Validity and underrecording of diagnosis of COPD in the Danish National Patient Registry

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Validity and underrecording of diagnosis of COPD in the Danish National Patient Registry. / Thomsen, Reimar W; Lange, Peter; Hellquist, Birthe; Frausing, Ejvind; Bartels, Paul D; Krog, Birgitte R; Hansen, Anne-Marie S; Buck, Daniel; Bunk, Anette E.

I: Respiratory Medicine, Bind 105, Nr. 7, 07.2011, s. 1063-8.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Thomsen, RW, Lange, P, Hellquist, B, Frausing, E, Bartels, PD, Krog, BR, Hansen, A-MS, Buck, D & Bunk, AE 2011, 'Validity and underrecording of diagnosis of COPD in the Danish National Patient Registry', Respiratory Medicine, bind 105, nr. 7, s. 1063-8. https://doi.org/10.1016/j.rmed.2011.01.012

APA

Thomsen, R. W., Lange, P., Hellquist, B., Frausing, E., Bartels, P. D., Krog, B. R., Hansen, A-M. S., Buck, D., & Bunk, A. E. (2011). Validity and underrecording of diagnosis of COPD in the Danish National Patient Registry. Respiratory Medicine, 105(7), 1063-8. https://doi.org/10.1016/j.rmed.2011.01.012

Vancouver

Thomsen RW, Lange P, Hellquist B, Frausing E, Bartels PD, Krog BR o.a. Validity and underrecording of diagnosis of COPD in the Danish National Patient Registry. Respiratory Medicine. 2011 jul.;105(7):1063-8. https://doi.org/10.1016/j.rmed.2011.01.012

Author

Thomsen, Reimar W ; Lange, Peter ; Hellquist, Birthe ; Frausing, Ejvind ; Bartels, Paul D ; Krog, Birgitte R ; Hansen, Anne-Marie S ; Buck, Daniel ; Bunk, Anette E. / Validity and underrecording of diagnosis of COPD in the Danish National Patient Registry. I: Respiratory Medicine. 2011 ; Bind 105, Nr. 7. s. 1063-8.

Bibtex

@article{443b17007b824e138340902d630b88b6,

title = "Validity and underrecording of diagnosis of COPD in the Danish National Patient Registry",

abstract = "INTRODUCTION: We examined the positive predictive value of diagnoses of acute exacerbation of chronic obstructive pulmonary disease (COPD) in the Danish National Patient Registry. We also examined the negative predictive value of acute pneumonia or respiratory failure discharge diagnoses for absence of underlying COPD.METHODS: We identified all patients aged 30 years or older with acute hospital admission in Denmark from January 1st to December 31st 2008. Physicians at 34 Danish hospitals retrieved and reviewed medical records for 1581 patients with a discharge diagnosis of COPD, and for 1546 patients with a discharge diagnosis of either pneumonia or respiratory failure but no COPD diagnosis. Presence of COPD was assessed based on medical history, clinical symptoms and findings, and spirometry results.RESULTS: The overall positive predictive value for COPD was 92% (95% confidence interval [CI] = 91-93%). Among patients coded with pneumonia or respiratory failure but not COPD, 19% (95% CI = 17-21%) had COPD, corresponding to a negative predictive value for COPD of 81% (95% CI = 79-83%).CONCLUSIONS: The positive predictive value of acute COPD discharge diagnoses in the Danish National Patient Registry is high. At the same time, there is a substantial underrecording of COPD during hospitalizations with other acute respiratory disorders like pneumonia and respiratory failure.",

keywords = "Adult, Aged, Denmark, Female, Hospitalization, Humans, Male, Medical Records, Middle Aged, Patient Discharge, Pneumonia, Prospective Studies, Pulmonary Disease, Chronic Obstructive, Registries, Reproducibility of Results, Respiratory Insufficiency, Spirometry",

author = "Thomsen, {Reimar W} and Peter Lange and Birthe Hellquist and Ejvind Frausing and Bartels, {Paul D} and Krog, {Birgitte R} and Hansen, {Anne-Marie S} and Daniel Buck and Bunk, {Anette E}",

year = "2011",

month = jul,

doi = "10.1016/j.rmed.2011.01.012",

language = "English",

volume = "105",

pages = "1063--8",

journal = "Respiratory Medicine",

issn = "0954-6111",

publisher = "Elsevier",

number = "7",

}

RIS

TY - JOUR

T1 - Validity and underrecording of diagnosis of COPD in the Danish National Patient Registry

