RT Journal Article
T1 Concordance between the Clinical Definition of Polypathological Patient versus Automated Detection by Means of Combined Identification through ICD-9-CM Codes.
A1 Gómez-Salgado, Juan
A1 Bernabeu-Wittel, Máximo
A1 Aguilera-González, Carmen
A1 Goicoechea-Salazar, Juan Antonio
A1 Larrocha, Daniel
A1 Nieto-Martín, María Dolores
A1 Moreno-Gaviño, Lourdes
A1 Ollero-Baturone, Manuel
K1 ICD-9-CM
K1 cost effectiveness
K1 multimorbidity
K1 multiple chronic conditions
K1 patient safety
K1 polypathological patient
K1 population health management
AB 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
SN 2077-0383
YR 2019
FD 2019-05-06
LK https://hdl.handle.net/10668/27440
UL https://hdl.handle.net/10668/27440
LA en
DS RISalud
RD Apr 11, 2025