A validation study: how effective is the Hospital Morbidity Data as a surveillance tool for heart failure in Western Australia?

Abstract:

OBJECTIVE:To determine the accuracy of the hospital discharge coding of heart failure (HF) in the Western Australian (WA) Hospital Morbidity Data (HMD). METHODS:A retrospective medical chart review of a sample of 1,006 patients with a principal diagnosis code indicating HF in the WA HMD was undertaken. Validation was reported against a written diagnosis of HF in the medical chart and using Boston criteria score as a gold standard. RESULTS:The positive predictive value (PPV) of the HMD coding of HF as the principal diagnosis was 99.5% when compared to the medical chart diagnosis and 92.4% when compared to the Boston score criteria for 'definite' HF and 98.8% for a combined 'possible' and 'definite' HF Boston score. CONCLUSIONS:With the high predictive accuracy, the WA HMD can be used with confidence to monitor trends in the epidemiology of in-hospital HF patients.

authors

Teng TH,Finn J,Hung J,Geelhoed E,Hobbs M

doi

10.1111/j.1753-6405.2008.00269.x

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

405-7

issue

5

eissn

1326-0200

issn

1753-6405

pii

AZPH269

journal_volume

32

pub_type

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