Accuracy of a heart failure diagnosis in administrative registers

Thomas Kümler; Gunnar Hilmar Gislason; Vibeke Kirk; Morten Bay; Olav W Nielsen; Lars Køber; Christian Torp-Pedersen; Thomas Kümler; Gunnar Hilmar Gislason; Vibeke Kirk; Morten Bay; Olav W Nielsen; Lars Køber; Christian Torp-Pedersen

doi:10.1016/j.ejheart.2008.05.006

Accuracy of a heart failure diagnosis in administrative registers

Thomas Kümler, Gunnar Hilmar Gislason, Vibeke Kirk, Morten Bay, Olav W Nielsen, Lars Køber, Christian Torp-Pedersen, Thomas Kümler, Gunnar Hilmar Gislason, Vibeke Kirk, Morten Bay, Olav W Nielsen, Lars Køber, Christian Torp-Pedersen

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

229 Citationer (Scopus)

Abstract

Udgivelsesdato: 2008-Jul

Originalsprog	Engelsk
Tidsskrift	European Journal of Heart Failure
Vol/bind	10
Udgave nummer	7
Sider (fra-til)	658-60
Antal sider	3
ISSN	1388-9842
DOI	https://doi.org/10.1016/j.ejheart.2008.05.006 https://doi.org/10.1016/j.ejheart.2008.05.006
Status	Udgivet - 1 jul. 2008

Bibliografisk note

Keywords: Aged; Denmark; Female; Heart Failure; Humans; Incidence; Male; Predictive Value of Tests; Registries; Sensitivity and Specificity

Adgang til dokumentet

Citationsformater

Kümler, T., Gislason, G. H., Kirk, V., Bay, M., Nielsen, O. W., Køber, L., Torp-Pedersen, C., Kümler, T., Gislason, G. H., Kirk, V., Bay, M., Nielsen, O. W., Køber, L., & Torp-Pedersen, C. (2008). Accuracy of a heart failure diagnosis in administrative registers. European Journal of Heart Failure, 10(7), 658-60. https://doi.org/10.1016/j.ejheart.2008.05.006, https://doi.org/10.1016/j.ejheart.2008.05.006

Kümler, T, Gislason, GH, Kirk, V, Bay, M, Nielsen, OW, Køber, L , Torp-Pedersen, C, Kümler, T, Gislason, GH, Kirk, V, Bay, M, Nielsen, OW, Køber, L & Torp-Pedersen, C 2008, 'Accuracy of a heart failure diagnosis in administrative registers', European Journal of Heart Failure, bind 10, nr. 7, s. 658-60. https://doi.org/10.1016/j.ejheart.2008.05.006, https://doi.org/10.1016/j.ejheart.2008.05.006

@article{f1823890118511df803f000ea68e967b,

title = "Accuracy of a heart failure diagnosis in administrative registers",

abstract = "BACKGROUND: The incidence of heart failure is frequently reported using hospital discharge diagnoses. The specificity of a diagnosis has been shown to be high but the sensitivity of a reported diagnosis is unknown. PURPOSE: To study the accuracy of a heart failure diagnosis reported to the Danish National Patient Registers during routine clinical work. METHODS: The patient population consisted of 3644 consecutive patients admitted to all departments in one hospital. Diagnoses reported to the National Patient Register were recorded. A study team evaluated each patient independently of routine care, performed an echocardiogram and evaluated whether clinical symptoms of heart failure were present. Heart failure was defined in accordance with current ESC guidelines as symptoms of heart failure and evidence of cardiac dysfunction. RESULTS: A registered diagnosis of heart failure (n=126) carried a specificity of 99% and a sensitivity of 29% for all patients. The positive predictive value was 81%, the negative predictive value 90%. CONCLUSION: The diagnosis of Heart Failure in the Danish National Registers is underreported, but very specific.",

