Table 2 Performance of EHR-based strategies to define ARDS compared to manual Berlin reference standard
| Â | EHR-Berlin definition | Diagnosis code (J80) | Diagnosis code combination (J80, J96.0, J96.2) | Clinician-documented diagnosis |
|---|---|---|---|---|
Cohen’s kappa | 0.85 | 0.61 | 0.63 | 0.70 |
Sensitivity, % | 93 (86–97) | 76 (67–84) | 80 (81–88) | 85 (77–91) |
Specificity, % | 92 (83–97) | 87 (77–93) | 84 (73–91) | 85 (75–92) |
Positive predictive value, % | 94 (87–98) | 89 (80–94) | 87 (79–93) | 89 (81–94) |
Negative predictive value, % | 91 (82–96) | 73 (62–82) | 76 (65–84) | 81 (70–89) |