Quality of Hospital Discharge Abstract Databases over Time

atmire.migration.oldid3799
dc.contributor.advisorQuan, Hude
dc.contributor.authorJiang, Shuonan Jason
dc.date.accessioned2015-10-02T18:02:37Z
dc.date.available2015-11-20T08:00:44Z
dc.date.issued2015-10-02
dc.date.submitted2015en
dc.description.abstractObjective: To assess the validity of hospital discharge abstract databases (DAD) in regards to patient comorbidities, with a focus on the trend of validity from 2002 to 2013. Method: We compared patient comorbidity coding in DAD, against a reference standard of the Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease (APPROACH) database. We calculated sensitivity, specificity, positive predictive value and negative predictive value for nine patient comorbidities from 2002 to 2013. Results: 63 483 patients were linked between DAD and APPROACH. DAD coding validity varied depending on condition. From 2002 to 2013, hypertension and diabetes had consistent levels of validity, whereas hyperlipidemia, peripheral vascular disease, cerebrovascular disease and pulmonary disease had declining levels of validity. Validity trends for malignancy, heart failure and liver disease were inconclusive. Conclusion: The level of DAD coding validity and the trend of validity over time is strongly dependent on the condition tested.en_US
dc.identifier.citationJiang, S. J. (2015). Quality of Hospital Discharge Abstract Databases over Time (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/27493en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/27493
dc.identifier.urihttp://hdl.handle.net/11023/2595
dc.language.isoeng
dc.publisher.facultyGraduate Studies
dc.publisher.institutionUniversity of Calgaryen
dc.publisher.placeCalgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectEpidemiology
dc.subjectHealth Care Management
dc.subjectPublic Health
dc.titleQuality of Hospital Discharge Abstract Databases over Time
dc.typemaster thesis
thesis.degree.disciplineCommunity Health Sciences
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameMaster of Science (MSc)
ucalgary.item.requestcopytrue
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