Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE
Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE
Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE
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134 <strong>Maternal</strong> <strong>Int<strong>en</strong>sive</strong> <strong>Care</strong> in Belgium <strong>KCE</strong> Reports 94<br />
Table10: 10 most frequ<strong>en</strong>t ICD-9-CM codes Vaginal delivery (N=2.094) -<br />
Main diagnosis - Specialty 1 lll<br />
Naming of icd9 icd9 Number Proportion<br />
Linked<br />
data<br />
Delivery in a completely normal case 650 520 24.83% 22.82%<br />
First-degree perineal laceration during<br />
delivery<br />
66401 184 8.79% 6.20%<br />
Early onset of delivery 64421 131 6.26% 2.54%<br />
Prolonged pregnancy, unspecified as to<br />
episode of care<br />
64511 86 4.11% 5.16%<br />
Other & unspecified cord <strong>en</strong>tanglem<strong>en</strong>t,<br />
without m<strong>en</strong>tion of compression, complicating<br />
66331 67 3.20% 2.50%<br />
Cord around neck, with compression,<br />
complicating labor & delivery<br />
66311 38 1.81% 2.07%<br />
Forceps or vacuum extractor delivery without<br />
m<strong>en</strong>tion of indication<br />
66951 38 1.81% 2.19%<br />
Second-degree perineal laceration during<br />
delivery<br />
66411 36 1.72% 2.25%<br />
Fetal distress 65631 34 1.62% 2.00%<br />
Infections of g<strong>en</strong>itourinary tract in pregnancy 64661 28 1.34%<br />
Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004<br />
In diagnostic 1 for vaginal delivery in unmerged stays, Table ?? shows that some<br />
differ<strong>en</strong>ces exist betwe<strong>en</strong> the proportion of ICD-9 coded in unmerged and merged<br />
stays, but most differ<strong>en</strong>ce are small and ICD-9 being largely unspecific, the clinical<br />
signification is not straightforward.<br />
Table 11: 10 most frequ<strong>en</strong>t ICD-9-CM codes Vaginal delivery (N=2.094) -<br />
Secondary diagnoses – Specialty 1<br />
Naming of icd9 icd9 Number Proportion<br />
Linked<br />
data<br />
First-degree perineal laceration during<br />
delivery<br />
66401 96 4.58% 4.18%<br />
Acute myocardial infarction of inferolateral<br />
wall<br />
4102 88 4.20% 4.05%<br />
Other & unspecified cord <strong>en</strong>tanglem<strong>en</strong>t,<br />
without m<strong>en</strong>tion of compression, complicating<br />
66331 60 2.87% 2.94%<br />
Prolonged pregnancy, unspecified as to<br />
episode of care<br />
64511 57 2.72% 2.76%<br />
Tobacco use disorder 3051 52 2.48% 2.53%<br />
Early onset of delivery 64421 48 2.29%<br />
Other curr<strong>en</strong>t conditions classifiable<br />
elsewhere<br />
64891 41 1.96% 1.94%<br />
Infections of g<strong>en</strong>itourinary tract in pregnancy 64661 40 1.91%<br />
Vaginitis and vulvovaginitis, unspecified 61610 39 1.86%<br />
Anemia 64822 38 1.81% 2.65%<br />
Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004<br />
lll Information from the doctor who manages the medical file (specialist nr 1)
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