Abstract
Study Design:
Observational cohort comparison.
Objectives:
To compare the previously validated Spine Adverse Events Severity system (SAVES) with International Classification of Diseases, Tenth Revision codes (ICD-10) codes for identifying adverse events (AEs) in patients with traumatic spinal cord injury (TSCI).
Setting:
Quaternary Care Spine Program.
Methods:
Patients discharged between 2006 and 2010 were identified from our prospective registry. Two consecutive cohorts were created based on the system used to record acute care AEs; one used ICD-10 coding by hospital coders and the other used SAVES data prospectively collected by a multidisciplinary clinical team. The ICD-10 codes were appropriately mapped to the SAVES. There were 212 patients in the ICD-10 cohort and 173 patients in the SAVES cohort. Analyses were adjusted to account for the different sample sizes, and the two cohorts were comparable based on age, gender and motor score.
Results:
The SAVES system identified twice as many AEs per person as ICD-10 coding. Fifteen unique AEs were more reliably identified using SAVES, including neuropathic pain (32 × more; P<0.001), urinary tract infections (1.4 × ; P<0.05), pressure sores (2.9 × ; P<0.001) and intra-operative AEs (2.3 × ; P<0.05). Eight of these 15 AEs more frequently identified by SAVES significantly impacted length of stay (P<0.05). Risk factors such as patient age and severity of paralysis were more reliably correlated to AEs collected through SAVES than ICD-10.
Conclusion:
Implementation of the SAVES system for patients with TSCI captured more individuals experiencing AEs and more AEs per person compared with ICD-10 codes. This study demonstrates the utility of prospectively collecting AE data using validated tools.
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Acknowledgements
We thank Claire Rigter, Judy Farina and Shelda Hall for their assistance mapping ICD-10 codes to AE; Juliet Batke for her contributions to organizing and managing SAVES data; and all the members of the Combined Neurosurgical and Orthopedic Spine Program for their time and effort in collecting the SAVES data.
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VKN, NPT, AC and JC are employees of the Rick Hansen Institute. MFD consults for the Rick Hansen Institute. JTS and CGF have no conflicts of interest related to this work.
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Street, J., Thorogood, N., Cheung, A. et al. Use of the Spine Adverse Events Severity System (SAVES) in patients with traumatic spinal cord injury. A comparison with institutional ICD-10 coding for the identification of acute care adverse events. Spinal Cord 51, 472–476 (2013). https://doi.org/10.1038/sc.2012.173
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DOI: https://doi.org/10.1038/sc.2012.173
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