Document Detail

Reliability of a measure of severity of illness: acute physiology of chronic health evaluation--II.
MedLine Citation:
PMID:  1573439     Owner:  NLM     Status:  MEDLINE    
This study examines how reliably the components of the APACHE II score (Acute Physiology Score (APS), age and chronic health) are abstracted from the medical record in terms of inter-rater reproducibility (Intraclass Correlation Coefficient [ICC], kappa). In the sample studied, assignment of the APS is highly reproducible (ICC = 0.90). Reproducibility of the age variable (ICC = 0.998) suggests that age is accurately abstracted. Chronic health data does not fare as well as the APS and age (kappa = 0.66). This study suggests that the components of the APACHE II score can be collected reliably.
A M Damiano; M Bergner; E A Draper; W A Knaus; D P Wagner
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of clinical epidemiology     Volume:  45     ISSN:  0895-4356     ISO Abbreviation:  J Clin Epidemiol     Publication Date:  1992 Feb 
Date Detail:
Created Date:  1992-06-03     Completed Date:  1992-06-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8801383     Medline TA:  J Clin Epidemiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  93-101     Citation Subset:  IM    
Health Services Research and Development Center, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205.
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MeSH Terms
Abstracting and Indexing as Topic / standards*
Activities of Daily Living
Age Factors
Blood Gas Analysis
Body Temperature
Chronic Disease*
Evaluation Studies as Topic
Glasgow Coma Scale
Leukocyte Count
Medical Records / standards
Medical Records Systems, Computerized
Observer Variation
Reproducibility of Results
Severity of Illness Index*
Grant Support
5-R01-HS05787/HS/AHRQ HHS
Reg. No./Substance:

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

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