Updated Diagnosis Grouping System for Pediatric Emergency Department Visits. Issue 5 (25th May 2023)

• Record Type: Journal Article
• Authors: Fant, Colleen; Marin, Jennifer R.; Ramgopal, Sriram; Simon, Norma-Jean E.; Richards, Rachel; Olsen, Cody S.; Alessandrini, Evaline A.; Alpern, Elizabeth R.
• Other Names: Babcock Lynn author non-byline.; Bajaj Lalit author non-byline.; Brousseau David author non-byline.; Campos Diego A. author non-byline.; Chamberlain James M. author non-byline.; Cook Larry author non-byline.; Deakyne Davies Sara J. author non-byline.; Elsholz Cara author non-byline.; Gorelick Marc H. author non-byline.; Grundmeier Robert W. author non-byline.; Mahajan Prashant author non-byline.; Shihabuddin Bashar author non-byline.; Tzimenatos Leah author non-byline.; Zorc Joe author non-byline.
• Is Part Of: Pediatric emergency care. Volume 39:Issue 5(2023)
• Page Start: 299
• Page End: 303
• Publication Date: 2023-05-25
• Subjects: Diagnosis Grouping System -- ICD-10 -- PECARN -- pediatric diagnoses; Pediatric emergencies -- Periodicals; 618.92002505
• DOI: 10.1097/PEC.0000000000002692
• Languages: English
• ISSNs: 0749-5161

Abstract

Abstract : Objectives: This study aims to update the Diagnosis Grouping System (DGS) for International Classification of Disease, Tenth Revision ( ICD-10 ) codes for ongoing use. The DGS was developed in 2010 using ICD-9 codes with 21 major groups and 27 subgroups to facilitate research on pediatric patients presenting to emergency departments and required updated classification for more recent ICD codes. Methods: All emergency department discharges available in the Pediatric Emergency Care Applied Research Network (PECARN) database for 2016 were included to identify ICD-10 codes. These codes were then mapped onto the DGS codes originally derived from ICD-9 . We used ICD-10 codes from the PECARN database from 2017 to 2019 to confirm validity. Results: The DGS was updated with ICD-10 codes based on 2016 PECARN data, and this updated DGS was successfully applied to 6, 853, 479 (97.3%) of all codes from 2017 to 2019. Discussion: Using ICD-10 codes from the PECARN Registry, the DGS was updated to reflect ICD-10 codes to facilitate ongoing research.