{"id":"https://openalex.org/W4289169756","doi":"https://doi.org/10.1186/s12911-022-01947-x","title":"The impact of changes in coding on mortality reports using the example of sepsis","display_name":"The impact of changes in coding on mortality reports using the example of sepsis","publication_year":2022,"publication_date":"2022-08-01","ids":{"openalex":"https://openalex.org/W4289169756","doi":"https://doi.org/10.1186/s12911-022-01947-x","pmid":"https://pubmed.ncbi.nlm.nih.gov/35915500"},"language":"en","primary_location":{"id":"doi:10.1186/s12911-022-01947-x","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-022-01947-x","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-022-01947-x","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-022-01947-x","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059823433","display_name":"Catherine Atkin","orcid":"https://orcid.org/0000-0003-0596-8515"},"institutions":[{"id":"https://openalex.org/I1308923049","display_name":"University Hospitals Birmingham NHS Foundation Trust","ror":"https://ror.org/014ja3n03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1308923049"]},{"id":"https://openalex.org/I4210142469","display_name":"Health Data Research UK","ror":"https://ror.org/04rtjaj74","country_code":"GB","type":"nonprofit","lineage":["https://openalex.org/I4210142469"]},{"id":"https://openalex.org/I79619799","display_name":"University of Birmingham","ror":"https://ror.org/03angcq70","country_code":"GB","type":"education","lineage":["https://openalex.org/I79619799"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Catherine Atkin","raw_affiliation_strings":["PIONEER, HDR-UK Health Data Research Hub in Acute Care, Institute of Inflammation and Ageing, University Hospitals Birmingham NHS Foundation Trust, University of Birmingham, Edgbaston, Birmingham, B15 2GW, UK. c.atkin@nhs.net","PIONEER, HDR-UK Health Data Research Hub in Acute Care, Institute of Inflammation and Ageing, University Hospitals Birmingham NHS Foundation Trust, University of Birmingham, Edgbaston, Birmingham, B15 2GW, UK"],"raw_orcid":"https://orcid.org/0000-0003-0596-8515","affiliations":[{"raw_affiliation_string":"PIONEER, HDR-UK Health Data Research Hub in Acute Care, Institute of Inflammation and Ageing, University Hospitals Birmingham NHS Foundation Trust, University of Birmingham, Edgbaston, Birmingham, B15 2GW, UK. c.atkin@nhs.net","institution_ids":["https://openalex.org/I1308923049"]},{"raw_affiliation_string":"PIONEER, HDR-UK Health Data Research Hub in Acute Care, Institute of Inflammation and Ageing, University Hospitals Birmingham NHS Foundation Trust, University of Birmingham, Edgbaston, Birmingham, B15 2GW, UK","institution_ids":["https://openalex.org/I1308923049","https://openalex.org/I4210142469","https://openalex.org/I79619799"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008368049","display_name":"Tanya Pankhurst","orcid":"https://orcid.org/0000-0002-8341-668X"},"institutions":[{"id":"https://openalex.org/I1308923049","display_name":"University Hospitals Birmingham NHS Foundation Trust","ror":"https://ror.org/014ja3n03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1308923049"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Tanya Pankhurst","raw_affiliation_strings":["Renal Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Renal Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK","institution_ids":["https://openalex.org/I1308923049"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070014125","display_name":"David McNulty","orcid":"https://orcid.org/0000-0002-6337-3395"},"institutions":[{"id":"https://openalex.org/I1308923049","display_name":"University Hospitals Birmingham NHS Foundation Trust","ror":"https://ror.org/014ja3n03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1308923049"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"David McNulty","raw_affiliation_strings":["Department of Health Informatics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Informatics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK","institution_ids":["https://openalex.org/I1308923049"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088215968","display_name":"A. Keogh","orcid":null},"institutions":[{"id":"https://openalex.org/I1308923049","display_name":"University Hospitals Birmingham NHS Foundation Trust","ror":"https://ror.org/014ja3n03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1308923049"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ann Keogh","raw_affiliation_strings":["University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK","institution_ids":["https://openalex.org/I1308923049"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074346105","display_name":"Suzy Gallier","orcid":"https://orcid.org/0000-0003-1026-4125"},"institutions":[{"id":"https://openalex.org/I1308923049","display_name":"University Hospitals Birmingham NHS Foundation Trust","ror":"https://ror.org/014ja3n03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1308923049"]},{"id":"https://openalex.org/I4210142469","display_name":"Health Data Research UK","ror":"https://ror.org/04rtjaj74","country_code":"GB","type":"nonprofit","lineage":["https://openalex.org/I4210142469"]},{"id":"https://openalex.org/I79619799","display_name":"University of