NDLI: Accuracy of the new ICD-9-CM code for 'drip-and-ship' thrombolytic treatment in patients with ischemic stroke.

Please wait, while we are loading the content...

Detection of atrial fibrillation with concurrent holter monitoring and continuous cardiac telemetry following ischemic stroke and transient ischemic attack.

Economy class stroke syndrome after a long drive.

Computed tomography perfusion imaging in spectacular shrinking deficit.

Middle cerebral artery infarct following multiple bee stings.

Low patient enrollment sites in multicenter randomized clinical trials of cerebrovascular diseases: associated factors and impact on trial outcomes.

Accuracy of the new ICD-9-CM code for 'drip-and-ship' thrombolytic treatment in patients with ischemic stroke.

An unusual case of elderly-onset cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) with multiple cerebrovascular risk factors.

Significance of magnetic resonance angiography-diffusion weighted imaging mismatch in hyperacute cerebral infarction.

Isolated hypersomnia due to bilateral thalamic infarcts.

Delayed catastrophic intracerebral hemorrhage preceded by progressive recovery after carotid stenting for acute ischemic stroke.

Subtle problems in activities of daily living after a transient ischemic attack or an apparently fully recovered non-disabling stroke.

Effects of edaravone, a free radical scavenger, on serum levels of inflammatory biomarkers in acute brain infarction.

Year: 2012 Volume: 21 Issue: 1

Year: 2011 Volume: 20

Year: 2010 Volume: 19

Year: 2009 Volume: 18

Year: 2008 Volume: 17

Year: 2007 Volume: 16

Year: 2006 Volume: 15

Year: 2005 Volume: 14

Year: 2001 Volume: 10

Accuracy of the new ICD-9-CM code for 'drip-and-ship' thrombolytic treatment in patients with ischemic stroke.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tonarelli, Silvina B. Tibbs, Michael Vazquez, Gabriela Lakshminarayan, Kamakshi Rodriguez, Gustavo J. Qureshi, Adnan I.
Spatial Coverage	United States
Description	Country affiliation: United States Author Affiliation: Tonarelli SB ( Zeenat Qureshi Stroke Research Center, University of Minnesota Medical Center, Minneapolis, MN, USA. Stonare1@gmail.com)
Abstract	A new International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code, V45.88, was approved by the Centers for Medicare and Medicaid Services (CMS) on October 1, 2008. This code identifies patients in whom intravenous (IV) recombinant tissue plasminogen activator (rt-PA) is initiated in one hospital's emergency department, followed by transfer within 24 hours to a comprehensive stroke center, a paradigm commonly referred to as 'drip-and-ship.' This study assessed the use and accuracy of the new V45.88 code for identifying ischemic stroke patients who meet the criteria for drip-and-ship at 2 advanced certified primary stroke centers. Consecutive patients over a 12-month period were identified by primary ICD-9-CM diagnosis codes related to ischemic stroke. The accuracy of V45.88 code utilization using administrative data provided by Health Information Management Services was assessed through a comparison with data collected in prospective stroke registries maintained at each hospital by a trained abstractor. Out of a total of 428 patients discharged from both hospitals with a diagnosis of ischemic stroke, 37 patients were given ICD-9-CM code V45.88. The internally validated data from the prospective stroke database demonstrated that a total of 40 patients met the criteria for drip-and-ship. A concurrent comparison found that 92% (sensitivity) of the patients treated with drip-and-ship were coded with V45.88. None of the non-drip-and-ship stroke cases received the V45.88 code (100% specificity). The new ICD-9-CM code for drip-and-ship appears to have high specificity and sensitivity, allowing effective data collection by the CMS.
File Format	HTM / HTML
ISSN	10523057
Issue Number	2
Volume Number	21
e-ISSN	15328511
Journal	Journal of Stroke and Cerebrovascular Diseases
Language	English
Publisher	Elsevier
Publisher Date	2012-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Brain Ischemia United States Humans Data Collection Recombinant Proteins Hospitals, Community Journal Article Centers For Medicare And Medicaid Services (u.s.) Time Factors Discipline Cardiology Classification Registries International Classification Of Diseases Diagnosis Emergency Service, Hospital Stroke Drug Therapy Administration & Dosage Academic Medical Centers Fibrinolytic Agents Terminology As Topic Hospitals, Rural Tissue Plasminogen Activator Thrombolytic Therapy Patient Transfer
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Transient ischemic attack after tissue plasminogen activator: aborted stroke or unnecessary stroke therapy?

Strategies used by hospitals to improve speed of tissue-type plasminogen activator treatment in acute ischemic stroke.

Outcomes of thrombolysis for acute ischemic stroke in octogenarians versus nonagenarians.

Endovascular Stroke Therapy.

Defining minor symptoms in acute ischemic stroke.

Outcomes of thrombolytic therapy in acute ischemic stroke: mothership, drip-and-ship, and ship-and-drip paradigms

Utilization of intravenous tissue plasminogen activator for ischemic stroke: are there sex differences?

Using recombinant tissue plasminogen activator to treat acute ischemic stroke in China: analysis of the results from the Chinese National Stroke Registry (CNSR).

Establishment of government-initiated comprehensive stroke centers for acute ischemic stroke management in South Korea.

Accuracy of the new ICD-9-CM code for 'drip-and-ship' thrombolytic treatment in patients with ischemic stroke.

Similar Documents

Transient ischemic attack after tissue plasminogen activator: aborted stroke or unnecessary stroke therapy?

Strategies used by hospitals to improve speed of tissue-type plasminogen activator treatment in acute ischemic stroke.

Outcomes of thrombolysis for acute ischemic stroke in octogenarians versus nonagenarians.

Endovascular Stroke Therapy.

Defining minor symptoms in acute ischemic stroke.

Outcomes of thrombolytic therapy in acute ischemic stroke: mothership, drip-and-ship, and ship-and-drip paradigms

Utilization of intravenous tissue plasminogen activator for ischemic stroke: are there sex differences?

Using recombinant tissue plasminogen activator to treat acute ischemic stroke in China: analysis of the results from the Chinese National Stroke Registry (CNSR).

Establishment of government-initiated comprehensive stroke centers for acute ischemic stroke management in South Korea.

Accuracy of the new ICD-9-CM code for 'drip-and-ship' thrombolytic treatment in patients with ischemic stroke.