%0 Journal Article
%A Gómez-Salgado, Juan
%A Bernabeu-Wittel, Máximo
%A Aguilera-González, Carmen
%A Goicoechea-Salazar, Juan Antonio
%A Larrocha, Daniel
%A Nieto-Martín, María Dolores
%A Moreno-Gaviño, Lourdes
%A Ollero-Baturone, Manuel
%T Concordance between the Clinical Definition of Polypathological Patient versus Automated Detection by Means of Combined Identification through ICD-9-CM Codes.
%D 2019
%@ 2077-0383
%U https://hdl.handle.net/10668/27440
%X 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
%K ICD-9-CM
%K cost effectiveness
%K multimorbidity
%K multiple chronic conditions
%K patient safety
%K polypathological patient
%K population health management
%~