ArticleBMJ health & care informatics2019
Reliability of comorbidity scores derived from administrative data in the tertiary hospital intensive care setting: a cross-sectional study.
Article in BMJ health & care informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- The ability of comorbidity indices to predict mortality in an orthopedic setting: a systematic review.Systematic reviews · 2021Pooled it
- Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review.International journal of clinical practice · 2021Pooled it
- The spectrum of co-existing disease in children with established kidney failure using registry and linked electronic health record data.Pediatric nephrology (Berlin, Germany) · 2024Article
- Unsupervised algorithms to identify potential under-coding of secondary diagnoses in hospitalisations databases in Portugal.Health information management : journal of the Health Information Management Association of Australia · 2024Article
- Long term opioid use after burn injury: a retrospective cohort study.British journal of anaesthesia · 2024Article
- Complications Associated With Transesophageal Echocardiography in Transcatheter Structural Cardiac Interventions.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2023Article
- Development and validation of novel multimorbidity indices for older adults.Journal of the American Geriatrics Society · 2023Article
- Development of a customised programme to standardise comorbidity diagnosis codes in a large-scale database.BMJ health & care informatics · 2022Article
- Development and external validation of prognostic models for COVID-19 to support risk stratification in secondary care.BMJ open · 2022Article
- A retrospective cohort study of 12,306 pediatric COVID-19 patients in the United States.Scientific reports · 2021Article
- Association of day of the week with mortality after elective right hemicolectomy for colon cancer: Case analysis from the National Clinical Database.Annals of gastroenterological surgery · 2021Article
- Physical Comorbidity According to Diagnoses and Sex among Psychiatric Inpatients in South Korea.International journal of environmental research and public health · 2021Article
- Hyperlipidaemia and mortality among patients hospitalised with pneumonia: retrospective cohort and propensity score matched study.BMJ open respiratory research · 2021Article
- Developing a Simpler Prognosticating Tool: Comparing the Combined Assessment of Risk Encountered in Surgery Score with Deyo-Charlson Comorbidity Index and The American Society of Anesthesiologists Physical Status Score in Predicting 2 years Mortality after Hip Fracture Surgery.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Hospital costs associated with post-traumatic stress disorder in somatic patients: a retrospective study.Health economics review · 2020Article
- Association of hyperlipidaemia with 5-year survival after hospitalisation for acute myocardial infarction: a propensity score matched analysis.Open heart · 2020Observational
- Data matter: the creation of an acute care surgery registry.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospital reporting systems commonly use administrative data to calculate comorbidity scores in order to provide risk-adjustment to outcome indicators.
objectiveWe aimed to elucidate the level of agreement between administrative coding data and medical chart review for extraction of comorbidities included in the Charlson Comorbidity Index (CCI) and Elixhauser Index (EI) for patients admitted to the intensive care unit of a university-affiliated hospital.
methodWe conducted an examination of a random cross-section of 100 patient episodes over 12 months (July 2012 to June 2013) for the 19 CCI and 30 EI comorbidities reported in administrative data and the manual medical record system. CCI and EI comorbidities were collected in order to ascertain the difference in mean indices, detect any systematic bias, and ascertain inter-rater agreement.
resultsWe found reasonable inter-rater agreement (kappa (κ) coefficient ≥0.4) for cardiorespiratory and oncological comorbidities, but little agreement (κ<0.4) for other comorbidities. Comorbidity indices derived from administrative data were significantly lower than from chart review: -0.81 (95% CI - 1.29 to - 0.33;
conclusionWhile cardiorespiratory and oncological comorbidities were reliably coded in administrative data, most other comorbidities were under-reported and an unreliable source for estimation of CCI or EI in intensive care patients. Further examination of a large multicentre population is required to confirm our findings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.