dc.creator | Bernabeu Wittel, Máximo | es |
dc.creator | Ollero Baturone, Manuel | es |
dc.date.accessioned | 2019-09-06T17:15:12Z | |
dc.date.available | 2019-09-06T17:15:12Z | |
dc.date.issued | 2019-05-06 | |
dc.identifier.citation | Bernabeu Wittel, M. y Ollero Baturone, M. (2019). Concordance between the Clinical Definition of Polypathological Patient versus Automated Detection by Means of Combined Identification through ICD-9-CM Codes. Journal of Clinical Medicine, 8 (5), 1-13. | |
dc.identifier.issn | 2077-0383 | es |
dc.identifier.uri | https://hdl.handle.net/11441/89038 | |
dc.description.abstract | It is unknown whether the digital application of automated ICD-9-CM codes recorded in the medical history are useful for a first screening in the detection of polypathological patients. In this study, the objective was to identify the degree of intra- and inter-observer concordance in the identification of in-patient polypathological patients between the standard clinical identification method and a new automatic method, using the basic minimum data set of ICD-9-CM codes in the digital medical history. For this, a cross-sectional multicenter study with 1518 administratively discharged patients from Andalusian hospitals during the period of 2013–2014 has been carried out. For the concordance between the clinical definition of a polypathological patient and the polypathological patient classification according to ICD-9-CM coding, a 0.661 kappa was obtained (95% confidence interval (CI); 0.622–0.701) with p < 0.0001. The intraclass correlation coefficient between both methods for the number of polypathological patient categories was 0.745 (95% CI; 0.721–0.768; p < 0.0001). The values of sensitivity, specificity, positive-, and negative predictive values of the automated detection using ICD-9-CM coding were 78%, 88%, 78%, and 88%, respectively. As conclusion, the automatic identification of polypathological patients by detecting ICD-9-CM codes is useful as a screening method for in-hospital patients. | es |
dc.description.sponsorship | Instituto de Salud Carlos III PI 14/0254 | es |
dc.format | application/pdf | es |
dc.language.iso | eng | es |
dc.publisher | MDPI | es |
dc.relation.ispartof | Journal of Clinical Medicine, 8 (5), 1-13. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | cost effectiveness | es |
dc.subject | multiple chronic conditions | es |
dc.subject | population health management | es |
dc.subject | patient safety | es |
dc.subject | multimorbidity | es |
dc.subject | polypathological patient | es |
dc.subject | ICD-9-CM | es |
dc.title | Concordance between the Clinical Definition of Polypathological Patient versus Automated Detection by Means of Combined Identification through ICD-9-CM Codes | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina | es |
dc.identifier.doi | 10.3390/jcm8050613 | es |
idus.format.extent | 13 | es |
dc.journaltitle | Journal of Clinical Medicine | es |
dc.publication.volumen | 8 | es |
dc.publication.issue | 5 | es |
dc.publication.initialPage | 1 | es |
dc.publication.endPage | 13 | es |