Use of Hospital Episode Statistics to investigate abdominal aortic aneurysm surgery
作者： A. Johal , D. Mitchell , T. Lees , D. Cromwell , J. van der Meulen
DOI: 10.1002/BJS.7772
关键词: Statistics 、 Surgery 、 Hospital level 、 Population 、 Medicine 、 National health service 、 Abdominal aortic aneurysm 、 In patient 、 Emergency surgery 、 Homogeneous
摘要: Background: A coding framework was evaluated to study patients undergoing open surgical replacement of an abdominal aortic aneurysm (AAA) in the English Hospital Episode Statistics (HES) database. The objective create groups who are homogeneous with respect diagnosis, prognosis and treatment. Methods: The frequency consistency potentially relevant diagnosis (International Classification Diseases, 10th revision) procedure (Office Population Censuses Surveys Classification, 4th codes were assessed admitted National Health Service hospitals between April 2003 March 2008. Administrative compared check that had undergone emergency surgery for a ruptured AAA as emergency. Results: Of 20 290 replacement, 19 250 (94·9 per cent) consistent (unruptured or AAA); 79·3 cent coded having 95·7 those non-emergency unruptured AAA. Of AAA, 93·3 been emergency. Conclusion: Coding high. proposed could define by combining administrative codes. It also allows assessment potential miscoding at national hospital level. Copyright © 2011 British Journal Surgery Society Ltd. Published John Wiley & Sons,
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sci-hub.se 参考文章(18)
A. Jibawi, M. Hanafy, A. Guy, Is there a Minimum Caseload that Achieves Acceptable Operative Mortality in Abdominal Aortic Aneurysm Operations European Journal of Vascular and Endovascular Surgery. ,vol. 32, pp. 273- 276 ,(2006) , 10.1016/J.EJVS.2006.03.013
P. J. E. Holt, J. D. Poloniecki, R. J. Hinchliffe, I. M. Loftus, M. M. Thompson, Model for the reconfiguration of specialized vascular services British Journal of Surgery. ,vol. 95, pp. 1469- 1474 ,(2008) , 10.1002/BJS.6433
P. J. E. Holt, A. Karthikesalingam, J. D. Poloniecki, R. J. Hinchliffe, I. M. Loftus, M. M. Thompson, Propensity scored analysis of outcomes after ruptured abdominal aortic aneurysm British Journal of Surgery. ,vol. 97, pp. 496- 503 ,(2010) , 10.1002/BJS.6911
Giles P Croft, John G Williams, Robin Y Mann, David Cohen, Ceri J Phillips, Can hospital episode statistics support appraisal and revalidation? Randomised study of physician attitudes. Clinical Medicine. ,vol. 7, pp. 332- 338 ,(2007) , 10.7861/CLINMEDICINE.7-4-332
P. J. E. Holt, J. D. Poloniecki, I. M. Loftus, J. A. Michaels, M. M. Thompson, Epidemiological study of the relationship between volume and outcome after abdominal aortic aneurysm surgery in the UK from 2000 to 2005. British Journal of Surgery. ,vol. 94, pp. 441- 448 ,(2007) , 10.1002/BJS.5725
Robert A Gerber, Richard Perry, Robin Thompson, Christopher Bainbridge, Dupuytren's contracture: a retrospective database analysis to assess clinical management and costs in England. BMC Musculoskeletal Disorders. ,vol. 12, pp. 73- 73 ,(2011) , 10.1186/1471-2474-12-73
Martin C. Nuttall, Jan van der Meulen, Gregor McIntosh, David Gillatt, Mark Emberton, Changes in patient characteristics and outcomes for radical cystectomy in England. BJUI. ,vol. 95, pp. 513- 516 ,(2005) , 10.1111/J.1464-410X.2005.05329.X
P. J. E. Holt, J. D. Poloniecki, I. M. Loftus, M. M. Thompson, Demonstrating safety through in-hospital mortality analysis following elective abdominal aortic aneurysm repair in England. British Journal of Surgery. ,vol. 95, pp. 64- 71 ,(2007) , 10.1002/BJS.5990
J. N. Armitage, J. H. van der Meulen, Identifying co-morbidity in surgical patients using administrative data with the Royal College of Surgeons Charlson Score. British Journal of Surgery. ,vol. 97, pp. 772- 781 ,(2010) , 10.1002/BJS.6930
Paul Aylin, Alex Bottle, Azeem Majeed, Use of administrative data or clinical databases as predictors of risk of death in hospital: comparison of models BMJ. ,vol. 334, pp. 1044- 1044 ,(2007) , 10.1136/BMJ.39168.496366.55