Baja concordancia entre la información clínica de atención primaria y hospital
Resumen: Objectives: To measure the diagnostic agreement between Primary Care (PC) and hospital information systems, in order to assess the usefulness of health care records for research purposes. Setting: Cross-sectional retrospective study integrating PC and hospital diagnostic information for the Aragon population admitted to hospital in 2010. Participants: 75.176 patients were analysed. Interventions: Similarities, differences and the kappa index were calculated for each of the diagnoses recorded in both information systems. Main measurements: The studied diseases included COPD, diabetes, hypertension, cerebrovascular disease, ischaemic heart disease, asthma, epilepsy, and heart failure. Results: Diagnostic concordance was higher in men and between 45 and 64 years. Diabetes was the condition showing the highest concordance (kappa index: 0.75), while asthma had the lowest values (kappa index: 0.34). Conclusions: The low concordance between the diagnostic information recorded in PC and in the hospital setting calls for urgent measures to ensure that healthcare professionals have a comprehensive picture of patient''s health problems.
Idioma: Español
DOI: 10.1016/j.aprim.2015.06.002
Año: 2015
Publicado en: Atencion Primaria (2015), [7 pp]
ISSN: 0212-6567

Factor impacto JCR: 1.098 (2015)
Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 82 / 150 = 0.547 (2015) - Q3 - T2
Categ. JCR: PRIMARY HEALTH CARE rank: 15 / 20 = 0.75 (2015) - Q3 - T3

Factor impacto SCIMAGO:

Tipo y forma: Article (Published version)
Área (Departamento): Medicina Preventiva y Salud Pública (Departamento de Microbiología, Medicina Preventiva y Salud Pública)

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Exportado de SIDERAL (2016-06-27-10:29:45)

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 Record created 2015-12-16, last modified 2017-03-27


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