taken. If the resulting diagnosis still was a dummy or an ‘urgent care’
diagnosis, the primary diagnosis of the full stay was selected. After performing these
steps, the diagnosis remained ‘urgent care’ in 13 cases.
For the coupled MFD with a relevant billing code but no relevant procedure code, the
primary diagnosis of the full stay (with the lowest specialization number, being 1) was
taken. If the resulting diagnosis was a dummy or a diagnosis ‘urgent care’, the firstmentioned
diagnosis from the full stay, not being a dummy or an ‘urgent care’ diagnosis,
was taken.
5.7.2.3 Results: diagnoses in MCD-MFD data
13
12
11
10 6
9 5
8
7
A total of 3 534 stays between 2000 and 2004 were analyzed for diagnosis. For 2 263
stays, a diagnosis directly linked to the procedure code was available and for 1 271 stays
a diagnosis was available through the linkage MCD-MFD (See Table 63 in appendix).
After determining a relevant diagnosis code for each stay (see diagnosis selection), we
obtained 726 different diagnoses. These diagnoses were grouped into 13 larger
categories (Figure 30).
Figure 30. Overview of HBOT in MCD-MFD by diagnosis (based on 3 238
hospital stays in 2000-2004)
4
3
2
1
1.
1. CO intoxication
2. Hearing disorders
3. Delayed wound healing
4. Anaerobic or mixed bacterial infections
5. Radio induced lesions
6. Acute soft tissue ischemia
7. Osteomyelitis
8. Acute ophtalmological ischemia
9. Burns
10. Decompression accidents
11. Post-anoxic encephalopathy
12. Gas embolism
13. Other indications / Not classifiable
Note: From the 3 534 analyzed stays, 296 stays had a diagnosis which occurred only once in the
list and were omitted from the analysis
In the category ‘other indications’, we find, amongst others, the following related
diagnoses: anaemia, depression, epilepsy, delivery (breech presentation or “foetal
need”), cardiac arrest, headache, etc.