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Updated: Apr 5, 2026
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Low concordance between primary care and hospital clinical information]
Concha Revilla-López1, Amaia Calderón-Larrañaga2, Natalia Enríquez-Martín3
1Unidad Docente de Medicina Preventiva y Salud Pública, Instituto Aragonés de Ciencias de la Salud (IACS), Zaragoza, España.
Objectives:
To measure the diagnostic agreement between Primary Care (PC) and hospital information systems, in order to assess the usefulness of health care records for research purposes.
Setting:
Cross-sectional retrospective study integrating PC and hospital diagnostic information for the Aragon population admitted to hospital in 2010.
Participants:
75.176 patients were analysed.
Interventions:
Similarities, differences and the kappa index were calculated for each of the diagnoses recorded in both information systems.
Main Measurements:
The studied diseases included COPD, diabetes, hypertension, cerebrovascular disease, ischaemic heart disease, asthma, epilepsy, and heart failure.
Results:
Diagnostic concordance was higher in men and between 45 and 64 years. Diabetes was the condition showing the highest concordance (kappa index: 0.75), while asthma had the lowest values (kappa index: 0.34).
Conclusions:
The low concordance between the diagnostic information recorded in PC and in the hospital setting calls for urgent measures to ensure that healthcare professionals have a comprehensive picture of patient's health problems.
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