Disease staging: CliniCal anD CoDeD Criteria - HCUP

Congenital adrenal hyperplasia:
Urine 17-ketosteroids > 20 mg/24hr [urine chemistry report]
Reference ranges: 1 - 4 Y < 1 mg/d
5 - 9 y < 3 mg/d
10 - 15 y 1 - 6 mg/d
15 - 16 y Male 3 - 13 mg/d
Female 2 - 8 mg/d
Adult Male 10 - 25 mg/d
Female 6 - 14 mg/d
Due to 21-Hydroxylase deficiency
AND Urinary 17-hydroxyprogesterone increased [urine chemistry report]
OR 11-Beta hydroxylase deficiency
AND Urinary tetrahydro-17-deoxycorticosol increased [urine chemistry
report]
AND Serum 11-deoxycorticosterone increased [urine chemistry report]
AND Serum 11-deoxycortisol increased [urine chemistry report]
OR 3-Beta hydroxysteroid dehydrogenase deficiency [urine chemistry report]
AND Serum dehydroepiandrosterone increased [urine chemistry report]
Congestive heart failure (CHF):
Initial central venous pressure ≥15 cm H 2 O [central venous pressure report or
pulmonary artery catheter report]
OR Initial peak systolic right ventricular pressure ≥ 25 mmHg
OR Initial pulmonary wedge pressure ≥ 18 mmHg
OR Low cardiac output measured by ejection fraction ≤ 50%
[echocardiogram or nuclear ejection fraction report]
OR Cardiac output ≤4 L/min [cardiac catheterization report]
Presumptive Diagnostic Findings:
Jugular venous distention
OR Pedal edema 3+
OR S 3 gallop
OR Bibasilar rales
OR Congestive heart failure [chest x-ray report]
Infants:
Congestive heart failure [chest x-ray report]
AND Tachycardia
AND Tachypnea
AND Rales on auscultation of the lungs
AND Capillary refill > 2 seconds
AND Hepatomegaly
Deleted:
Deleted: OR Hepatojugular reflux
Congestive heart failure (CHF) acute:
CHF and duration < 7 days
G-8