Cardiogenic Shock: Difference between revisions

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m Text replacement - "Cardiovascular Problems Problems" to "Cardiovascular Problems"
 
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{{DX tag | Cardiovascular Problems |[[:Category: Medical Problem  | Medical Problem]] | [[:Category: Cardiogenic Shock | Cardiogenic Shock]] |YES -See [[:Category: Cardiogenic Shock | Cardiogenic Shock]] | [[10100 - Cardiogenic Shock]]  | NO | 0 | '''Critical Care and Medicine''' | Currently Collected | |}}
{{PreICD10 dx | NewDxArticle = Shock, cardiogenic}}  


== {{g| Guidelines}} ==
{{DX tag | Cardiovascular Problems |Medical Problem| Cardiogenic Shock |
:ICU: These are meant to be simple minimal criteria though it is understood that not all patients will fall nicely into all listed criteria. Remember, use your judgement.........
* 10100 - CARDIOGENIC SHOCK
* Definite pulmonary edema &
* 10101 -  Myocardial Infarct
* CI < 2.2 &
* 10102 -  Cardiomyopathy
* PWP > 20&
* 10103 -  Poisoning/Cytotoxic Agents
* Requiring inotropic support
* 10104 - Valvular Disease
* 10105 - Post OP
* 10106 -  Etiology NYD
* 10108 -  Iatrogenic- Drug Induced
* 10190 -  Other
* 10197 -  this hosp adm but prior to ward adm
| 10100 - Cardiogenic Shock  | NO | 0 | '''Critical Care and Medicine''' | Currently Collected | |}}


**Please clarify this criteria.  Do you mean any one of the items listed above constitute cardiogenic shock or does a pt require one of the firt 3 criteria and also the 4th?? I think we should also mention an ejection fraction if an echo was done which is usually easier to obtain than CI or PWP --[[User:LKolesar|LKolesar]] 08:21, 2012 November 27 (EST)
== Guidelines ==
*** The above are very simple criteria, to help guide collectors.  For all DX we ask the you use your judgement, if Doc calling it Cardiogenic and is treating it as such then code it. A few of our DX codes have quite specific criteria, but for most part, we cannot make precise criteria for all.  As you know, patients don't always precisely meet all listed criteria.    We also don't want to make all DX code guidelines overly complicated. We have a few already. [[User:TOstryzniuk|Trish Ostryzniuk]] 21:27, 2012 November 27 (EST) 
:ICU: These are meant to be criteria to consider in cardiogenic shock.  It is understood that not all patients will fall nicely into all listed criteria.  Remember, use your judgement.........
*What would the ejection fraction be that staff would need to look for? -[[User:TOstryzniuk|Trish Ostryzniuk]] 21:27, 2012 November 27 (EST)
#  the patient is in shock
*All staff are part of developing collection guide.  You or Lois could ask a Doc in cardiac sciences or cardiology who could help provide even more simple guidelines for collectors, and you can change them here. [[User:TOstryzniuk|Trish Ostryzniuk]] 21:27, 2012 November 27 (EST) 
# there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult.   
# parameters to consider for diagnosis of cardiogenic shock:
#*Definite pulmonary edema
#*May require ventilation for pulmonary edema.
#*May require IABP
#*CI < 2.2
#*PWP > 20
#*Requiring inotropic support
#*Ejection fraction <35%
#*Current diagnosis of ACS or cardiomyopathy
#*Current diagnosis of severe cardiac valve disease.


:Medicine ward:
===Medicine ward===
* Is not{{g | normally}} managed on a medicine ward therefore we would not see it as an admitting diagnosis.  Cardiogenic shock can be a '''complication''' that occurs on a medicine ward which {{g | usually}} requires a transfer to the ICU unless the patient is [[Palliative Care]] or dies before being sent to the ICU. [[User:TOstryzniuk|TOstryzniuk]] 18:50, 1 June 2009 (CDT)
* Is not normally managed on a medicine ward therefore we would not see it as an admitting diagnosis.  Cardiogenic shock can be a '''complication''' that occurs on a medicine ward which usually requires a transfer to the ICU unless the patient receives palliative care or dies before being sent to the ICU. [[User:TOstryzniuk|TOstryzniuk]] 18:50, 1 June 2009 (CDT)
 
== Radical simplification...? ==
{{discussion}}
If the requirements for ICU are not special requirements for our data collection then I propose deleting the entire section. Collectors should know enough to find a diagnosis, right? The only reason to be specific here is if we as a program have decided on a specific definition. If the ones above are all just examples and suggestions, then we should delete and clean up the discussion. Unless someone comments to the contrary I'll clean this up next time I come across the article. Ttenbergen 22:01, 2012 November 28 (EST)


== Legacy ==
== Legacy ==
* SubDX 7-Never used.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:32, 2012 June 20 (CDT)
* SubDX 7-Never used.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:32, 2012 June 20 (CDT)
[[Category: Cardiogenic Shock]]
[[Category: Diagnosis Coding]]
[[Category: Questions_Diagnosis]]

Latest revision as of 08:43, 24 January 2019


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Shock, cardiogenic

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Cardiovascular Problems (old)

Type:

Category:Medical Problem (old)

Main Diagnosis: Cardiogenic Shock
Sub Diagnosis:
  • 10100 - CARDIOGENIC SHOCK
  • 10101 - Myocardial Infarct
  • 10102 - Cardiomyopathy
  • 10103 - Poisoning/Cytotoxic Agents
  • 10104 - Valvular Disease
  • 10105 - Post OP
  • 10106 - Etiology NYD
  • 10108 - Iatrogenic- Drug Induced
  • 10190 - Other
  • 10197 - this hosp adm but prior to ward adm
Diagnosis Code: 10100 - Cardiogenic Shock
Comorbid Diagnosis: NO
Charlson Comorbid coding (pre ICD10): 0
Program: Critical Care and Medicine
Status: Currently Collected


Guidelines

ICU: These are meant to be criteria to consider in cardiogenic shock. It is understood that not all patients will fall nicely into all listed criteria. Remember, use your judgement.........
  1. the patient is in shock
  2. there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult.
  3. parameters to consider for diagnosis of cardiogenic shock:
    • Definite pulmonary edema
    • May require ventilation for pulmonary edema.
    • May require IABP
    • CI < 2.2
    • PWP > 20
    • Requiring inotropic support
    • Ejection fraction <35%
    • Current diagnosis of ACS or cardiomyopathy
    • Current diagnosis of severe cardiac valve disease.

Medicine ward

  • Is not normally managed on a medicine ward therefore we would not see it as an admitting diagnosis. Cardiogenic shock can be a complication that occurs on a medicine ward which usually requires a transfer to the ICU unless the patient receives palliative care or dies before being sent to the ICU. TOstryzniuk 18:50, 1 June 2009 (CDT)

Legacy

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