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The Value of Medical Chart Reviews: A Methodological Approach to Supplement Mortality Data During Pandemic Outbreaks
Elizabeth M Boos1,2,3, Maxwell Holtmann4, Jack DeHovitz2,3,4,5
1AIDS Institute, New York State Department of Health, Albany, New York, USA.
Open Forum Infectious Diseases
|October 7, 2024
Summary
Administrative data undercounts COVID-19 deaths in people with HIV. Medical record reviews revealed higher mortality than Vital Statistics, offering a clearer pandemic impact picture for this vulnerable group.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease
Background:
- Administrative data often underestimates the full impact of pandemics.
- Understanding COVID-19 mortality in specific vulnerable populations, like those with diagnosed Human Immunodeficiency Virus (HIV), is crucial.
Purpose of the Study:
- To compare COVID-19-related mortality data derived from medical record reviews with official Vital Statistics for individuals with diagnosed HIV in New York State.
- To assess the completeness of administrative data in capturing pandemic disease impact on the HIV population.
Main Methods:
- Conducted medical record reviews for COVID-19-related causes of death among people with diagnosed HIV in New York State.
- Compared findings with existing Vital Statistics data.
Main Results:
- Medical record reviews identified a greater number of COVID-19-related deaths than were recorded in Vital Statistics for the studied population.
- This discrepancy highlights limitations in administrative data for this demographic.
Conclusions:
- Medical record review provides a more comprehensive understanding of COVID-19 mortality among people with diagnosed HIV compared to administrative data alone.
- Enhanced data collection methods are necessary to accurately assess the pandemic's impact on vulnerable populations.
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