Birmingham","ror":"https://ror.org/03angcq70","country_code":"GB","type":"education","lineage":["https://openalex.org/I79619799"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Suzy Gallier","raw_affiliation_strings":["Department of Health Informatics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK","PIONEER, HDR-UK Health Data Research Hub in Acute Care, University of Birmingham, Birmingham, B15 2GW, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Informatics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK","institution_ids":["https://openalex.org/I1308923049"]},{"raw_affiliation_string":"PIONEER, HDR-UK Health Data Research Hub in Acute Care, University of Birmingham, Birmingham, B15 2GW, UK","institution_ids":["https://openalex.org/I4210142469","https://openalex.org/I79619799"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027607628","display_name":"Duilio Pagano","orcid":"https://orcid.org/0000-0003-3987-9262"},"institutions":[{"id":"https://openalex.org/I1308923049","display_name":"University Hospitals Birmingham NHS Foundation Trust","ror":"https://ror.org/014ja3n03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1308923049"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Domenico Pagano","raw_affiliation_strings":["Cardiac Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiac Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK","institution_ids":["https://openalex.org/I1308923049"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031412055","display_name":"Elizabeth Sapey","orcid":"https://orcid.org/0000-0003-3454-5482"},"institutions":[{"id":"https://openalex.org/I1308923049","display_name":"University Hospitals Birmingham NHS Foundation Trust","ror":"https://ror.org/014ja3n03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1308923049"]},{"id":"https://openalex.org/I4210142469","display_name":"Health Data Research UK","ror":"https://ror.org/04rtjaj74","country_code":"GB","type":"nonprofit","lineage":["https://openalex.org/I4210142469"]},{"id":"https://openalex.org/I79619799","display_name":"University of Birmingham","ror":"https://ror.org/03angcq70","country_code":"GB","type":"education","lineage":["https://openalex.org/I79619799"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Elizabeth Sapey","raw_affiliation_strings":["Department of Acute Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK","PIONEER, HDR-UK Health Data Research Hub in Acute Care, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, B15 2GW, UK"],"raw_orcid":"https://orcid.org/0000-0003-3454-5482","affiliations":[{"raw_affiliation_string":"Department of Acute Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, UK","institution_ids":["https://openalex.org/I1308923049"]},{"raw_affiliation_string":"PIONEER, HDR-UK Health Data Research Hub in Acute Care, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, B15 2GW, UK","institution_ids":["https://openalex.org/I4210142469","https://openalex.org/I79619799"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5042238057","display_name":"Simon Ball","orcid":"https://orcid.org/0000-0001-7410-5268"},"institutions":[{"id":"https://openalex.org/I1308923049","display_name":"University Hospitals Birmingham NHS Foundation Trust","ror":"https://ror.org/014ja3n03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1308923049"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Simon Ball","raw_affiliation_strings":["HDR-UK Midlands Site, University Hospitals Birmingham NHS Foundation Trust, Edgbaston, Birmingham, B15 2GW, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HDR-UK Midlands Site, University Hospitals Birmingham NHS Foundation Trust, Edgbaston, Birmingham, B15 2GW, UK","institution_ids":["https://openalex.org/I1308923049"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5059823433"],"corresponding_institution_ids":["https://openalex.org/I1308923049","https://openalex.org/I4210142469","https://openalex.org/I79619799"],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":1.5414,"has_fulltext":true,"cited_by_count":8,"citation_normalized_percentile":{"value":0.87676738,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"22","issue":"1","first_page":"204","last_page":"204"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.6620000004768372,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.6620000004768372,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.27230000495910645,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.0052999998442828655,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sepsis","display_name":"Sepsis","score":0.8575171232223511},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.8283358812332153},{"id":"https://openalex.org/keywords/case-mix-index","display_name":"Case mix index","score":0.6050442457199097},{"id":"https://openalex.org/keywords/coding","display_name":"Coding (social sciences)","score":0.5603621006011963},{"id":"https://openalex.org/keywords/diagnosis-code","display_name":"Diagnosis code","score":0.5078874230384827},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.4507182240486145},{"id":"https://openalex.org/keywords/pediatrics","display_name":"Pediatrics","score":0.38635775446891785},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.25556427240371704},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.1638670265674591},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.09167444705963135}],"concepts":[{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.8575171232223511},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8283358812332153},{"id":"https://openalex.org/C88579808","wikidata":"https://www.wikidata.org/wiki/Q1046955","display_name":"Case