FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2309352602> ?p ?o ?g. }

• W2309352602 endingPage "S285" @default.
• W2309352602 startingPage "S285" @default.
• W2309352602 abstract "Currently, International Classification of Disease, version 10 (ICD-10) codes are used to identify comorbidities in administrative healthcare databases. Although not readily available in all jurisdictions, case definitions typically use physician billing claims data. We linked administrative data to a regional ST-elevation myocardial infarction (STEMI) registry to determine the accuracy of several alternative case definitions to identify the presence of cardiovascular comorbidities, using the registry as gold standard. Vital Heart Response (VHR) is a comprehensive registry of 3049 consecutive STEMI patients (2006 and 2011) within a defined health region (Edmonton, Alberta). Clinical information in VHR was acquired via chart review by a dedicated research organization (EPICORE). Using unique patient identifiers, the registry data were linked to the inpatient discharge abstract database (DAD) and the outpatient (ACCR – 2010; NACRS >2010) databases. The DAD includes most responsible diagnosis and up to 24 other diagnoses (all acute care hospitalizations) while the outpatient databases include up to 10 diagnoses for all visit to ERs or hospital-based clinics. Both DAD and ACCS used the Canadian enhancement of ICD-10 (ICD-10-CA) during the study time period. Four ICD-10-CA based case definitions were evaluated for each comorbidity based on: a) the Index (STEMI) hospitalization only; b) the Index hospitalization or any DAD or ACCS records in the previous year; c) the Index hospitalization or any DAD or ACCS records in the previous 2 years; and d) at least two occurrences in any DAD or ACCS records in the previous 2 years. The comorbidities of interest were: Prior Angina, Previous MI, Hypercholesterolemia, Hypertension, Diabetes, Prior Heart Failure, and Atrial Fibrillation. Concordance between VHR and administrative algorithms was compared using positive predictive value (PPV), negative predictive value (NPV), sensitivity and specificity. Results varied considerably by case definition for each comorbidity (Table), with PPV ranging from 20% for Prior Heart Failure (NPV 98.9%) to 88.2% for Previous MI (NPV 92.4%) using the algorithm based only on index hospitalizations. Similar results were obtained by incorporating single code occurrences in any DAD or ACCS visit in the prior 1 and 2 years. The algorithm that required 2 occurrences in the prior 2 years yielded the highest specificity. The capture of comorbidity data in administrative databases is reasonably accurate, although it varied depending on the condition of interest and the case definition. Different case definitions may be appropriate for cohort generation depending on whether investigators want to maximize PPV or NPV." @default.
• W2309352602 created "2016-06-24" @default.
• W2309352602 creator A5003117663 @default.
• W2309352602 creator A5032084907 @default.
• W2309352602 creator A5041077521 @default.
• W2309352602 creator A5057812366 @default.
• W2309352602 creator A5073219595 @default.
• W2309352602 date "2015-10-01" @default.
• W2309352602 modified "2023-09-24" @default.
• W2309352602 title "EVALUATING THE USE OF ADMINISTRATIVE COMORBIDITY DEFINITIONS IN A REGISTRY OF STEMI PATIENTS" @default.
• W2309352602 doi "https://doi.org/10.1016/j.cjca.2015.07.593" @default.
• W2309352602 hasPublicationYear "2015" @default.
• W2309352602 type Work @default.
• W2309352602 sameAs 2309352602 @default.
• W2309352602 citedByCount "0" @default.
• W2309352602 crossrefType "journal-article" @default.
• W2309352602 hasAuthorship W2309352602A5003117663 @default.
• W2309352602 hasAuthorship W2309352602A5032084907 @default.
• W2309352602 hasAuthorship W2309352602A5041077521 @default.
• W2309352602 hasAuthorship W2309352602A5057812366 @default.
• W2309352602 hasAuthorship W2309352602A5073219595 @default.
• W2309352602 hasBestOaLocation W23093526021 @default.
• W2309352602 hasConcept C126322002 @default.
• W2309352602 hasConcept C142724271 @default.
• W2309352602 hasConcept C160735492 @default.
• W2309352602 hasConcept C162324750 @default.
• W2309352602 hasConcept C194828623 @default.
• W2309352602 hasConcept C195910791 @default.
• W2309352602 hasConcept C2778959093 @default.
• W2309352602 hasConcept C2779134260 @default.
• W2309352602 hasConcept C2779159551 @default.
• W2309352602 hasConcept C2908647359 @default.
• W2309352602 hasConcept C40993552 @default.
• W2309352602 hasConcept C41008148 @default.
• W2309352602 hasConcept C45827449 @default.
• W2309352602 hasConcept C500558357 @default.
• W2309352602 hasConcept C50522688 @default.
• W2309352602 hasConcept C534262118 @default.
• W2309352602 hasConcept C545542383 @default.
• W2309352602 hasConcept C71924100 @default.
• W2309352602 hasConcept C77088390 @default.
• W2309352602 hasConcept C99454951 @default.
• W2309352602 hasConceptScore W2309352602C126322002 @default.
• W2309352602 hasConceptScore W2309352602C142724271 @default.
• W2309352602 hasConceptScore W2309352602C160735492 @default.
• W2309352602 hasConceptScore W2309352602C162324750 @default.
• W2309352602 hasConceptScore W2309352602C194828623 @default.
• W2309352602 hasConceptScore W2309352602C195910791 @default.
• W2309352602 hasConceptScore W2309352602C2778959093 @default.
• W2309352602 hasConceptScore W2309352602C2779134260 @default.
• W2309352602 hasConceptScore W2309352602C2779159551 @default.
• W2309352602 hasConceptScore W2309352602C2908647359 @default.
• W2309352602 hasConceptScore W2309352602C40993552 @default.
• W2309352602 hasConceptScore W2309352602C41008148 @default.
• W2309352602 hasConceptScore W2309352602C45827449 @default.
• W2309352602 hasConceptScore W2309352602C500558357 @default.
• W2309352602 hasConceptScore W2309352602C50522688 @default.
• W2309352602 hasConceptScore W2309352602C534262118 @default.
• W2309352602 hasConceptScore W2309352602C545542383 @default.
• W2309352602 hasConceptScore W2309352602C71924100 @default.
• W2309352602 hasConceptScore W2309352602C77088390 @default.
• W2309352602 hasConceptScore W2309352602C99454951 @default.
• W2309352602 hasIssue "10" @default.
• W2309352602 hasLocation W23093526021 @default.
• W2309352602 hasOpenAccess W2309352602 @default.
• W2309352602 hasPrimaryLocation W23093526021 @default.
• W2309352602 hasRelatedWork W1549199224 @default.
• W2309352602 hasRelatedWork W1567806054 @default.
• W2309352602 hasRelatedWork W1997732285 @default.
• W2309352602 hasRelatedWork W2047295112 @default.
• W2309352602 hasRelatedWork W2088703704 @default.
• W2309352602 hasRelatedWork W2169097752 @default.
• W2309352602 hasRelatedWork W2414148986 @default.
• W2309352602 hasRelatedWork W2627472963 @default.
• W2309352602 hasRelatedWork W2788320279 @default.
• W2309352602 hasRelatedWork W4249099117 @default.
• W2309352602 hasVolume "31" @default.
• W2309352602 isParatext "false" @default.
• W2309352602 isRetracted "false" @default.
• W2309352602 magId "2309352602" @default.
• W2309352602 workType "article" @default.