Document Detail


Body weight and height data in electronic medical records of children.
MedLine Citation:
PMID:  19961272     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Data entry errors may occur in body weights and heights assessed during routine medical care. These errors may affect data quality markedly and create a large number of biologically implausible values. To address this issue, we evaluated the quality of body weight and height measures for children based on sequential health care encounters. METHODS: We evaluated the weight and height data of children aged 0-18 years receiving care at Kaiser Permanente Southern California medical centers. Error rates were calculated before and after excluding implausible values for height and weight as recorded in the electronic medical chart reviews. RESULTS: The error rates in weight and height data of children aged <2, 2-5, 6-9, 10-13, 14-18 years were 0.4%, 0.7%, 1.0%, 1.0% and 0.7%, respectively. The most frequently identified errors were implausibly low values for height and implausibly high values for weight. After excluding implausible values, the error rates were 0.4%, 0.4%, 0.6%, 0.4% and 0.1%, respectively. The sensitivity of our approach to detect errors was 10.9%, 36.6%, 32.9%, 59.2%, and 82.5%, respectively. CONCLUSIONS: Error rates in weight and height recorded in the electronic medical record during routine medical care are low, raising the potential for this information to be used for population care management. With little effort and with the recording of this information at each encounter, error rates can be further lowered to avoid misclassification of children as obese.
Authors:
Ning Smith; Karen J Coleman; Jean M Lawrence; Virginia P Quinn; Darios Getahun; Kristi Reynolds; Wansu Chen; Amy H Porter; Steven J Jacobsen; Corinna Koebnick
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity     Volume:  5     ISSN:  1747-7174     ISO Abbreviation:  Int J Pediatr Obes     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-08-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256330     Medline TA:  Int J Pediatr Obes     Country:  England    
Other Details:
Languages:  eng     Pagination:  237-42     Citation Subset:  IM    
Affiliation:
Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Body Height*
Body Mass Index
Body Weight*
California / epidemiology
Catchment Area (Health)
Child
Child, Preschool
Electronic Health Records / statistics & numerical data*
Female
Health Status
Humans
Infant
Infant, Newborn
Male
Obesity / diagnosis,  epidemiology*
Prevalence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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