Supportive treatment includes fluid resuscitation, electrolyte abnormalities correction, and organ failure support. Although both invasive and noninvasive methods have been used in clinical practice, no prospective study has demonstrated the superiority of either method. The targets of cooling are to reduce the body core temperature to 39 ☌ within 10–40 min and to 38.5 ☌ or below within 2 h. Rapid and effective cooling, along with supportive measures, are the standard treatment of heat stroke. Nonexertional heat stroke, also called classic heat stroke, is common among elderly patients exposed to prolonged hot and humid environments, while exertional heat stroke frequently occurs in active young adults who undergo extreme exertion at high temperatures. Heat stroke is categorized as either nonexertional and exertional. It is characterized by a core body temperature of more than 40 ☌, combined with hot, dry skin and alteration of the central nervous system. Heat stroke is the most severe form of heat-related illness. The impact of heat stress has become an important issue as the average global temperature has increased. Acute kidney injury was associated with several complications, and higher mortality and resource utilization. Approximately one third of heat stroke patients developed acute kidney injury during hospitalization. Length of hospital stay and hospitalization cost were higher in acute kidney injury patients. Acute kidney injury was associated with electrolyte and acid-base derangements, sepsis, acute myocardial infarction, ventricular arrhythmia or cardiac arrest, respiratory, circulatory, liver, neurological, hematological failure, and in-hospital mortality. The need for mechanical ventilation and blood transfusion was higher when acute kidney injury occurred. The risk factors for acute kidney injury included age 20–39 years, African American race, obesity, chronic kidney disease, congestive heart failure, and rhabdomyolysis, whereas age <20 or ≥60 years were associated with lower risk of acute kidney injury. Acute kidney injury occurred in 1206 (36%) admissions, of which 49 (1.5%) required dialysis. A total of 3346 hospital admissions were included in the analysis. The associations between acute kidney injury and clinical characteristics, in-hospital treatments, outcomes, and resource utilization were assessed using multivariable analyses. The occurrence of acute kidney injury during hospitalization was identified using the hospital diagnosis code. End stage kidney disease patients were excluded. Hospitalized patients from years 2003 to 2014 with a primary diagnosis of heat stroke were identified in the National Inpatient Sample dataset. As part of the 2020 update to the ICD-10-CM code set, CMS added four new codes for AF, which went into effect on January 1, 2020.This study aims to evaluate the risk factors and the association of acute kidney injury with treatments, complications, outcomes, and resource utilization in patients hospitalized for heat stroke in the United States. ICD-10-CM codes for AF are found in code category I48.- (AF and flutter). The work involved with ordering the prescription is included in the E/M code for the encounter. Coders shouldn’t report a drug code for the prescription unless the medication is administered by a healthcare professional in an office or clinic. The first avenue of treatment for AF is typically the prescription of antiarrhythmics (e.g., propafenone, sotalol) or anticoagulants (e.g., apixaban, edoxaban), according to Cleveland Clinic. Some people living with AF, however, experience no symptoms and are unaware of their condition until it’s discovered during a physical examination. I48.9 – Unspecified atrial fibrillation and atrial flutterĪccording to the CDC, commonly reported symptoms of AF include:.I48.20 – Chronic atrial fibrillation, unspecified I48.19 – Other persistent atrial fibrillation I48.11 – Longstanding persistent atrial fibrillation I48.91 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10 code I48.91 for Unspecified atrial fibrillation is a medical classification as listed by WHO under the range – Diseases of the circulatory system. Let us learn about ICD 10 code used for Atrial Fibrillation by medical coders as per ICD 10 coding guidelines. It is a quivering or irregular heartbeat that can lead to blood clots, stroke, and other heart-related complications. Atrial fibrillation (AF) is the most common type of heart arrhythmia, according to the Centers for Disease Control and Prevention (CDC).
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