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Research

Validity of vascular trauma codes at major trauma centres

Abdulmajeed Altoijry, Mohammed Al-Omran, Thomas F. Lindsay, K. Wayne Johnston, Magda Melo and Muhammad Mamdani
CAN J SURG December 01, 2013 56 (6) 405-408; DOI: https://doi.org/10.1503/cjs.013412
Abdulmajeed Altoijry
*Li Ka Shing Knoweledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, Ont.
‡Division of Vascular Surgery, Department of Surgery, King Saud University, Riyadh, Saudi Arabia
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  • For correspondence: [email protected]
Mohammed Al-Omran
*Li Ka Shing Knoweledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, Ont.
‡Division of Vascular Surgery, Department of Surgery, King Saud University, Riyadh, Saudi Arabia
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Thomas F. Lindsay
†Division of Vascular Surgery, Toronto General Hospital, University of Toronto, Toronto, Ont.
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K. Wayne Johnston
†Division of Vascular Surgery, Toronto General Hospital, University of Toronto, Toronto, Ont.
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Magda Melo
*Li Ka Shing Knoweledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, Ont.
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Muhammad Mamdani
*Li Ka Shing Knoweledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, Ont.
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    Records selection and chart review.

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    Table 1

    Vascular trauma codes (ICD-10)

    CodeDescription
    S15Injury of the neck vessels
    S25Injury of thoracic vessels
    S35Injury of abdominal and pelvic vessels
    S45, S55 or S65Injury of upper limb vessels
    S75, S85Injury of lower limb vessels
    • ICD-10 = International Classification of Diseases, tenth revision.

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    Table 2

    Positive predictive value and sensitivity of vascular injury diagnosis coding, by anatomical region

    RegionPPVSensitivity
    %95% CI*%95% CI*
    All95.092.3–96.8
    Neck97.491.0–99.398.792.9–99.8
    Thorax90.882.2–95.594.586.7–97.8
    Abdomen96.088.9–98.690.081.5–94.8
    Upper extremity97.390.8–99.397.390.8–99.3
    Lower extrimity93.485.5–97.295.988.7–98.6
    • CI = confidence interval; PPV = positive predictive value.

    • ↵* Calculated according to Centre for Evidence-based Medicine Toronto, Stat Calculator.11

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Canadian Journal of Surgery: 56 (6)
CAN J SURG
Vol. 56, Issue 6
1 Dec 2013
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Validity of vascular trauma codes at major trauma centres
Abdulmajeed Altoijry, Mohammed Al-Omran, Thomas F. Lindsay, K. Wayne Johnston, Magda Melo, Muhammad Mamdani
CAN J SURG Dec 2013, 56 (6) 405-408; DOI: 10.1503/cjs.013412

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Validity of vascular trauma codes at major trauma centres
Abdulmajeed Altoijry, Mohammed Al-Omran, Thomas F. Lindsay, K. Wayne Johnston, Magda Melo, Muhammad Mamdani
CAN J SURG Dec 2013, 56 (6) 405-408; DOI: 10.1503/cjs.013412
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