Heart failure & cardiomyopathies

Diagnostic accuracy, clinical characteristics, and prognostic differences of patients with acute myocarditis according to inclusion criteria

Eur Heart J Qual Care Clin OutcomesPublished Diagnostic accuracy study

Authors' conclusion

ICD-10 codes have poor accuracy in identification of AM cases and should be used with caution in clinical research.

Study context

Population
Admissions with ICD-10 codes for acute myocarditis (AM), two hospitals
Participants
291 unique admissions
Comparison
ICD-10 codes vs cardiac magnetic resonance (CMR)-confirmed or clinically suspected AM
Outcome
Diagnostic accuracy of ICD-10 codes for AM
Methodological detailstwo hospitals, literature review
  • Two hospitals
  • Literature review

Performance

As reported in the abstract

PPV of ICD-10 codes for CMR-confirmed or CS-AM
Test or modelPPV
ICD-10 codes36%

ICD-10 codes

PPV36%

Further findings

All-cause mortality, CMR-confirmed or CS-AM vs refuted diagnosis

Lower all-cause mortality with CMR-confirmed or CS-AM than refuted diagnosis
P = 0.019

CMR-confirmed vs CS-AM: demographics, comorbidities, survival · median follow-up 52 months

Similar demographics, comorbidity profiles and survival
P = 0.72

Literature review: outcomes by inclusion criteria

Outcomes favourable in CMR-confirmed studies vs endomyocardial biopsy-confirmed AM studies

Original publication

Diagnostic accuracy, clinical characteristics, and prognostic differences of patients with acute myocarditis according to inclusion criteria. Eur Heart J Qual Care Clin Outcomes. Published 31 October 2023. doi:10.1093/ehjqcco/qcad061

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.