author = "Thomas K{\"u}mler and Gislason, {Gunnar Hilmar} and Vibeke Kirk and Morten Bay and Nielsen, {Olav W} and Lars K{\o}ber and Christian Torp-Pedersen and Thomas K{\"u}mler and Gislason, {Gunnar Hilmar} and Vibeke Kirk and Morten Bay and Nielsen, {Olav W} and Lars K{\o}ber and Christian Torp-Pedersen",

note = "Keywords: Aged; Denmark; Female; Heart Failure; Humans; Incidence; Male; Predictive Value of Tests; Registries; Sensitivity and Specificity",

year = "2008",

month = jul,

day = "1",

doi = "10.1016/j.ejheart.2008.05.006",

language = "English",

volume = "10",

pages = "658--60",

journal = "European Journal of Heart Failure",

issn = "1388-9842",

publisher = "JohnWiley & Sons Ltd",

number = "7",

}

TY - JOUR

T1 - Accuracy of a heart failure diagnosis in administrative registers

AU - Kümler, Thomas

AU - Gislason, Gunnar Hilmar

AU - Kirk, Vibeke

AU - Bay, Morten

AU - Nielsen, Olav W

AU - Køber, Lars

AU - Torp-Pedersen, Christian

AU - Kümler, Thomas

AU - Gislason, Gunnar Hilmar

AU - Kirk, Vibeke

AU - Bay, Morten

AU - Nielsen, Olav W

AU - Køber, Lars

AU - Torp-Pedersen, Christian

N1 - Keywords: Aged; Denmark; Female; Heart Failure; Humans; Incidence; Male; Predictive Value of Tests; Registries; Sensitivity and Specificity

PY - 2008/7/1

Y1 - 2008/7/1

N2 - BACKGROUND: The incidence of heart failure is frequently reported using hospital discharge diagnoses. The specificity of a diagnosis has been shown to be high but the sensitivity of a reported diagnosis is unknown. PURPOSE: To study the accuracy of a heart failure diagnosis reported to the Danish National Patient Registers during routine clinical work. METHODS: The patient population consisted of 3644 consecutive patients admitted to all departments in one hospital. Diagnoses reported to the National Patient Register were recorded. A study team evaluated each patient independently of routine care, performed an echocardiogram and evaluated whether clinical symptoms of heart failure were present. Heart failure was defined in accordance with current ESC guidelines as symptoms of heart failure and evidence of cardiac dysfunction. RESULTS: A registered diagnosis of heart failure (n=126) carried a specificity of 99% and a sensitivity of 29% for all patients. The positive predictive value was 81%, the negative predictive value 90%. CONCLUSION: The diagnosis of Heart Failure in the Danish National Registers is underreported, but very specific.

AB - BACKGROUND: The incidence of heart failure is frequently reported using hospital discharge diagnoses. The specificity of a diagnosis has been shown to be high but the sensitivity of a reported diagnosis is unknown. PURPOSE: To study the accuracy of a heart failure diagnosis reported to the Danish National Patient Registers during routine clinical work. METHODS: The patient population consisted of 3644 consecutive patients admitted to all departments in one hospital. Diagnoses reported to the National Patient Register were recorded. A study team evaluated each patient independently of routine care, performed an echocardiogram and evaluated whether clinical symptoms of heart failure were present. Heart failure was defined in accordance with current ESC guidelines as symptoms of heart failure and evidence of cardiac dysfunction. RESULTS: A registered diagnosis of heart failure (n=126) carried a specificity of 99% and a sensitivity of 29% for all patients. The positive predictive value was 81%, the negative predictive value 90%. CONCLUSION: The diagnosis of Heart Failure in the Danish National Registers is underreported, but very specific.

U2 - 10.1016/j.ejheart.2008.05.006

DO - 10.1016/j.ejheart.2008.05.006

M3 - Journal article

C2 - 18539522

SN - 1388-9842

VL - 10

SP - 658

EP - 660

JO - European Journal of Heart Failure

JF - European Journal of Heart Failure

IS - 7

ER -