@article{10272/16517,
year = {2019},
month = {5},
url = {http://hdl.handle.net/10272/16517},
abstract = {It is unknown whether the digital application of automated ICD-9-CM codes recorded
in the medical history are useful for a first screening in the detection of polypathological patients.
In this study, the objective was to identify the degree of intra- and inter-observer concordance in
the identification of in-patient polypathological patients between the standard clinical identification
method and a new automatic method, using the basic minimum data set of ICD-9-CM codes in
the digital medical history. For this, a cross-sectional multicenter study with 1518 administratively
discharged patients from Andalusian hospitals during the period of 2013–2014 has been carried
out. For the concordance between the clinical definition of a polypathological patient and the
polypathological patient classification according to ICD-9-CM coding, a 0.661 kappa was obtained
(95% confidence interval (CI); 0.622–0.701) with p < 0.0001. The intraclass correlation coe cient
between both methods for the number of polypathological patient categories was 0.745 (95% CI;
0.721–0.768; p < 0.0001). The values of sensitivity, specificity, positive-, and negative predictive values
of the automated detection using ICD-9-CM coding were 78%, 88%, 78%, and 88%, respectively.
As conclusion, the automatic identification of polypathological patients by detecting ICD-9-CM codes
is useful as a screening method for in-hospital patients.},
organization = {This research was financially supported by Instituto de Salud Carlos III, Government of Spain (PI 14/0254)},
publisher = {MDPI},
title = {Concordance between the Clinical Definition of Polypathological Patient versus Automated Detection by Means of Combined Identification through ICD-9-CM Codes},
doi = {10.3390/jcm8050613},
author = {Gómez Salgado, Juan and Bernabeu Wittel, Máximo and Aguilera González, Carmen and Goicoechea Salazar, Juan Antonio and Larrocha, Daniel and Nieto Martín, María Dolores and Moreno Gaviño, Lourdes and Ollero Baturone, Aníbal},
}