Violent 2nd to dementia
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:Violent behaviorClick Expand to show legacy content.
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| Category/Organ System: |
Category: Neurological (old) |
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Type: |
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| Main Diagnosis: | Violent Behaviour |
| Sub Diagnosis: | VIOLENT BEHAVIOUR |
| Diagnosis Code: | 538-00 |
| Comorbid Diagnosis: | No |
| Charlson Comorbid coding (pre ICD10): | 0 |
| Program: | Critical Care and Medicine |
| Status: | Currently Collected |
| Start Date: | May 27, 2004 |
The full name in the coding guide is "VIOLENT BEHAVIOR - 2nd TO MODERATE/ SEVERE DEMENTIA" but had to be shortened to fit on the PDA.
Causes for Violent behaviour
Can collectors please provide examples of other reasons besides Dementia that is causing violent behavior on wards????TOstryzniuk 17:06, 29 July 2008 (CDT)
- 899-3- Schizophrenia (comorbid)
- 539-00- acute Psychosis
- 599-11- 2nd to Drug OD/ETOH Intox/Withdrawal (Toxic Encephalitis) drug withdrawal/intoxication (other neurological problems)
- 540-00- Confusion/Delirium NYD
- Head Injuries (code?)
Discussion
Value of collecting VB
- Most of the examples listed here are conditions that can cause violent behavior. This is well known, i.e. if there is a diagnosis of psychosis, then violent behavior should probably be expected. If something is part of a diagnosis, it should not have to be coded separately, should it? If someone has an appendectomy we would not want to code "sutures", right? So, my question is, is there value in recording VB in this case? Ttenbergen 16:37, 20 April 2009 (CDT)
- I agree that 2nd to dementia should not be part of the VB code (538). There are definitely other reasons for VB, ICU psychosis ( a well documented ICU complication) is one of them. I think this should be left generic without a subcode. --LKolesar 11:37, 21 September 2009 (CDT)
- My humble answer is yes , it is definitely NB to record VB as with your example all surgeries require some form of sutures, clips, etc however, not all of the disease and trauma's listed cause VB 100% of the time...it is an abberant occurance that requires tons of staff/time and interventions........ W. Turner(SOGH)
- Trish, Julie: Are we actually reporting on VB in any of the ways Wendy mentions?
- My humble answer is yes , it is definitely NB to record VB as with your example all surgeries require some form of sutures, clips, etc however, not all of the disease and trauma's listed cause VB 100% of the time...it is an abberant occurance that requires tons of staff/time and interventions........ W. Turner(SOGH)
Extending Vb to non-dementia cases
- From the list of diagnoses it sounds like there are cases of VB we will not track if a collector follows the exact description. Should the "secondary to dementia" requirement be removed? Are we coding VB only for dementia at this time or for the other causes as well? Maybe sub-code 538?Ttenbergen 11:25, 21 September 2009 (CDT)