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Validation of the S...
Validation of the Swedish National Inpatient Register for the diagnosis of pulmonary embolism in 2005
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- Andersson, Therese (författare)
- Umeå universitet,Avdelningen för medicin
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- Isaksson, Anja (författare)
- Umeå universitet,Avdelningen för medicin
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- Khalil, Hesham (författare)
- Department of Cardiology, King Fahad General Hospital, Jeddah, Saudi Arabia
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- Lapidus, Leif (författare)
- Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
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- Carlberg, Bo (författare)
- Umeå universitet,Avdelningen för medicin
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- Söderberg, Stefan (författare)
- Umeå universitet,Avdelningen för medicin
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(creator_code:org_t)
- 2022-01-24
- 2022
- Engelska.
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Ingår i: Pulmonary Circulation. - : John Wiley & Sons. - 2045-8932 .- 2045-8940. ; 12:1
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://onlinelibrar...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- The Swedish National Inpatient Register (NPR) has near-complete coverage of in-hospital admissions and ICD codes in Sweden. Acute pulmonary embolism (PE) is a serious condition presenting challenges regarding diagnosis, treatment, and follow-up. Here we aimed to validate the accuracy of acute PE diagnosis in the NPR, investigational findings, antithrombotic treatment, and follow-up of PE patients in Sweden. From a nation-wide cohort of all patients with in-hospital diagnoses of acute PE (ICD-10-SE codes I26.0–I26.9) in 2005 (n = 5793), we selected those from two Swedish regions for thorough manual review of hospital records. We identified 599 patients with PE diagnoses according to the ICD-10 coding system. We excluded 58 patients with admissions related to previous PE (47; 8%) or incorrect ICD codes (11; 2%), leaving 501 patients with probable PE diagnoses. We confirmed the diagnosis in 441 (79%) cases, which was based on imaging (435 patients; 73%) or autopsy (6; 1%). In the remaining 60 (11%) cases, the PE diagnosis was based on clinical findings and can therefore not be confirmed. Of the surviving patients with PE, 231 (47%) were offered follow-up within 6 months after the acute event. At follow-up, 67 patients (29%) had symptoms requiring clinical attention (dyspnoea or reduced general condition). The Swedish NPR showed acceptable accuracy for PE diagnosis, and could be reliably used for register-based research regarding acute PE.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- clinical presentation
- epidemiology
- follow-up
- pulmonary embolism
- register
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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