Table 1. Hospital characteristics and results of two approaches for DSD case ascertainment at three children’s hospitals.
Hospital A | Hospital B | Hospital C | |
Hospital Characteristics | |||
Hospital beds | 300 | 254 | 245 |
Inpatient admissions | 9,000 | 14,000 | 11,000 |
Surgical procedures | 10,000 | 15,000 | 17,000 |
Traditional Approach | |||
Cases initially identified | NP | 30 | 16 |
Final chart review | |||
Uncertain eligibility | NP | 2 | 1 |
Not eligible | NP | 0 | 1 |
Confirmed eligible | NP | 28 | 14 |
Informatics Approach * | |||
ICD-9 cases | 737 | 2,868 | 3,557 |
ICD-9 cases + text matches | 728 | 2,742 | 2,550 |
Initial chart review | 81 | 153 | 260 |
Final chart review | |||
Uncertain eligibility | 6 | 13 | 18 |
Not eligible | 16 | 63 | 16 |
Confirmed eligible | 59 | 77 | 226 |
NP = not performed.
*At Hospital A, all cases were reviewed using the search engine EMERSE and it was not necessary to run a database query for keyword matching.