Ambulatory care sensitive conditions: diagnostic reliability in southern Brazil.
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , |
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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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 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
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 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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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1800218810029965312 |