AU - Thomsen, Reimar W

AU - Lange, Peter

AU - Hellquist, Birthe

AU - Frausing, Ejvind

AU - Bartels, Paul D

AU - Krog, Birgitte R

AU - Hansen, Anne-Marie S

AU - Buck, Daniel

AU - Bunk, Anette E

PY - 2011/7

Y1 - 2011/7

N2 - INTRODUCTION: We examined the positive predictive value of diagnoses of acute exacerbation of chronic obstructive pulmonary disease (COPD) in the Danish National Patient Registry. We also examined the negative predictive value of acute pneumonia or respiratory failure discharge diagnoses for absence of underlying COPD.METHODS: We identified all patients aged 30 years or older with acute hospital admission in Denmark from January 1st to December 31st 2008. Physicians at 34 Danish hospitals retrieved and reviewed medical records for 1581 patients with a discharge diagnosis of COPD, and for 1546 patients with a discharge diagnosis of either pneumonia or respiratory failure but no COPD diagnosis. Presence of COPD was assessed based on medical history, clinical symptoms and findings, and spirometry results.RESULTS: The overall positive predictive value for COPD was 92% (95% confidence interval [CI] = 91-93%). Among patients coded with pneumonia or respiratory failure but not COPD, 19% (95% CI = 17-21%) had COPD, corresponding to a negative predictive value for COPD of 81% (95% CI = 79-83%).CONCLUSIONS: The positive predictive value of acute COPD discharge diagnoses in the Danish National Patient Registry is high. At the same time, there is a substantial underrecording of COPD during hospitalizations with other acute respiratory disorders like pneumonia and respiratory failure.

AB - INTRODUCTION: We examined the positive predictive value of diagnoses of acute exacerbation of chronic obstructive pulmonary disease (COPD) in the Danish National Patient Registry. We also examined the negative predictive value of acute pneumonia or respiratory failure discharge diagnoses for absence of underlying COPD.METHODS: We identified all patients aged 30 years or older with acute hospital admission in Denmark from January 1st to December 31st 2008. Physicians at 34 Danish hospitals retrieved and reviewed medical records for 1581 patients with a discharge diagnosis of COPD, and for 1546 patients with a discharge diagnosis of either pneumonia or respiratory failure but no COPD diagnosis. Presence of COPD was assessed based on medical history, clinical symptoms and findings, and spirometry results.RESULTS: The overall positive predictive value for COPD was 92% (95% confidence interval [CI] = 91-93%). Among patients coded with pneumonia or respiratory failure but not COPD, 19% (95% CI = 17-21%) had COPD, corresponding to a negative predictive value for COPD of 81% (95% CI = 79-83%).CONCLUSIONS: The positive predictive value of acute COPD discharge diagnoses in the Danish National Patient Registry is high. At the same time, there is a substantial underrecording of COPD during hospitalizations with other acute respiratory disorders like pneumonia and respiratory failure.

KW - Adult

KW - Aged

KW - Denmark

KW - Female

KW - Hospitalization

KW - Humans

KW - Male

KW - Medical Records

KW - Middle Aged

KW - Patient Discharge

KW - Pneumonia

KW - Prospective Studies

KW - Pulmonary Disease, Chronic Obstructive

KW - Registries

KW - Reproducibility of Results

KW - Respiratory Insufficiency

KW - Spirometry

U2 - 10.1016/j.rmed.2011.01.012

DO - 10.1016/j.rmed.2011.01.012

M3 - Journal article

C2 - 21320769

VL - 105

SP - 1063

EP - 1068

JO - Respiratory Medicine

JF - Respiratory Medicine

SN - 0954-6111

IS - 7

ER -

ID: 161393269