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Member Research & Reports

Member Research & Reports

Kentucky: Using Electronic Health Record Data to Confirm Opioid Overdose Surveillance

Data is power in the fight against the opioid overdose epidemic. But clinical information does not always paint a clear picture of the number and type of overdoses coming into emergency departments nationwide. A team of researchers from the Kentucky Injury Prevention and Research Center (KIPRC) at the University of Kentucky College of Public Health launched an investigation designed to provide clarity. The resulting publication appears in Public Health Reports.

The goal of the study led by Dr. Svetla Slavova, associate professor of biostatistics in the College of Public Health and faculty investigator at KIPRC, was to estimate the positive predictive value (PPV) of case definitions identifying emergency department (ED) visits for heroin or other opioid poisonings, using billing records with International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codess.

The study findings suggest that heroin or other opioid poisoning surveillance definitions that include multiple diagnoses (first-listed and secondary) would identify a high percentage of true-positive cases.

Dr. Svetla Slavova is first and corresponding author of ” ICD-10-CM-Based Definitions for Emergency Department Opioid Poisoning Surveillance: Electronic Health Record Case Confirmation Study “, published in Public Health Reports . Co-authors are Dr. Dana Quesinberry, Dr. Julia Costich, Ms. Emilia Pasalic, Mr. Pedro Martinez, Ms. Sarah Eustice, Dr. Peter Akpunonu, and Dr. Terry Bunn.

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