Feasibility of using the national hospital discharge survey to estimate the prevalence of selected birth defects

Boulet, Sheree L.; Correa‐Villaseñor, Adolfo; Hsia, Jason; Atrash, Hani K.

doi:10.1002/bdra.20291

Cited by 17 publications

(16 citation statements)

References 12 publications

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“…Considering only the first year of life may be accounted as a conservative prevalence estimation. Similarly in another prevalence study estimating birth defects using US hospital discharges, they found a tendency towards underestimation [18]. But the estimated prevalence of 3.6 per 10,000 newborns is comparable to existing prevalence studies [5][6][7][8][9][10][11][12].…”

Section: Discussionsupporting

confidence: 64%

Prevalence estimation of anorectal malformations using German diagnosis related groups system

Jenetzky

2007

Pediatr Surg Int

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Without major registries, true prevalence of rare congenital diseases is not known. Estimations for occurrence of anorectal malformation (ARM) are based on monitoring centers and epidemiological studies. The new German economical system for payment of inpatient care (G-DRG) obligates the report of each hospitalization, including diagnoses and procedures. These codes and classifications originally developed for morbidity statistics are now misused for economical purposes. Is there an epidemiological use? We present a new method to estimate national wide prevalence rate of congenital malformations exemplarily for imperforated anus. Due to the new German DRG-system, treatment data collections of the years 2002-2005 are freely accessible. This method is applicable if a life saving surgery is mandatory for newborns and has to be ciphered by specific codes. Overall, in German hospitals 1,012 children below 1 year of age are surgically treated with a reconstructive anorectal surgery during the period of 4 years. In the same time 2,817,388 babies are born in Germany. Hence the national wide prevalence rate is about 3.6 (95% CI: 3.4-3.8) per 10,000 or 1:2,784 for all different types of anal atresia requiring surgery. Main ICD-10 diagnosis Q42 was given twice this rate, probably due to at least two hospitalizations in the newborn period. The economic data of the G-DRG system can be used to estimate yearly prevalence of some rare congenital diseases in Germany, in case of specific surgical procedures. It may be a useful supplement to smaller regional registries because of larger size. Further calculations for other epidemiological questions have to be faced.

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Section: Discussionsupporting

confidence: 64%

Prevalence estimation of anorectal malformations using German diagnosis related groups system

Jenetzky

2007

Pediatr Surg Int

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“…Under‐enumeration will also occur when the time allowed for diagnosis is limited; a recent population‐based study found that 12% of children with CPO were diagnosed after 1 year of age . Use of administrative databases (such as hospital discharge surveys and birth certificate data) for case identification also significantly underestimates prevalence of OFCs (both CL ± P and CPO) …”

Section: Commentmentioning

confidence: 99%

“…53 Use of administrative databases (such as hospital discharge surveys and birth certificate data) for case identification also significantly underestimates prevalence of OFCs (both CL ± P and CPO). 54 The association between alcohol and OFCs is potentially susceptible to confounding by other factors such as maternal age, parity, obstetric history, pregnancy planning, alcohol metabolism, diet, medications, smoking tobacco, and use of illicit substances. 55 While tobacco smoking during pregnancy increases the risk of CL ± P by 34%, and CPO by 22%, 56 only nine studies reported their association between alcohol and OFCs adjusted for smoking and other covariates.…”

Section: Commentmentioning

confidence: 99%

Maternal Alcohol Consumption during Pregnancy and the Risk of Orofacial Clefts in Infants: a Systematic Review and Meta‐Analysis

Bell

Raynes‐Greenow

Turner

et al. 2014

Paediatric Perinatal Epid

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“…The NHDS is a continuous national probability survey, intended to gather and disseminate information on the inpatient utilization of non-Federal short stay hospitals (Dennison & Pokras, 2000;National Center for Health Statistics, 2007a). The data within the NHDS is derived from the medical records of inpatients discharged from a national sample of approximately 500 hospitals (Boulet et al, 2006). The NHDS is considered to be the principle source of national level data on the characteristics of patients discharged from these hospitals (Lou & Zack, 2005).…”

Section: Definition and History Of The Nhdsmentioning

confidence: 99%

Periodicity of Epidemics of Invasive Disease due to Infection With Streptococcus pneumoniae in the United States

Eckrode

Morrell

et al. 2010

Annals of Epidemiology

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Despite the availability of vaccines, every year 40,000 individuals die due to the direct effect of Invasive Pneumococcal Disease (IPD) or its complications. IPD has been associated with 100,000-135,000 hospitalizations for pneumonia, 57,000 cases of bacteremia, and 300 cases of meningitis in the United States every year. Little is known about IPD epidemic patterns beyond annual seasonality, and this lack of understanding has limited the ability to detect early changes in IPD epidemiology that may lead to large outbreaks. To mitigate this gap in understanding, a retrospective cohort design study was conducted using a population-based cohort from the National Hospital Discharge Survey for the period 1979-2006. This study set out to determine whether invasive infection by S. pneumoniae in the United States occurs in an epidemic pattern of a predictable recurrent nature and definable frequency. The theoretical basis for the study was drawn from the dynamic modeling of stochastic epidemic systems, and the analysis utilized time-series methods to examine the data. These analyses lead to the finding that IPD epidemics demonstrate a chaotic dynamic and a discrete, non-Markov process; that is, there is no predictable pattern to epidemics of IPD. The results of this study, that recurrent events consistent with periodic epidemics could not be identified, provide support for the current method of IPD surveillance and existing models of IPD dynamics. The present practice of mass vaccination by risk group, as opposed to vaccination for a predicted outbreak, is supported by the results of this study. These evidence-supported interventions will yield significant reductions in the morbidity and mortality associated with IPD, and the positive social change that results from improved health outcomes, reductions in suffering, and decreased health care costs.

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Feasibility of using the national hospital discharge survey to estimate the prevalence of selected birth defects

Cited by 17 publications

References 12 publications

Prevalence estimation of anorectal malformations using German diagnosis related groups system

Prevalence estimation of anorectal malformations using German diagnosis related groups system

Maternal Alcohol Consumption during Pregnancy and the Risk of Orofacial Clefts in Infants: a Systematic Review and Meta‐Analysis

Periodicity of Epidemics of Invasive Disease due to Infection With Streptococcus pneumoniae in the United States

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