Coding Geriatric Syndromes: How Good Are We?

Overview

Journal CME J Geriatr Med

Specialty Geriatrics

Date 2011 Oct 18

PMID 22003315

Citations 7

Authors

Ike Ugboma

Holly E Syddall

Vanessa Cox

Cyrus Cooper

Roger Briggs

Avan Aihie Sayer

Affiliations

Soon will be listed here.

Abstract

High quality coding of hospital activity is important because the data is used for resource allocation and measuring performance. There is little information on the quality of coding of admissions of frail older people who have multiple diagnoses, co-morbidities and functional impairment. Presence or absence of four geriatric syndromes and eight medical conditions was noted on case note review (CNR). Discharge summaries (DS) and hospital coding (HC) were reviewed and compared with the CNR. Forty patients had at least one geriatric syndrome noted in the DS; 16 (40.0%) were captured by the HC. Of 57 patients with at least one medical condition noted in the DS, 52 (91.2%) were captured by the HC (p<0.0001 for difference in HC capture rates). We have demonstrated poor capture of information on geriatric syndromes compared to medical conditions in discharge summaries and hospital coding and propose a problem list bookmark approach to improve this.

Citing Articles

The use of natural language processing for the identification of ageing syndromes including sarcopenia, frailty and falls in electronic healthcare records: a systematic review.

Osman M, Cooper R, Sayer A, Witham M Age Ageing. 2024; 53(7).

PMID: 38970549 PMC: 11227113. DOI: 10.1093/ageing/afae135.

Rising to the challenge of defining and operationalising multimorbidity in a UK hospital setting: the ADMISSION research collaborative.

Cooper R, Bunn J, Richardson S, Hillman S, Sayer A, Witham M Eur Geriatr Med. 2024; 15(3):853-860.

PMID: 38448710 PMC: 11329381. DOI: 10.1007/s41999-024-00953-8.

How far back do we need to look to capture diagnoses in electronic health records? A retrospective observational study of hospital electronic health record data.

Lewis J, Evison F, Doal R, Field J, Gallier S, Harris S BMJ Open. 2024; 14(2):e080678.

PMID: 38355192 PMC: 10868273. DOI: 10.1136/bmjopen-2023-080678.

Researching multimorbidity in hospital: can we deliver on the promise of health informatics?.

Witham M, Cooper R, Missier P, Robinson S, Sapey E, Sayer A Eur Geriatr Med. 2023; 14(4):765-768.

PMID: 37227692 PMC: 10447588. DOI: 10.1007/s41999-023-00753-6.

Social position and geriatric syndromes among Swedish older people: a population-based study.

Rausch C, Liang Y, Bultmann U, de Rooij S, Johnell K, Laflamme L BMC Geriatr. 2019; 19(1):267.

PMID: 31615441 PMC: 6792184. DOI: 10.1186/s12877-019-1295-8.

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