Please click on each of the drug overdose indicators below to see the full definition:A hallmark of the DOSE System is the use of standardized syndrome definitions for suspected all drug, all opioid, heroin, and all stimulant overdoses. Learn more. A chart review study is needed to further estimate and compare the sensitivity and specificity of the three definitions. The Kentucky HD data system contains a principal diagnosis, up to 24 secondary diagnoses, and up to three designated E-code fields. Medical Definition of Toxicity. dos′ing to dose to excess 1. to take too large an amount of a narcotic, hallucinogen, etc. The 2011 age-adjusted drug overdose hospitalization rate in Kentucky was 146/100,000 population using Definition 3 and 107/100,000 population using Definition 1.The ISW7 drug overdose definition using any drug poisoning diagnosis/E-code (Definition 3) is potentially the highest sensitivity definition for counting drug overdose hospitalizations, including by intent and drug type(s) involved. Definitions 2 and 3 are the ICD-9-CM definitions of acute poisoning hospitalizations, Option A and Option B, correspondingly, taken from: Safe States. A hallmark of the DOSE System is the use of standardized syndrome definitions for suspected all drug, all opioid, heroin, and all stimulant overdoses. | Meaning, pronunciation, translations and examples overdose meaning: 1. too much of a drug taken or given at one time, either intentionally or by accident: 2. too much…. As the states enact policies and plan for adequate treatment resources, standardized drug overdose definitions are critical for accurate reporting, trend analysis, policy evaluation, and state-to-state comparison.E-code = external-cause-of-injury codeAs states enact policies and plan for adequate treatment resources for the drug overdose epidemic, standardized drug overdose definitions are critical for accurate reporting, trend analysis, policy evaluation, and state-to-state comparison. ... or advice of a legal, medical, or any other professional. 17 Three ICD-9-CM code-based case definitions for identifying drug overdose hospitalizations were compared in this study.
If more than three E-codes are used, they are entered in the diagnosis fields.Additionally, only administrative billing data were used and we were not able to calculate and compare the sensitivity of the definitions because we did not know the number of true-positive and false-negative drug overdose hospitalizations. Such a study is needed to explore possible state variations in the use of ICD-9-CM codes and evaluate how the interstate comparison could be affected by the number of -diagnoses and designated E-code fields collected by the state hospital discharge databases, and by the completeness and level of specificity of the E-codes used.ICD-9-CM definitions for drug overdose (i.e., acute drug poisoning) hospitalizationsDefinition 3 identified almost 50% more drug overdose cases than did Definition 1. Drug overdose hospitalizations by intent were based on the first-listed drug overdose E-code in the range E850–E858 (unintentional), E950 (.0–.5) (self-harm), E962.0 (assault), and E980 (.0–.5) (undetermined), starting the search from the first designated E-code field and continuing throughout the diagnosis fields if necessary. Syndrome Definition. Hospital discharge data are collected for billing purposes and reflect care for which the payers were billed.
Therefore, the reported drug overdose hospitalization rates underestimated the extent of the drug overdose epidemic among the state residents.Drug overdose hospitalizations, by intent: Kentucky, 2000–2011The objectives of this study were to examine three ICD-9-CM code-based case definitions for identifying drug overdose cases in hospitalization data, compare their abilities to classify the drug overdoses by intent and specific drug involved, and recommend an optimum surveillance definition for drug overdoses to inform policies, health-care resource allocation, substance abuse treatment planning, and prevention.Drug overdose hospitalizations, by principal diagnosis: Kentucky, 2000–2011MDMA = (3,4- methylenedioxymethamphetamine)Drug overdose hospitalizations, by drug type: Kentucky, 2000–2011This work was supported by Grant/Cooperative Agreement #5U17/CE002017 from CDC.