mix index","level":2,"score":0.6050442457199097},{"id":"https://openalex.org/C179518139","wikidata":"https://www.wikidata.org/wiki/Q5140297","display_name":"Coding (social sciences)","level":2,"score":0.5603621006011963},{"id":"https://openalex.org/C45827449","wikidata":"https://www.wikidata.org/wiki/Q5270338","display_name":"Diagnosis code","level":3,"score":0.5078874230384827},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4507182240486145},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.38635775446891785},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.25556427240371704},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.1638670265674591},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.09167444705963135},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004739","descriptor_name":"England","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D004739","descriptor_name":"England","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D004739","descriptor_name":"England","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D004739","descriptor_name":"England","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018805","descriptor_name":"Sepsis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D018805","descriptor_name":"Sepsis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D018805","descriptor_name":"Sepsis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D018805","descriptor_name":"Sepsis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D038801","descriptor_name":"International Classification of Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D038801","descriptor_name":"International Classification of Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D038801","descriptor_name":"International Classification of Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D038801","descriptor_name":"International Classification of Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.1186/s12911-022-01947-x","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-022-01947-x","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-022-01947-x","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:35915500","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35915500","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:doaj.org/article:adcbcdcae65f409e9f66b9a752c6bdba","is_oa":true,"landing_page_url":"https://doaj.org/article/adcbcdcae65f409e9f66b9a752c6bdba","pdf_url":null,"source":{"id":"https://openalex.org/S112646816","display_name":"SHILAP Revista de lepidopterolog\u00eda","issn_l":"0300-5267","issn":["0300-5267","2340-4078"],"is_oa":true,"is_in_doaj":true,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Medical Informatics and Decision Making, Vol 22, Iss 1, Pp 1-10 (2022)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9341053","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9341053","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Med Inform Decis Mak","raw_type":"Text"},{"id":"pmh:oai:pure.atira.dk:openaire_cris_publications/77bdce0e-1a49-461b-87bb-4e088542848d","is_oa":true,"landing_page_url":"https://research.birmingham.ac.uk/en/publications/77bdce0e-1a49-461b-87bb-4e088542848d","pdf_url":null,"source":{"id":"https://openalex.org/S4306402634","display_name":"University of Birmingham Research Portal (University of Birmingham)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I79619799","host_organization_name":"University of Birmingham","host_organization_lineage":["https://openalex.org/I79619799"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Atkin, C, Pankhurst, T, McNulty, D, Keogh, A, Gallier, S, Pagano, D, Sapey, E & Ball, S 2022, 'The impact of changes in coding on mortality reports using the example of sepsis', BMC Medical Informatics and Decision Making, vol. 22, no. 1, 204. https://doi.org/10.1186/s12911-022-01947-x","raw_type":"article"},{"id":"pmh:oai:pure.atira.dk:publications/77bdce0e-1a49-461b-87bb-4e088542848d","is_oa":true,"landing_page_url":"https://birmingham.elsevierpure.com/en/publications/77bdce0e-1a49-461b-87bb-4e088542848d","pdf_url":null,"source":{"id":"https://openalex.org/S4306402634","display_name":"University of Birmingham Research Portal (University of Birmingham)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I79619799","host_organization_name":"University of Birmingham","host_organization_lineage":["https://openalex.org/I79619799"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":""}],"best_oa_location":{"id":"doi:10.1186/s12911-022-01947-x","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-022-01947-x","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-022-01947-x","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.8299999833106995,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"awards":[{"id":"https://openalex.org/G6151255482","display_name":null,"funder_award_id":"MC_PC_21015","funder_id":"https://openalex.org/F4320334626","funder_display_name":"Medical Research Council"},{"id":"https://openalex.org/G960871841","display_name":null,"funder_award_id":"MC_PC_21028","funder_id":"https://openalex.org/F4320334626","funder_display_name":"Medical Research Council"}],"funders":[{"id":"https://openalex.org/F4320314731","display_name":"UK Research and Innovation","ror":"https://ror.org/001aqnf71"},{"id":"https://openalex.org/F4320319994","display_name":"Department of Health and Social Care","ror":"https://ror.org/03sbpja79"},{"id":"https://openalex.org/F4320334626","display_name":"Medical Research Council","ror":"https://ror.org/03x94j517"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4289169756.pdf","grobid_xml":"https://content.openalex.org/works/W4289169756.