Title
Validation of acute myocardial infarction in the Food and Drug Administration's Mini-Sentinel program
UMMS Affiliation
Department of Medicine, Division of Geriatric Medicine; Meyers Primary Care Institute; Department of Medicine, Division of Cardiovascular Medicine
Publication Date
2013-1
Document Type
Article
Subjects
Myocardial Infarction; Algorithms; Outcome Assessment (Health Care)
Disciplines
Cardiology | Cardiovascular Diseases | Health Services Administration | Health Services Research
Abstract
PURPOSE: To validate an algorithm based upon International Classification of Diseases, 9(th) revision, Clinical Modification (ICD-9-CM) codes for acute myocardial infarction (AMI) documented within the Mini-Sentinel Distributed Database (MSDD).
METHODS: Using an ICD-9-CM-based algorithm (hospitalized patients with 410.x0 or 410.x1 in primary position), we identified a random sample of potential cases of AMI in 2009 from four Data Partners participating in the Mini-Sentinel Program. Cardiologist reviewers used information abstracted from hospital records to assess the likelihood of an AMI diagnosis based on criteria from the Joint European Society of Cardiology and American College of Cardiology Global Task Force. Positive predictive values (PPVs) of the ICD-9-based algorithm were calculated.
RESULTS: Of the 153 potential cases of AMI identified, hospital records for 143 (93%) were retrieved and abstracted. Overall, the PPV was 86.0% (95% confidence interval; 79.2%, 91.2%). PPVs ranged from 76.3% to 94.3% across the four Data Partners.
CONCLUSIONS: The overall PPV of potential AMI cases, as identified using an ICD-9-CM-based algorithm, may be acceptable for safety surveillance; however, PPVs do vary across Data Partners. This validation effort provides a contemporary estimate of the reliability of this algorithm for use in future surveillance efforts conducted using the Food and Drug Administration's MSDD.
Copyright © 2012 John Wiley & Sons, Ltd.
Keywords
UMCCTS funding
DOI of Published Version
10.1002/pds.3310
Source
Pharmacoepidemiol Drug Saf. 2013 Jan;22(1):40-54. doi: 10.1002/pds.3310. Link to article on publisher's site
Journal/Book/Conference Title
Pharmacoepidemiology and drug safety
Related Resources
PubMed ID
22745038
Repository Citation
Cutrona, Sarah L.; Toh, Sengwee; Iyer, Aarthi; Foy, Sarah; Daniel, Gregory W.; Nair, Vinit P.; Ng, Daniel; Butler, Melissa G.; Boudreau, Denise M.; Forrow, Susan; Goldberg, Robert J.; Gore, Joel M.; McManus, David D.; Racoosin, Judith A.; and Gurwitz, Jerry H., "Validation of acute myocardial infarction in the Food and Drug Administration's Mini-Sentinel program" (2013). Meyers Primary Care Institute Publications and Presentations. 591.
https://escholarship.umassmed.edu/meyers_pp/591
