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ICD-10 Diagnostic Coding Patterns and Clinical Correlates in Refractory Chronic Cough: Analysis from the Korean Chronic Cough Registry.

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Názov: ICD-10 Diagnostic Coding Patterns and Clinical Correlates in Refractory Chronic Cough: Analysis from the Korean Chronic Cough Registry.
Autori: Shin, Min-Hye1 (AUTHOR), Lee, Young-Jae2 (AUTHOR), Park, Kyung Eun2 (AUTHOR), Kim, Yeonhee3 (AUTHOR), Won, Ha-Kyeong4 (AUTHOR), Ahn, Kyung-Min5 (AUTHOR), Shim, Ji-Su5 (AUTHOR), Kim, Min-Hye5 (AUTHOR), An, Jin6 (AUTHOR), Jeong, Jiung7 (AUTHOR), Kim, Young-Chan8 (AUTHOR), Lee, Hwa Young9 (AUTHOR), Kang, Sung-Yoon10 (AUTHOR), Park, Han-Ki11 (AUTHOR), Jo, Eun-Jung12 (AUTHOR), Lee, Seung-Eun12,13 (AUTHOR), Kim, So Ri14 (AUTHOR), Chang, Yoon-Seok15 (AUTHOR), Lee, Byung-Jae16 (AUTHOR), Morice, Alyn H.17 (AUTHOR)
Zdroj: Lung (0341-2040). 7/20/2025, Vol. 203 Issue 1, p1-6. 6p.
Predmety: *CHRONIC cough, *MEDICAL coding, *QUALITY of life, *COUGH, INTERNATIONAL Statistical Classification of Diseases & Related Health Problems
Abstrakt: The International Classification of Diseases (ICD) system plays a key role in health data classification but currently lacks a specific code for refractory chronic cough (RCC). This study analyzed ICD-10 coding patterns among 331 RCC patients enrolled in the Korean Chronic Cough Registry. Each patient had a median of 3 [IQR: 2–4] ICD-10 codes at their most recent outpatient visit. The most frequently assigned primary code was R05 (Cough), recorded in 80.4% of cases. Patients with R05 as their primary code tended to have fewer identifiable etiologies but reported more cough hypersensitivity symptoms. Additionally, the number of ICD-10 codes correlated with both cough severity and cough-specific quality-of-life impairment. In a pooled analysis including RCC and non-RCC cases, the R05 code showed high specificity (80.5%) but low sensitivity (25.8%) for RCC. These findings support the need for a dedicated ICD code to accurately capture RCC in clinical and epidemiological contexts. [ABSTRACT FROM AUTHOR]
Databáza: Academic Search Index
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Abstrakt:The International Classification of Diseases (ICD) system plays a key role in health data classification but currently lacks a specific code for refractory chronic cough (RCC). This study analyzed ICD-10 coding patterns among 331 RCC patients enrolled in the Korean Chronic Cough Registry. Each patient had a median of 3 [IQR: 2–4] ICD-10 codes at their most recent outpatient visit. The most frequently assigned primary code was R05 (Cough), recorded in 80.4% of cases. Patients with R05 as their primary code tended to have fewer identifiable etiologies but reported more cough hypersensitivity symptoms. Additionally, the number of ICD-10 codes correlated with both cough severity and cough-specific quality-of-life impairment. In a pooled analysis including RCC and non-RCC cases, the R05 code showed high specificity (80.5%) but low sensitivity (25.8%) for RCC. These findings support the need for a dedicated ICD code to accurately capture RCC in clinical and epidemiological contexts. [ABSTRACT FROM AUTHOR]
ISSN:03412040
DOI:10.1007/s00408-025-00836-0