Document Detail

Assessing medical history in coronary heart disease surveillance: agreement between contemporaneous and retrospective methods.
MedLine Citation:
PMID:  8793376     Owner:  NLM     Status:  MEDLINE    
Coronary heart disease surveillance studies require monitoring of hospitalized events. Retrospective record reviews and patient interviews during hospitalization are common surveillance methods. This study reports the agreement between these two methods in assessing medical history among 4,230 patients enrolled in the Minnesota Heart Survey Registry. Agreements between methods in determining a patient's history of stroke, myocardial infarction, and hypertension were substantial (kappa coefficients > 0.69). Agreements on acute chest pain (kappa coefficient = 0.39) and ever-smoking status (kappa coefficient = 0.43) were only moderate. In determining medical history, retrospective medical record surveillance appears to be comparable to more direct, yet more expensive, contemporaneous methods.
W D Rosamond; E Shahar; R V Luepker
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Epidemiology (Cambridge, Mass.)     Volume:  7     ISSN:  1044-3983     ISO Abbreviation:  Epidemiology     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1996-11-18     Completed Date:  1996-11-18     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9009644     Medline TA:  Epidemiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  447-9     Citation Subset:  IM    
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill 27514, USA.
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MeSH Terms
Coronary Disease / epidemiology*
Data Collection
Epidemiologic Methods*
Medical History Taking
Minnesota / epidemiology
Population Surveillance*
Registries / statistics & numerical data
Retrospective Studies
Risk Factors
Grant Support

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