PMID- 23318555
OWN - NLM
STAT- MEDLINE
DCOM- 20140109
LR  - 20191210
IS  - 1476-5624 (Electronic)
IS  - 1362-4393 (Linking)
VI  - 51
IP  - 6
DP  - 2013 Jun
TI  - 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.
PG  - 472-6
LID - 10.1038/sc.2012.173 [doi]
AB  - 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 x more; P<0.001), urinary tract 
      infections (1.4 x ; P<0.05), pressure sores (2.9 x ; P<0.001) and intra-operative 
      AEs (2.3 x ; 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.
FAU - Street, J T
AU  - Street JT
AD  - Blusson Spinal Cord Centre, Division of Spine, Department of Orthopedics, 
      University of British Columbia, Vancouver, British Columbia, Canada. 
      John.Street@vch.ca
FAU - Thorogood, N P
AU  - Thorogood NP
FAU - Cheung, A
AU  - Cheung A
FAU - Noonan, V K
AU  - Noonan VK
FAU - Chen, J
AU  - Chen J
FAU - Fisher, C G
AU  - Fisher CG
FAU - Dvorak, M F
AU  - Dvorak MF
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20130115
PL  - England
TA  - Spinal Cord
JT  - Spinal cord
JID - 9609749
SB  - IM
MH  - Female
MH  - Humans
MH  - *International Classification of Diseases
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment, Health Care
MH  - Risk Factors
MH  - Spinal Cord Injuries/*classification/*complications/diagnosis
MH  - *Trauma Severity Indices
EDAT- 2013/01/16 06:00
MHDA- 2014/01/10 06:00
CRDT- 2013/01/16 06:00
PHST- 2013/01/16 06:00 [entrez]
PHST- 2013/01/16 06:00 [pubmed]
PHST- 2014/01/10 06:00 [medline]
AID - sc2012173 [pii]
AID - 10.1038/sc.2012.173 [doi]
PST - ppublish
SO  - Spinal Cord. 2013 Jun;51(6):472-6. doi: 10.1038/sc.2012.173. Epub 2013 Jan 15.