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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: TRA01<br />

MultiStage: No<br />

DXCat Label: Acetaminophen Toxicity Specificity: A<br />

Etiology:<br />

Toxicologic<br />

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

1.01 Acetaminophen Toxicity Acetaminophen ingestion of ≥ 150 mg/kg/24 hours for age ≤ 12 years old<br />

OR Acetaminophen ingestion of ≥ 7 gm/24 hours for age > 13 years old<br />

2.01 with hepatitis Stage 1.01<br />

AND jaundice:<br />

3.01 with hepatic coma Stage 1.01-2.01<br />

AND hepatic coma:<br />

3.02 with shock Stage 1.01-3.01<br />

AND shock:<br />

4.00 with death Stage 2.01-3.02<br />

AND death<br />

DX 9654, E8504, E9354, E9500,<br />

E9800;<br />

STAGE 1.01 + DXCAT HEP10;<br />

STAGE 1.01-2.01 + GROUP<br />

COMA__HEP;<br />

STAGE 1.01-3.01 + GROUP<br />

SHOCKA;<br />

NO;<br />

References:<br />

Dienstag JL, Isselbacher KJ. Toxic and drug-induced hepatitis. 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; 1998:1692-1696.<br />

Heubi JE, Barbacci MB, Zimmerman HJ. Therapeutic misadventures with acetaminophen: hepatoxicity after multiple doses in children. Journal of Pediatrics. 1998;132(1):22-7.<br />

Mas A, Rodes J. Fulminant hepatic failure. Lancet. 1997;349(9058):1081-5.<br />

Olson KR. Poisoning. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:1465-1496.<br />

Thursday, January 07, 2010 9:23:19 AM<br />

©2010 Thomson Reuters. All rights reserved.

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