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Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: GYN31<br />

MultiStage: No<br />

DXCat Label: Toxic Shock Syndrome Specificity: A<br />

Etiology: Idiopathic<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

2.01 Toxic shock syndrome Fever:<br />

DX 04082;<br />

AND diffuse erythroderma<br />

DX 04082 + GROUP FEVER;<br />

AND Staphylococcus aureus bacteremia [blood culture reports growth of pathologic organism(s)]<br />

OR conjunctivitis<br />

OR pharyngitis [pharyngeal culture reports growth of pathologic organism(s)]<br />

OR vaginitis [vaginal culture reports growth of pathologic organism(s)]<br />

OR history of tampon use<br />

AND diarrhea<br />

AND lethargy<br />

2.02 with hepatitis Stage 2.01<br />

AND hepatitis:<br />

3.01 with renal failure Stage 2.01-2.02<br />

AND renal failure:<br />

3.02 with encephalopathy Stage 2.01-3.01<br />

AND disorientation:<br />

3.03 with respiratory failure Stage 2.01-3.02<br />

AND respiratory failure:<br />

3.04 with shock Stage 2.01-3.03<br />

AND shock:<br />

3.05 with coma Stage 2.01-3.04<br />

AND coma:<br />

4.00 with death Stage 2.01-3.05<br />

AND death<br />

STAGE 2.01 + DXCAT HEP10;<br />

STAGE 2.01-2.02 + GROUP<br />

REN_FAIL_ACU;<br />

STAGE 2.01-3.01 + GROUP<br />

DISORIENT;<br />

STAGE 2.01-3.02 + GROUP<br />

RESP_FAIL;<br />

STAGE 2.01-3.03 + (GROUP<br />

SHOCKC OR GROUP SHOCKN) ;<br />

STAGE 2.01-3.04 + GROUP COMA;<br />

NO;<br />

References:<br />

MacKay HT. Gynecology. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:691-724.<br />

Wessels MR. Streptococcal and enterococcal infections. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's<br />

Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:885-892.<br />

Thursday, January 07, 2010 9:22:00 AM<br />

©2010 Thomson Reuters. All rights reserved.

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