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    
Abstract/OtherAbstract:
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.
Authors:
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    
Affiliation:
Health Services Research and Development Center, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205.
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MeSH Terms
Descriptor/Qualifier:
Abstracting and Indexing as Topic / standards*
Activities of Daily Living
Age Factors
Blood Gas Analysis
Body Temperature
Chronic Disease*
Electrolytes
Evaluation Studies as Topic
Glasgow Coma Scale
Hematocrit
Hemodynamics
Humans
Leukocyte Count
Medical Records / standards
Medical Records Systems, Computerized
Observer Variation
Physiology*
Reproducibility of Results
Severity of Illness Index*
Grant Support
ID/Acronym/Agency:
5-R01-HS05787/HS/AHRQ HHS
Chemical
Reg. No./Substance:
0/Electrolytes

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


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