Congenital heart disease

Anatomic and physiologic classification of adults with congenital heart disease to predict adverse outcomes: Use of administrative codes compared to clinical staging

Am Heart JPublished Validation study of administrative code-based classification

Authors' conclusion

Modified AP classification by chart review and ICD codes are comparable in predicting the composite outcome at least 6 months after classification.

Study context

Population
Adults (≥18 years) with ≥1 of 87 International Classification of Diseases (ICD) codes for a congenital heart defect, health encounter 2010–2019
Participants
232 adults
Comparison
ICD/Current Procedural Terminology (CPT) code-based vs chart review modified anatomic physiologic (AP) classification
Outcome
Composite of:
  • Death
  • Emergency department (ED) visits
  • Any hospitalization ≥6 months after index date
Methodological detailsmedical chart review
  • Medical chart review

Performance

As reported in the abstract

Prediction of composite outcome by modified AP classification

Composite outcome occurred (median 1.6 years after index encounter)

28.4%

Original publication

Anatomic and physiologic classification of adults with congenital heart disease to predict adverse outcomes: Use of administrative codes compared to clinical staging. Am Heart J. Published 15 February 2024. doi:10.1016/j.ahj.2024.02.007

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