Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Comparing clinical information with claims data: some similarities and differences.

L L Roos1, S M Sharp, M M Cohen

  • 1Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.

Journal of Clinical Epidemiology
|January 1, 1991
PubMed
Summary

Hospital discharge abstracts offer moderate accuracy for estimating patient health status, but may underreport comorbidities, potentially affecting risk assessments. Further research is needed to improve data completeness for better patient care.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Effect of Study Duration and Outcome Measurement Frequency on Estimates of Change for Longitudinal Cohort Studies in Routinely-Collected Administrative Data.

International journal of population data science·2021
Same author

The Concept Dictionary and Glossary at MCHP: Tools and Techniques to Support a Population Research Data Repository.

International journal of population data science·2020
Same author

The association of objectively ascertained sibling fracture history with major osteoporotic fractures: a population-based cohort study.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·2020
Same author

Epidemiology of varicella zoster virus infection in Canada and the United Kingdom - CORRIGENDUM.

Epidemiology and infection·2014
Same author

A framework for modelling differences in regional mortality over time.

Journal of epidemiology and community health·2004
Same author

Spirometry and obstructive lung disease in Manitoba.

Canadian respiratory journal·2001

Area of Science:

  • Health Informatics
  • Clinical Data Analysis
  • Patient Health Status Estimation

Background:

  • Hospital discharge abstracts are crucial for administrative and research purposes.
  • Accurate patient health status estimation is vital for risk stratification and outcome prediction.
  • Previous studies have highlighted potential discrepancies in clinical data captured by administrative versus clinical sources.

Purpose of the Study:

  • To evaluate the accuracy of hospital discharge abstracts in capturing patient comorbidity data.
  • To compare comorbidity information from discharge abstracts with prospectively collected clinical data.
  • To assess the impact of data discrepancies on patient risk stratification and outcome prediction.

Main Methods:

  • Comparative analysis of comorbidity data from hospital discharge abstracts and anesthesia follow-up clinical records.

Related Experiment Videos

  • Inclusion of patients undergoing prostatectomy and cholecystectomy at a teaching hospital.
  • Assessment of diagnostic agreement for cardiovascular, respiratory, and metabolic disorders.

    • Main Results:

    • Considerable agreement (65-90%) was found for certain comorbidities between the two data sources.
    • A significant proportion of comorbidities, particularly cardiovascular disease, were absent from discharge abstracts but present in clinical data.
    • Patients with unrecorded comorbidities in abstracts were less likely to receive higher ASA Physical Status scores or high-risk diagnoses.

    Conclusions:

    • Hospital discharge abstracts provide a partially reliable estimation of patient health status but tend to underreport comorbidities.
    • Underestimation of comorbidity in abstracts can lead to inaccurate patient risk stratification.
    • Clinical data, such as that from anesthesia records, offers a more comprehensive view of patient health status and comorbidity.