Table 3 Agreement between ICD-9/ICD-10 and Alberta chart review data among AMI patients (N = 193)
From: ICD-10 coding algorithms for defining comorbidities of acute myocardial infarction
Comorbidities | ICD-9 Data | ICD-10 Data | ||||||
|---|---|---|---|---|---|---|---|---|
Sensitivity | Specificity | PPV | NPV | Sensitivity | Specificity | PPV | NPV | |
Shock | 60.0 | 98.9 | 60.0 | 98.9 | 60.0 | 99.5 | 75.0 | 98.9 |
(95% CI) | (14.66 – 94.73) | (96.21 – 99.87) | (14.66 – 94.73) | (96.21 – 99.87) | (14.66 – 94.73) | (97.07 – 99.99) | (19.41 – 99.37) | (96.23 – 99.87) |
Diabetes with Complications | 80.0 | 98.3 | 80.0 | 98.3 | 66.7 | 98.9 | 83.3 | 97.2 |
(95% CI) | (51.91 – 95.67) | (95.15 – 99.65) | (51.91 – 95.67) | (95.15 – 99.65) | (38.38 – 88.18) | (96.00 – 99.86) | (51.59 – 97.91) | (93.67 – 99.10) |
Congestive Heart Failure | 81.8 | 96.4 | 90.0 | 93.0 | 80.0 | 97.8 | 93.6 | 92.5 |
(95% CI) | (69.10 – 0.92) | (91.75 – 98.81) | (78.19 – 96.67) | (87.52 – 96.60) | (67.03 – 89.57) | (93.78 – 99.55) | (82.46 – 98.66) | (86.92 – 96.18) |
Cancer | 90.0 | 99.5 | 90.0 | 99.5 | 90.0 | 98.4 | 75.0 | 99.4 |
(95% CI) | (55.50 – 99.75) | (96.99 – 99.99) | (55.50 – 99.75) | (96.99 – 99.99) | (55.50 – 99.75) | (95.28 – 99.66) | (42.81 – 94.51) | (96.96 – 99.99) |
Cerebrovascular disease | 100.0 | 93.6 | 33.3 | 100.0 | 100.0 | 95.7 | 42.9 | 100.0 |
(95% CI) | (54.07 – 100.00) | (89.06 – 96.64) | (13.34 – 59.01) | (97.91 – 100.00) | (54.07 – 100.00) | (91.74 – 98.14) | (17.66 – 71.14) | (97.96 – 100.00) |
Pulmonary Edema | 7.1 | 100.0 | 100.0 | 86.4 | 7.1 | 100.0 | 100.0 | 86.4 |
(95% CI) | (0.88 – 23.50) | (97.79 – 100.00) | (15.81 – 100.00) | (80.69 – 90.91) | (0.88 – 23.50) | (97.79 – 100.00) | (15.81 – 100.00) | (80.69 – 90.91) |
Acute Renal Failure | 80.0 | 98.3 | 80.0 | 98.3 | 80.0 | 95.5 | 60.0 | 98.3 |
(95% CI) | (51.91 – 95.67) | (95.15 – 99.65) | (51.91 – 95.67) | (95.15 – 99.65) | (51.91 – 95.67) | (91.34 – 98.04) | (36.05 – 80.88) | (95.02 – 99.64) |
Chronic Renal Failure | 83.3 | 96.0 | 68.2 | 98.2 | 72.2 | 98.3 | 81.3 | 97.2 |
(95% CI) | (58.58 – 96.42) | (91.93 – 98.38) | (45.13 – 86.14) | (94.96 – 99.64) | (46.52 – 90.31) | (95.07 – 99.65) | (54.35 – 95.95) | (93.53 – 99.08) |
Cardiac Dysrhythmias | 35.9 | 100.0 | 100.0 | 56.1 | 35.8 | 97.7 | 95.0 | 55.6 |
(95% CI) | (26.77 – 45.74) | (95.85 – 100.00) | (90.75 – 100.00) | (47.94 – 64.08) | (26.77 – 45.74) | (91.94 – 99.72) | (83.08 – 99.39) | (47.31 – 63.58) |