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1560478899","https://openalex.org/W1876186385","https://openalex.org/W2088434215","https://openalex.org/W2100732733","https://openalex.org/W2101082552","https://openalex.org/W2119680467","https://openalex.org/W2120905469","https://openalex.org/W2153239986","https://openalex.org/W2169285498","https://openalex.org/W2280404143","https://openalex.org/W2346817790","https://openalex.org/W2461470684","https://openalex.org/W2464417828","https://openalex.org/W2755626276","https://openalex.org/W2798105817","https://openalex.org/W2895850978","https://openalex.org/W2945284044","https://openalex.org/W2981421213","https://openalex.org/W2991272467","https://openalex.org/W3106297998","https://openalex.org/W4205416776"],"related_works":["https://openalex.org/W2408010109","https://openalex.org/W2083479052","https://openalex.org/W4361987823","https://openalex.org/W2025193597","https://openalex.org/W2042489430","https://openalex.org/W3097772957","https://openalex.org/W4289169756","https://openalex.org/W2341559705","https://openalex.org/W2883566781","https://openalex.org/W3006422665"],"abstract_inverted_index":{"OBJECTIVES:":[0],"NHS":[1,70],"Digital":[2],"issued":[3],"new":[4],"guidance":[5,308],"on":[6],"sepsis":[7,26,136,151,173,193,220,241,294],"coding":[8,57,203,221],"in":[9,16,34,47,56,72,110,147,163,192,202,209,219,228,239,268,280,296],"April":[10,17,75,140,175],"2017":[11,141],"which":[12],"was":[13,143,235],"further":[14],"modified":[15],"2018.":[18],"During":[19],"these":[20,215,252],"timeframes":[21],"some":[22,35],"centres":[23],"reported":[24,31,48],"increased":[25],"associated":[27,95,194,236,242],"mortality,":[28,33,243],"whilst":[29],"others":[30],"reduced":[32],"cases":[36],"coincident":[37,266],"with":[38,85,96,131,150,168,237],"specific":[39,207,278],"quality":[40],"improvement":[41,208],"programmes.":[42],"We":[43],"hypothesised":[44],"that":[45,230,276],"changes":[46,55,162,238,267,279],"mortality":[49,195,281],"could":[50,211],"not":[51],"be":[52,212,254,283],"separated":[53,213,284],"from":[54,63,74,214,285],"practice.":[58,270],"METHODS:":[59],"Hospital":[60],"Episode":[61],"Statistics":[62],"the":[64,97,124,154,164,199,248],"Admitted":[65],"Patient":[66,114],"Care":[67],"dataset":[68],"for":[69,99,157,261],"hospitals":[71],"England,":[73,297],"2016":[76],"to":[77,247,304],"March":[78],"2020":[79],"were":[80,112,116,137,160],"analysed.":[81],"Admissions":[82],"of":[83,90,135,166,172,179,250],"adults":[84],"sepsis:":[86],"an":[87],"International":[88],"Classification":[89],"Diseases":[91],"10":[92],"(ICD-10)":[93],"code":[94],"Agency":[98],"Healthcare":[100],"Research":[101],"and":[102,182,225],"Quality":[103],"Clinical":[104],"Classifications":[105],"Software":[106],"class":[107],"'Septicaemia":[108],"(except":[109],"labour)',":[111],"assessed.":[113],"comorbidities":[115],"defined":[117,188],"by":[118],"other":[119],"ICD-10":[120],"codes":[121],"recorded":[122],"within":[123],"admission":[125,148],"episode.":[126],"RESULTS:":[127],"1,081,565":[128],"hospital":[129,181],"episodes":[130,149],"a":[132,144,169,189],"coded":[133,152],"diagnosis":[134,171],"studied.":[138],"After":[139],"there":[142],"significant":[145,161],"increase":[146],"as":[153,185,257,264],"primary":[155,170],"reason":[156],"admission.":[158],"There":[159],"case-mix":[165,224],"patients":[167],"after":[174],"2017.":[176],"An":[177],"analysis":[178,274],"case-mix,":[180],"year":[183],"treated":[184],"random":[186],"effects,":[187],"small":[190],"reduction":[191],"across":[196],"England":[197],"following":[198],"first":[200],"change":[201,251],"guidance.":[204],"No":[205],"centre":[206,277,302],"outcome":[210],"random-effects.":[216],"CONCLUSION:":[217],"Changes":[218],"practice":[222],"altered":[223],"case":[226],"selection,":[227],"ways":[229],"varied":[231],"between":[232],"centres.":[233],"This":[234],"centre-specific":[240],"over":[244],"time.":[245],"According":[246],"direction":[249],"may":[253],"interpreted":[255],"either":[256],"requiring":[258],"local":[259],"investigation":[260],"cause":[262],"or":[263,306,309],"supporting":[265],"clinical":[269],"A":[271],"whole":[272],"system":[273],"showed":[275],"cannot":[282],"system-wide":[286],"changes.":[287],"Caution":[288],"is":[289],"therefore":[290],"required":[291],"when":[292,299],"interpreting":[293],"outcomes":[295],"particularly":[298],"using":[300],"single":[301],"studies":[303],"inform":[305],"support":[307],"policy.":[310]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":1}],"updated_date":"2026-05-05T08:41:31.759640","created_date":"2025-10-10T00:00:00"}