An Analysis of Hospital Discharge Index as a Trauma Data Base
STUDY OBJECTIVE To document the validity of a Hospital Discharge Index (HDI) as a data base on injured patients. DESIGN Patient information in trauma registries was compared with information in HDI. POPULATION Injured patients admitted to trauma centers. METHODS Patients in HDI were crossmatched wit...
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| Veröffentlicht in: | The Journal of Trauma: Injury, Infection, and Critical Care Infection, and Critical Care, 1995-11, Vol.39 (5), p.941-948 |
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| container_title | The Journal of Trauma: Injury, Infection, and Critical Care |
| container_volume | 39 |
| creator | Mullins, Richard J. Veum-Stone, Judith Hedges, Jerris R. Zimmer-Gembeck, Melanie Mann, Clay Helfand, Mark |
| description | STUDY OBJECTIVE To document the validity of a Hospital Discharge Index (HDI) as a data base on injured patients.
DESIGN Patient information in trauma registries was compared with information in HDI.
POPULATION Injured patients admitted to trauma centers.
METHODS Patients in HDI were crossmatched with individuals in one of two trauma registries using deterministic matching techniques. Agreement regarding the presence and severity of injury was assessed.
RESULTS A comprehensive trauma registry from a level I trauma center and HDI agreed on the presence of an injury in each of 6 body regions over a range of kappa values from 0.17 to 0.71. The severity of injury score assigned by the two data bases demonstrated agreement over a range of intraclass correlation values from 0.12 to 0.82.
CONCLUSION HDI provides adequate information concerning injury for the majority of hospitalized patients, but was primarily limited by incomplete information. Efforts to improve HDI should focus on guidelines for data abstraction. |
| doi_str_mv | 10.1097/00005373-199511000-00020 |
| format | Article |
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DESIGN Patient information in trauma registries was compared with information in HDI.
POPULATION Injured patients admitted to trauma centers.
METHODS Patients in HDI were crossmatched with individuals in one of two trauma registries using deterministic matching techniques. Agreement regarding the presence and severity of injury was assessed.
RESULTS A comprehensive trauma registry from a level I trauma center and HDI agreed on the presence of an injury in each of 6 body regions over a range of kappa values from 0.17 to 0.71. The severity of injury score assigned by the two data bases demonstrated agreement over a range of intraclass correlation values from 0.12 to 0.82.
CONCLUSION HDI provides adequate information concerning injury for the majority of hospitalized patients, but was primarily limited by incomplete information. Efforts to improve HDI should focus on guidelines for data abstraction.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-199511000-00020</identifier><identifier>PMID: 7474012</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>Analysis. Health state ; Biological and medical sciences ; Epidemiology ; General aspects ; Hospital Information Systems ; Hospital Records ; Humans ; Injury Severity Score ; Medical sciences ; Oregon - epidemiology ; Patient Discharge ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Registries ; Reproducibility of Results ; Trauma Centers - organization & administration ; Wounds and Injuries - classification ; Wounds and Injuries - epidemiology ; Wounds and Injuries - mortality</subject><ispartof>The Journal of Trauma: Injury, Infection, and Critical Care, 1995-11, Vol.39 (5), p.941-948</ispartof><rights>Williams & Wilkins 1995. All Rights Reserved.</rights><rights>1996 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4790-ed3d44f33c635bb3f6f816b7b28e2b0b459301985ed62a32a7f5856fc84667d3</citedby><cites>FETCH-LOGICAL-c4790-ed3d44f33c635bb3f6f816b7b28e2b0b459301985ed62a32a7f5856fc84667d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2941554$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7474012$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mullins, Richard J.</creatorcontrib><creatorcontrib>Veum-Stone, Judith</creatorcontrib><creatorcontrib>Hedges, Jerris R.</creatorcontrib><creatorcontrib>Zimmer-Gembeck, Melanie</creatorcontrib><creatorcontrib>Mann, Clay</creatorcontrib><creatorcontrib>Helfand, Mark</creatorcontrib><title>An Analysis of Hospital Discharge Index as a Trauma Data Base</title><title>The Journal of Trauma: Injury, Infection, and Critical Care</title><addtitle>J Trauma</addtitle><description>STUDY OBJECTIVE To document the validity of a Hospital Discharge Index (HDI) as a data base on injured patients.
DESIGN Patient information in trauma registries was compared with information in HDI.
POPULATION Injured patients admitted to trauma centers.
METHODS Patients in HDI were crossmatched with individuals in one of two trauma registries using deterministic matching techniques. Agreement regarding the presence and severity of injury was assessed.
RESULTS A comprehensive trauma registry from a level I trauma center and HDI agreed on the presence of an injury in each of 6 body regions over a range of kappa values from 0.17 to 0.71. The severity of injury score assigned by the two data bases demonstrated agreement over a range of intraclass correlation values from 0.12 to 0.82.
