COMPARING CLINICAL INFORMATION WITH CLAIMS DATA - SOME SIMILARITIES AND DIFFERENCES
COMPARING CLINICAL INFORMATION WITH CLAIMS DATA - SOME SIMILARITIES AND DIFFERENCES
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DOI：
10.1016/0895-4356(91)90050-j
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发表时间：
1991-01-01
影响因子：
7.2
通讯作者：
COHEN, MM
中科院分区：
文献类型：
--
作者：
ROOS, LL;SHARP, SM;COHEN, MM
出院摘要在评估患者健康状况方面的应用效果如何？本文比较了从温尼伯教学医院接受胆囊切除术或胆囊切除术患者的出院摘要中获得的合并症信息与麻醉随访研究期间前瞻性收集的术前医疗条件的临床数据。关于心血管疾病、呼吸系统疾病和代谢紊乱的诊断信息显示出相当大的一致性，两个数据集的一致性从65%到90%以上。麻醉师注意到的某些情况通常不存在于索赔数据中;心血管疾病记录在临床数据中，但不存在于31%的胆囊切除术和17%的胆囊切除术病例的索赔中。这样的患者在阿萨身体状态测量中被分配高分或在医院档案中被诊断为高风险的可能性较小。比较两种来源预测死亡率和再入院等不良结局的能力得出了类似的结果：麻醉文件通常包括不太严重的合并症。
How well can hospital discharge abstracts be used to estimate patient health status? This paper compares information on comorbidity obtained from hospital discharge abstracts for patients undergoing prostatectomy or cholecystectomy at a Winnipeg teaching hospital with clinical data on preoperative medical conditions prospectively collected during an Anesthesia Follow-up study. The diagnostic information on cardiovascular disease, respiratory disease, and metabolic disorders showed considerable agreement, ranging from 65 to over 90% correspondence across the two data sets. Certain conditions noted by the anesthesiologist were often absent from the claims data; cardiovascular disease was recorded in the clinical data but absent from the claims for 31% of prostatectomy and 17% of cholecystectomy cases. Such patients were less likely to have been assigned a high score on the ASA Physical Status measure or to have high-risk diagnoses on the hospital file. Similar findings resulted from comparing the two sources in their ability to predict such adverse outcomes as mortality and readmission to hospital: the anesthesia file generally included less serious comorbidity.