Assessment of the under-reporting of diabetes in hospital admission data: a study from the Scottish Diabetes Research Network Epidemiology Group.
Assessment of the under-reporting of diabetes in hospital admission data: a study from the Scottish Diabetes Research Network Epidemiology Group.
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DOI：
10.1111/j.1464-5491.2011.03432.x
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发表时间：
2011-12
期刊：
影响因子：
--
通讯作者：
Scottish Diabetes Research Network Epidemiology Group
中科院分区：
文献类型：
--
作者：
Anwar H;Fischbacher CM;Leese GP;Lindsay RS;McKnight JA;Wild SH;Scottish Diabetes Research Network Epidemiology Group
需要高质量的数据来规划和评估糖尿病服务，并评估减少住院和住院天数的目标的进展情况。本研究的目的是评估记录的完整性糖尿病入院使用最近的国家数据为苏格兰。对来自苏格兰国家糖尿病登记和住院数据的链接的数据进行分析，以评估2000年至2007年住院患者入院前确诊糖尿病的糖尿病编码的完整性。在2007年，只有59%的住院病人曾被诊断患有糖尿病，而超过99%的人提到糖尿病的医院记录被列入糖尿病登记。糖尿病记录的完整性在大陆NHS委员会中从44%到82%不等，在大型综合医院中从34%到89%不等。糖尿病作为合并症的完整记录也因初步诊断而异：70%和41%的以冠心病和癌症作为主要诊断的住院患者分别提到了合并糖尿病。住院资料中糖尿病记录的完整性存在很大差异。仅医院数据就大大低估了糖尿病患者的入院人数和住院天数，但高估了住院时间。糖尿病登记数据与入院数据的联系为测量诊断为糖尿病的人的入院提供了比入院数据更准确的来源。
Good quality data are required to plan and evaluate diabetes services and to assess progress against targets for reducing hospital admissions and bed days. The aim of this study was to assess the completeness of recording of diabetes in hospital admissions using recent national data for Scotland. Data derived from linkage of the Scottish national diabetes register and hospital admissions data were analysed to assess the completeness of coding of diabetes in hospital inpatient admissions between 2000 and 2007 for patients identified with diabetes prior to hospital admission. In 2007 only 59% of hospital inpatient admissions for people previously diagnosed with diabetes mentioned diabetes, whereas over 99% of people with a mention of diabetes on hospital records were included in the diabetes register. The completeness of diabetes recording varied from 44% to 82% among mainland NHS Boards and from 34% to 89% among large general hospitals. Completeness of recording of diabetes as a co-morbidity also varied by primary diagnosis: 70% and 41% of admissions with coronary heart disease and cancer as the primary diagnosis mentioned co-existing diabetes respectively. There is wide variation in the completeness of recording of diabetes in hospital admission data. Hospital data alone considerably underestimate the number of admissions and bed days but overestimate length of stay for people with diabetes. Linkage of diabetes register data to hospital admissions data provides a more accurate source for measuring hospital admissions among people diagnosed with diabetes than hospital admissions data.
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影响因子：
8.2
作者：
Bottle, A.;Millett, C.;Majeed, A.
通讯作者：
Majeed, A.
影响因子：
3.5
作者：
Hart, C. L.;Hole, D. J.;Smith, G. Davey
通讯作者：
Smith, G. Davey
DOI：
10.1016/0021-9681(87)90171-8
发表时间：
1987-01-01
期刊：
JOURNAL OF CHRONIC DISEASES
影响因子：
--
作者：
CHARLSON, ME;POMPEI, P;MACKENZIE, CR
通讯作者：
MACKENZIE, CR
影响因子：
3.5
作者：
Morgan, C. Ll;Peters, J. R.;Currie, C. J.
通讯作者：
Currie, C. J.
影响因子：
16.2
作者：
Rayman, G;Krishnan, STM;Rayman, A
通讯作者：
Rayman, A