Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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134 Maternal Intensive Care in Belgium KCE Reports 94 Table10: 10 most frequent ICD-9-CM codes Vaginal delivery (N=2.094) - Main diagnosis - Specialty 1 lll Naming of icd9 icd9 Number Proportion Linked data Delivery in a completely normal case 650 520 24.83% 22.82% First-degree perineal laceration during delivery 66401 184 8.79% 6.20% Early onset of delivery 64421 131 6.26% 2.54% Prolonged pregnancy, unspecified as to episode of care 64511 86 4.11% 5.16% Other & unspecified cord entanglement, without mention of compression, complicating 66331 67 3.20% 2.50% Cord around neck, with compression, complicating labor & delivery 66311 38 1.81% 2.07% Forceps or vacuum extractor delivery without mention of indication 66951 38 1.81% 2.19% Second-degree perineal laceration during delivery 66411 36 1.72% 2.25% Fetal distress 65631 34 1.62% 2.00% Infections of genitourinary tract in pregnancy 64661 28 1.34% Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004 In diagnostic 1 for vaginal delivery in unmerged stays, Table ?? shows that some differences exist between the proportion of ICD-9 coded in unmerged and merged stays, but most difference are small and ICD-9 being largely unspecific, the clinical signification is not straightforward. Table 11: 10 most frequent ICD-9-CM codes Vaginal delivery (N=2.094) - Secondary diagnoses – Specialty 1 Naming of icd9 icd9 Number Proportion Linked data First-degree perineal laceration during delivery 66401 96 4.58% 4.18% Acute myocardial infarction of inferolateral wall 4102 88 4.20% 4.05% Other & unspecified cord entanglement, without mention of compression, complicating 66331 60 2.87% 2.94% Prolonged pregnancy, unspecified as to episode of care 64511 57 2.72% 2.76% Tobacco use disorder 3051 52 2.48% 2.53% Early onset of delivery 64421 48 2.29% Other current conditions classifiable elsewhere 64891 41 1.96% 1.94% Infections of genitourinary tract in pregnancy 64661 40 1.91% Vaginitis and vulvovaginitis, unspecified 61610 39 1.86% Anemia 64822 38 1.81% 2.65% Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004 lll Information from the doctor who manages the medical file (specialist nr 1)
KCE Reports 94 Maternal Intensive Care in Belgium 135 Table 12: 10 most frequent ICD-9-CM codes C-section (N=582) - Main diagnosis – Specialty 1 Naming of icd9 icd9 Number Proportion Linked data Breech presentation without mention of version 65221 59 10.14% 10.12% Generally contracted pelvis 65311 41 7.04% Uterine scar from previous surgery complicating pregnancy, childbirth, or the 65421 39 6.70% 10.89% Obstruction caused by malposition of fetus at onset of labor 66001 30 5.15% 6.55% Early onset of delivery 64421 29 4.98% 2.30% Obstruction by bony pelvis 66011 26 4.47% 5.91% Mild or unspecified pre-eclampsia 64241 20 3.44% Fetal distress 65631 20 3.44% 5.03% Cesarean delivery, without mention of indication 66971 19 3.26% 4.93% Twin pregnancy 65101 14 2.41% Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004 Table13: 10 most frequent ICD-9-CM codes C-section (N=582) - Secondary diagnosis – Specialty 1 Naming of icd9 icd9 Number Proportion Linked data Early onset of delivery 64421 77 13.23% 7.17% Uterine scar from previous surgery complicating pregnancy, childbirth, or the 65421 58 9.97% 12.26% Breech presentation without mention of version 65221 49 8.42% 8.68% Fetal distress 65631 36 6.19% 5.27% Prolonged pregnancy, unspecified as to episode of care 64511 25 4.30% 3.89% Poor fetal growth 65651 25 4.30% Fetopelvic disproportion 65341 24 4.12% 5.65% Anemia 64821 21 3.61% Tobacco use disorder 3051 20 3.44% Anemia 64891 19 3.26% Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004
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Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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