Data reliability of hospital admissions due to external causes in a public hospital in São José dos Campos, São Paulo, Brazil

Revista Brasileira de Epidemiologia

Melione, Luís Paulo Rodrigues¹  Jorge, Maria Helena Prado de Mello² 

[1] Prefeitura Municipal de São José dos Campos;Universidade de São Paulo, São Paulo

关键词: Accidents;    External Causes;    Hospitalization;    Information Systems;    Injuries;    Morbidity;    Reliability;    Violence;   

DOI  :  10.1590/S1415-790X2008000300005

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

OBJECTIVE:To identify the quality of external-cause hospital morbidity admission datain the city of São José dos Campos, São Paulo, Brazil.
METHOD: Admissions via the Unified Health System to the Municipal Hospital,a reference trauma care hospital in the city, resulting from external-causeinjuries were analyzed during the first semester of 2003, by comparing the dataentered in the Hospital Information System (SIH) to 990 patient admission charts.Agreement between variables regarding victim, admission, and the offence wasanalyzed by rate of gross agreement and by the Kappa coefficient. Injuries andexternal causes were coded according to the International Classification ofDiseases, 10^th revision, chapters XIX and XX respectively.
RESULTS: The rate of crude agreement was very good for variables regardingvictim and admission with an 89.0% to 99.2% variation. Injuries had very goodagreement, except for neck traumas (k=0.73), multiple trauma (k=0.50), and chestfractures (k=0.49). External causes had very good agreement for land transportationaccidents (k=0.90) and falls (k=0.83). Reliability was smaller for assaults(k=0.50), undetermined intent events (k=0.37), and medical care complications(k=0.03). There was very good agreement for transportation accidents involvingpedestrians, cyclists, and motorcyclists.
CONCLUSION: Most of the variables in the study were good in the aggregationlevel analyzed. Some variables regarding the victim and some types of externalcause require data quality improvement. The profile of hospital morbidity foundin this study has confirmed that land transportation accidents are an importantexternal cause for admission in the city.

【 授权许可】

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