An analysis of Hospital Discharge Index as a trauma data base

Richard Mullins, J. Veum-Stone, J. R. Hedges, M. Zimmer-Gembeck, C. Mann, Mark Helfand

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Study Objective: To document the validity of a Hospital Discharge Index (HDI) as a data base on injured patients. Design: Patient information in trauma registries was compared with information in HDI. Population: Injured patients admitted to trauma centers. Methods: Patients in HDI were crossmatched with individuals in one of two trauma registries using deterministic matching techniques. Agreement regarding the presence and severity of injury was assessed. Results: A comprehensive trauma registry from a level I trauma center and HDI agreed on the presence of an injury in each of 6 body regions over a range of kappa values from 0.17 to 0.71. The severity of injury score assigned by the two data bases demonstrated agreement over a range of intraclass correlation values from 0.12 to 0.82. Conclusion: HDI provides adequate information concerning injury for the majority of hospitalized patients, but was primarily limited by incomplete information. Efforts to improve HDI should focus on guidelines for data abstraction.

Original languageEnglish (US)
Pages (from-to)941-948
Number of pages8
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume39
Issue number5
DOIs
StatePublished - 1995

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Databases
Wounds and Injuries
Registries
Trauma Centers
Body Regions
Injury Severity Score
Guidelines
Population

ASJC Scopus subject areas

  • Surgery

Cite this

An analysis of Hospital Discharge Index as a trauma data base. / Mullins, Richard; Veum-Stone, J.; Hedges, J. R.; Zimmer-Gembeck, M.; Mann, C.; Helfand, Mark.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 39, No. 5, 1995, p. 941-948.

Research output: Contribution to journalArticle

Mullins, Richard ; Veum-Stone, J. ; Hedges, J. R. ; Zimmer-Gembeck, M. ; Mann, C. ; Helfand, Mark. / An analysis of Hospital Discharge Index as a trauma data base. In: Journal of Trauma - Injury, Infection and Critical Care. 1995 ; Vol. 39, No. 5. pp. 941-948.
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