CONCLUSION HDI provides adequate information concerning injury for the majority of hospitalized patients, but was primarily limited by incomplete information. Efforts to improve HDI should focus on guidelines for data abstraction.</description><subject>Analysis. Health state</subject><subject>Biological and medical sciences</subject><subject>Epidemiology</subject><subject>General aspects</subject><subject>Hospital Information Systems</subject><subject>Hospital Records</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Medical sciences</subject><subject>Oregon - epidemiology</subject><subject>Patient Discharge</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Registries</subject><subject>Reproducibility of Results</subject><subject>Trauma Centers - organization & administration</subject><subject>Wounds and Injuries - classification</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - mortality</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtLAzEQgIMoWtSfIOQg3lbz3CQHD_VdELz0HmZ3E7uY7tZkF-2_N7W1NwMhTOabmfAFIUzJNSVG3ZC8JFe8oMZISnNU5M3IAZpQyUyhNTGHaJKvWCGZZifoPKW22jBSGaaP0bESShDKJuh22uFpB2Gd2oR7j1_6tGoHCPihTfUC4rvDs65x3xgSBjyPMC4BP8AA-A6SO0NHHkJy57vzFM2fHuf3L8Xr2_Psfvpa1EIZUriGN0J4zuuSy6rivvSalpWqmHasIpWQhhNqtHRNyYAzUF5qWfpai7JUDT9FV9u2q9h_ji4Ndplf50KAzvVjskopQqnUGdRbsI59StF5u4rtEuLaUmI37uyfO7t3Z3_d5dKL3YyxWrpmX7gzlfOXuzykGoKP0NVt2mPMCCqlyJjYYl99GFxMH2H8ctEuHIRhYf_7Of4DwxWC4Q</recordid><startdate>199511</startdate><enddate>199511</enddate><creator>Mullins, Richard J.</creator><creator>Veum-Stone, Judith</creator><creator>Hedges, Jerris R.</creator><creator>Zimmer-Gembeck, Melanie</creator><creator>Mann, Clay</creator><creator>Helfand, Mark</creator><general>Williams & Wilkins</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199511</creationdate><title>An Analysis of Hospital Discharge Index as a Trauma Data Base</title><author>Mullins, Richard J. ; Veum-Stone, Judith ; Hedges, Jerris R. ; Zimmer-Gembeck, Melanie ; Mann, Clay ; Helfand, Mark</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4790-ed3d44f33c635bb3f6f816b7b28e2b0b459301985ed62a32a7f5856fc84667d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Analysis. Health state</topic><topic>Biological and medical sciences</topic><topic>Epidemiology</topic><topic>General aspects</topic><topic>Hospital Information Systems</topic><topic>Hospital Records</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Medical sciences</topic><topic>Oregon - epidemiology</topic><topic>Patient Discharge</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Registries</topic><topic>Reproducibility of Results</topic><topic>Trauma Centers - organization & administration</topic><topic>Wounds and Injuries - classification</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Wounds and Injuries - mortality</topic><toplevel>online_resources</toplevel><creatorcontrib>Mullins, Richard J.</creatorcontrib><creatorcontrib>Veum-Stone, Judith</creatorcontrib><creatorcontrib>Hedges, Jerris R.</creatorcontrib><creatorcontrib>Zimmer-Gembeck, Melanie</creatorcontrib><creatorcontrib>Mann, Clay</creatorcontrib><creatorcontrib>Helfand, Mark</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of Trauma: Injury, Infection, and Critical Care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mullins, Richard J.</au><au>Veum-Stone, Judith</au><au>Hedges, Jerris R.</au><au>Zimmer-Gembeck, Melanie</au><au>Mann, Clay</au><au>Helfand, Mark</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An Analysis of Hospital Discharge Index as a Trauma Data Base</atitle><jtitle>The Journal of Trauma: Injury, Infection, and Critical Care</jtitle><addtitle>J Trauma</addtitle><date>1995-11</date><risdate>1995</risdate><volume>39</volume><issue>5</issue><spage>941</spage><epage>948</epage><pages>941-948</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><coden>JOTRA5</coden><abstract>STUDY OBJECTIVE To document the validity of a Hospital Discharge Index (HDI) as a data base on injured patients.
DESIGN Patient information in trauma registries was compared with information in HDI.
POPULATION Injured patients admitted to trauma centers.
METHODS Patients in HDI were crossmatched with individuals in one of two trauma registries using deterministic matching techniques. Agreement regarding the presence and severity of injury was assessed.
RESULTS A comprehensive trauma registry from a level I trauma center and HDI agreed on the presence of an injury in each of 6 body regions over a range of kappa values from 0.17 to 0.71. The severity of injury score assigned by the two data bases demonstrated agreement over a range of intraclass correlation values from 0.12 to 0.82.
CONCLUSION HDI provides adequate information concerning injury for the majority of hospitalized patients, but was primarily limited by incomplete information. Efforts to improve HDI should focus on guidelines for data abstraction.</abstract><cop>Baltimore, MD</cop><pub>Williams & Wilkins</pub><pmid>7474012</pmid><doi>10.1097/00005373-199511000-00020</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0022-5282 |
| ispartof | The Journal of Trauma: Injury, Infection, and Critical Care, 1995-11, Vol.39 (5), p.941-948 |
| issn | 0022-5282 1529-8809 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Analysis. Health state Biological and medical sciences Epidemiology General aspects Hospital Information Systems Hospital Records Humans Injury Severity Score Medical sciences Oregon - epidemiology Patient Discharge Public health. Hygiene Public health. Hygiene-occupational medicine Registries Reproducibility of Results Trauma Centers - organization & administration Wounds and Injuries - classification Wounds and Injuries - epidemiology Wounds and Injuries - mortality |
| title | An Analysis of Hospital Discharge Index as a Trauma Data Base |
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