Using administratively collected hospital discharge data for AIDS surveillance.

Important note: Information in this article was accurate in 1996. The state of the art may have changed since the publication date.

Using administratively collected hospital discharge data for AIDS surveillance.

Ann Epidemiol. 1995 Sep;5(5):337-46. Unique Identifier : AIDSLINE MED/96113142
Payne SM; Seage GR 3rd; Oddleifson S; Gallagher K; vanBeuzekom M; Losina H; Hertz T; Health Services Department, Boston University School of Public; Health, MA 02118, USA.

Abstract: The objectives of this study were twofold: to improve methods of identifying possible and acquired immunodeficiency syndrome (AIDS)-related hospital discharges in administrative databases and to measure AIDS-reporting completeness in Massachusetts both overall and by subgroup. We used fiscal year 1988 discharge data from the Massachusetts Rate Setting Commission (RSC) and data from the Massachusetts AIDS Reporting System (ARS). We identified 3362 discharges of adult patients (> 12 years old) from the RSC file that had diagnosis codes which are human immunodeficiency virus (HIV)-specific (042.x, 043.x, 044.x, or 795.8) or pertain to AIDS-defining :manifestations.: Medical records of 650 patients apparently not reported to the ARS were reviewed. THe best set of codes overall consisted of either (a) the 042.x code or (b) the 043.x, 044.x, or 795.8 code plus selected manifestation codes (sensitivity, 93%; specificity, 86%; predictive value positive, 71%). Of the 927 AIDS cases identified from the 3362 discharges, only 36 had not been reported. AIDS cases among women (odds ratio (OR) = 2.9; 95% confidence interval (CI): 1.33 to 6.33), intravenous drug users (OR = 4.2; 95% CI: 2.20 to 8.02), and persons residing outside the Boston metropolitan area (OR = 2.3; 95% CI: 1.18 to 4.57) were more likely to be unreported than those among comparison groups.

Keywords: Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/TRANSMISSION Adult AIDS-Related Opportunistic Infections/EPIDEMIOLOGY Boston/EPIDEMIOLOGY Comparative Study Disease Notification Female Forecasting Forms and Records Control Hospital Information Systems/STATISTICS & NUMER DATA Hospital Records/*STATISTICS & NUMER DATA Human Male Massachusetts/EPIDEMIOLOGY Patient Discharge/*STATISTICS & NUMER DATA *Population Surveillance Rate Setting and Review Registries Sensitivity and Specificity Substance Abuse, Intravenous/EPIDEMIOLOGY Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE
961030
M96A1397

AEGiS is a 501(c)3, not-for-profit, tax-exempt, educational corporation. AEGiS is made possible through unrestricted funding from Boehringer Ingelheim, Bridgestone/Firestone Charitable Trust, Bristol-Myers Squibb Company, Elton John AIDS Foundation, Gill Foundation, the National Library of Medicine, Quest Diagnostics, Roche and Trimeris, and donations from users like you. Always watch for outdated information. This article first appeared in 1996. This material is designed to support, not replace, the relationship that exists between you and your doctor.

AEGiS presents published material, reprinted with permission and neither endorses nor opposes any material. All information contained on this website, including information relating to health conditions, products, and treatments, is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professionals. Always discuss treatment options with a doctor who specializes in treating HIV.

Copyright ©1980, 1996. AEGiS. All materials appearing on AEGiS are protected by copyright as a collective work or compilation under U.S. copyright and other laws and are the property of AEGiS, or the party credited as the provider of the content. .