Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU14
MultiStage: No
DXCat Label: Meningitis: Bacterial Specificity: A
Etiology: Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
3.08 with hypoventilation syndrome Stage 3.01-3.07
STAGE 3.01-3.07 + (DX 78609 OR
AND hypoxemia:
GROUP HYPOXEMIA);
OR hypercarbia:
3.09 with cerebellar or temporal lobe uncal
herniation or respiratory failure
3.10 with coma Stage 3.01-3.09
AND coma:
3.11 with shock Stage 3.01-3.10
AND shock:
4.00 with death Stage 3.01-3.11
AND death
Stage 3.01-3.08
AND cerebellar herniation [CT of the head or MRI of head report]
OR temporal lobe herniation [CT of the head or MRI of head report]
OR respiratory failure:
STAGE 3.01-3.08 + (DX 3484 OR
GROUP RESP_FAIL);
STAGE 3.01-3.09 + GROUP COMA;
STAGE 3.01-3.10 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
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Prober CG. Infections of the central nervous system. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics, 15th ed. Philadelphia, PA: WB
Saunders; 1996:707-713.
Quagliarello VJ, Scheld WM. Treatment of bacterial meningitis. N Engl J Med. 1997;336(10):708-716.
Scheld WM. Bacterial meningitis, brain abscess, and other suppurative intracranial infections. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser
SL, Longo, DL, eds. Harrison’s Principles of Internal Medicine, 14th ed. New York, NY: McGraw-Hill; 1998:2419-2434.
Tunkel AR. Scheld WM. Acute bacterial meningitis. Lancet. 1995:346(8991-8992):1675-1680.
Tureen J. Meningitis. In: Rudolph AM, Hoffman JIE and Rudolph CD, eds. Rudolph’s Pediatrics, Stamford, CT: Appleton & Lange; 1996:544-548.
Wubbel L and McCracken GH Jr. Management of bacterial meningitis. Pediatrics in Review 1998;19:78-84.
Thursday, January 07, 2010 9:22:49 AM
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