Cardiogenic Shock
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, cardiogenicClick Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Cardiovascular Problems (old) |
|
Type: |
[[:Category: Medical Problem (old)]][[Category: Medical Problem (old)]] |
| Main Diagnosis: | Cardiogenic Shock |
| Sub Diagnosis: | YES -See Cardiogenic Shock |
| Diagnosis Code: | 10100 - Cardiogenic Shock |
| Comorbid Diagnosis: | NO |
| Charlson Comorbid coding (pre ICD10): | 0 |
| Program: | Critical Care and Medicine |
| Status: | Currently Collected
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Guidelines
- 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.........
- Definite pulmonary edema &
- CI < 2.2 &
- PWP > 20&
- Requiring inotropic support
- 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 --LKolesar 08:21, 2012 November 27 (EST)
- 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. Trish Ostryzniuk 21:27, 2012 November 27 (EST)
- 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 --LKolesar 08:21, 2012 November 27 (EST)
- What would the ejection fraction be that staff would need to look for? -Trish Ostryzniuk 21:27, 2012 November 27 (EST)
- 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. Trish Ostryzniuk 21:27, 2012 November 27 (EST)
- 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 is Palliative Care or dies before being sent to the ICU. TOstryzniuk 18:50, 1 June 2009 (CDT)
Radical simplification...?
Template: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
- SubDX 7-Never used.Trish Ostryzniuk 17:32, 2012 June 20 (CDT)