Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.

Detalhes bibliográficos
Autor(a) principal: Abaid, Rafael Antoniazzi
Data de Publicação: 2014
Outros Autores: Nedel, Fúlvio Borges, Alcayaga, Eduardo Lobo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/5045
Resumo: Introduction: Ambulatory Care Sensitive Conditions (ACSC) are illnesses that could be prevented with adjusted ambulatorial care. ACSC have been used as indicator in effectiveness of the primary healthcare attention, through the evaluation of hospital admissions. However, we do not have studies to certify the reliability of diagnosis of ACSC in our country. Objective: To determine if the classification of ACSC from the main diagnostic field of the authorization of hospital internment (AHI) is reliable. Methods: Transversal study carried through February of 2010 to January of 2011, in the city of Santa Cruz of Sul (RS). A random sample of 389 medical records was selected and evaluated by two medical appraisers. The main diagnosis in the AHI was compared with the classification in ACSC or not ACSC given for the appraisers after the study of each medical record. Kappa ratio agreement was used to calculate the reliability of the ACSC diagnostic. Results: The ratio of agreement between diagnosis from the AIH and CSAP assessment contained in the records was 92%, with a kappa coefficient of 0,784. Conclusions: The diagnostic of ACSC found in main diagnostic field of AHI showed agreement ratios over expected by chance, with kappa value equal to 0.784 and the correlation rated between substantial and almost perfect.
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spelling Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.Condições sensíveis à atenção primária: confiabilidade diagnóstica em Santa Cruz do Sul, RS.Introduction: Ambulatory Care Sensitive Conditions (ACSC) are illnesses that could be prevented with adjusted ambulatorial care. ACSC have been used as indicator in effectiveness of the primary healthcare attention, through the evaluation of hospital admissions. However, we do not have studies to certify the reliability of diagnosis of ACSC in our country. Objective: To determine if the classification of ACSC from the main diagnostic field of the authorization of hospital internment (AHI) is reliable. Methods: Transversal study carried through February of 2010 to January of 2011, in the city of Santa Cruz of Sul (RS). A random sample of 389 medical records was selected and evaluated by two medical appraisers. The main diagnosis in the AHI was compared with the classification in ACSC or not ACSC given for the appraisers after the study of each medical record. Kappa ratio agreement was used to calculate the reliability of the ACSC diagnostic. Results: The ratio of agreement between diagnosis from the AIH and CSAP assessment contained in the records was 92%, with a kappa coefficient of 0,784. Conclusions: The diagnostic of ACSC found in main diagnostic field of AHI showed agreement ratios over expected by chance, with kappa value equal to 0.784 and the correlation rated between substantial and almost perfect.O estudo das hospitalizações por condições sensíveis à atenção primária (CSAP) tem-se difundido no Brasil pela tabulação dos dados da Autorização de Internação Hospitalar (AIH), entretanto a confiabilidade dos resultados é ainda desconhecida. O objetivo principal do estudo foi estimar a concordância entre o diagnóstico principal da AIH e o prontuário médico, para a classificação da internação como CSAP. Dois médicos avaliaram uma amostra aleatória de 400 prontuários onde 32% das internações eram por CSAP. O índice kappa para toda a amostra foi 0,784 (IC95% 0,71–0,85). A concordância foi no mínimo moderada em todas as faixas etárias e nas especialidades de clínica médica e na pediatria. A sensibilidade, especificidade e valores preditivos positivo e negativo da AIH para a classificação da internação como CSAP ou não foram, respectivamente, 78,2; 97,0; 92,4 e 90,5. Os resultados indicaram que a AIH é uma ferramenta confiável para a classificação da hospitalização como CSAP. Para corroborar estes resultados, novas pesquisas com foco nesta problemática são altamente desejáveis.Unisc2014-07-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/504510.17058/reci.v4i3.5045Revista de Epidemiologia e Controle de Infecção; Vol. 4 No. 3 (2014); 208-214Revista de Epidemiologia e Controle de Infecção; v. 4 n. 3 (2014); 208-2142238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/5045/3906Abaid, Rafael AntoniazziNedel, Fúlvio BorgesAlcayaga, Eduardo Loboinfo:eu-repo/semantics/openAccess2019-01-21T12:56:53Zoai:ojs.online.unisc.br:article/5045Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-01-21T12:56:53Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.
Condições sensíveis à atenção primária: confiabilidade diagnóstica em Santa Cruz do Sul, RS.
title Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.
spellingShingle Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.
Abaid, Rafael Antoniazzi
title_short Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.
title_full Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.
title_fullStr Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.
title_full_unstemmed Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.
title_sort Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.
author Abaid, Rafael Antoniazzi
author_facet Abaid, Rafael Antoniazzi
Nedel, Fúlvio Borges
Alcayaga, Eduardo Lobo
author_role author
author2 Nedel, Fúlvio Borges
Alcayaga, Eduardo Lobo
author2_role author
author
dc.contributor.author.fl_str_mv Abaid, Rafael Antoniazzi
Nedel, Fúlvio Borges
Alcayaga, Eduardo Lobo
description Introduction: Ambulatory Care Sensitive Conditions (ACSC) are illnesses that could be prevented with adjusted ambulatorial care. ACSC have been used as indicator in effectiveness of the primary healthcare attention, through the evaluation of hospital admissions. However, we do not have studies to certify the reliability of diagnosis of ACSC in our country. Objective: To determine if the classification of ACSC from the main diagnostic field of the authorization of hospital internment (AHI) is reliable. Methods: Transversal study carried through February of 2010 to January of 2011, in the city of Santa Cruz of Sul (RS). A random sample of 389 medical records was selected and evaluated by two medical appraisers. The main diagnosis in the AHI was compared with the classification in ACSC or not ACSC given for the appraisers after the study of each medical record. Kappa ratio agreement was used to calculate the reliability of the ACSC diagnostic. Results: The ratio of agreement between diagnosis from the AIH and CSAP assessment contained in the records was 92%, with a kappa coefficient of 0,784. Conclusions: The diagnostic of ACSC found in main diagnostic field of AHI showed agreement ratios over expected by chance, with kappa value equal to 0.784 and the correlation rated between substantial and almost perfect.
publishDate 2014
dc.date.none.fl_str_mv 2014-07-04
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info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/5045
10.17058/reci.v4i3.5045
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/5045
identifier_str_mv 10.17058/reci.v4i3.5045
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/5045/3906
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dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Unisc
publisher.none.fl_str_mv Unisc
dc.source.none.fl_str_mv Revista de Epidemiologia e Controle de Infecção; Vol. 4 No. 3 (2014); 208-214
Revista de Epidemiologia e Controle de Infecção; v. 4 n. 3 (2014); 208-214
2238-3360
reponame:Revista de Epidemiologia e Controle de Infecção
instname:Universidade de Santa Cruz do Sul (UNISC)
instacron:UNISC
instname_str Universidade de Santa Cruz do Sul (UNISC)
instacron_str UNISC
institution UNISC
reponame_str Revista de Epidemiologia e Controle de Infecção
collection Revista de Epidemiologia e Controle de Infecção
repository.name.fl_str_mv Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)
repository.mail.fl_str_mv ||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com
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