Variability in interhospital trauma data coding and scoring: A challenge to the accuracy of aggregated trauma registries
Analyses of data aggregated in state and national trauma registries provide the platform for clinical, research, development, and quality improvement efforts in trauma systems. However, the interhospital variability and accuracy in data abstraction and coding have not yet been directly evaluated. Th...
Uložené v:
| Vydané v: | The journal of trauma and acute care surgery Ročník 79; číslo 3; s. 359 - 363 |
|---|---|
| Hlavní autori: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
United States
01.09.2015
|
| Predmet: | |
| ISSN: | 2163-0763 |
| On-line prístup: | Zistit podrobnosti o prístupe |
| Tagy: |
Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
|
| Abstract | Analyses of data aggregated in state and national trauma registries provide the platform for clinical, research, development, and quality improvement efforts in trauma systems. However, the interhospital variability and accuracy in data abstraction and coding have not yet been directly evaluated.
This multi-institutional, Web-based, anonymous study examines interhospital variability and accuracy in data coding and scoring by registrars. Eighty-two American College of Surgeons (ACS)/state-verified Level I and II trauma centers were invited to determine different data elements including diagnostic, procedure, and Abbreviated Injury Scale (AIS) coding as well as selected National Trauma Data Bank definitions for the same fictitious case. Variability and accuracy in data entries were assessed by the maximal percent agreement among the registrars for the tested data elements, and 95% confidence intervals were computed to compare this level of agreement to the ideal value of 100%. Variability and accuracy in all elements were compared (χ testing) based on Trauma Quality Improvement Program (TQIP) membership, level of trauma center, ACS verification, and registrar's certifications.
Fifty registrars (61%) completed the survey. The overall accuracy for all tested elements was 64%. Variability was noted in all examined parameters except for the place of occurrence code in all groups and the lower extremity AIS code in Level II trauma centers and in the Certified Specialist in Trauma Registry- and Certified Abbreviated Injury Scale Specialist-certified registrar groups. No differences in variability were noted when groups were compared based on TQIP membership, level of center, ACS verification, and registrar's certifications, except for prehospital Glasgow Coma Scale (GCS), where TQIP respondents agreed more than non-TQIP centers (p = 0.004).
There is variability and inaccuracy in interhospital data coding and scoring of injury information. This finding casts doubt on the validity of registry data used in all aspects of trauma care and injury surveillance. |
|---|---|
| AbstractList | BACKGROUNDAnalyses of data aggregated in state and national trauma registries provide the platform for clinical, research, development, and quality improvement efforts in trauma systems. However, the interhospital variability and accuracy in data abstraction and coding have not yet been directly evaluated.METHODSThis multi-institutional, Web-based, anonymous study examines interhospital variability and accuracy in data coding and scoring by registrars. Eighty-two American College of Surgeons (ACS)/state-verified Level I and II trauma centers were invited to determine different data elements including diagnostic, procedure, and Abbreviated Injury Scale (AIS) coding as well as selected National Trauma Data Bank definitions for the same fictitious case. Variability and accuracy in data entries were assessed by the maximal percent agreement among the registrars for the tested data elements, and 95% confidence intervals were computed to compare this level of agreement to the ideal value of 100%. Variability and accuracy in all elements were compared (χ testing) based on Trauma Quality Improvement Program (TQIP) membership, level of trauma center, ACS verification, and registrar's certifications.RESULTSFifty registrars (61%) completed the survey. The overall accuracy for all tested elements was 64%. Variability was noted in all examined parameters except for the place of occurrence code in all groups and the lower extremity AIS code in Level II trauma centers and in the Certified Specialist in Trauma Registry- and Certified Abbreviated Injury Scale Specialist-certified registrar groups. No differences in variability were noted when groups were compared based on TQIP membership, level of center, ACS verification, and registrar's certifications, except for prehospital Glasgow Coma Scale (GCS), where TQIP respondents agreed more than non-TQIP centers (p = 0.004).CONCLUSIONThere is variability and inaccuracy in interhospital data coding and scoring of injury information. This finding casts doubt on the validity of registry data used in all aspects of trauma care and injury surveillance. Analyses of data aggregated in state and national trauma registries provide the platform for clinical, research, development, and quality improvement efforts in trauma systems. However, the interhospital variability and accuracy in data abstraction and coding have not yet been directly evaluated. This multi-institutional, Web-based, anonymous study examines interhospital variability and accuracy in data coding and scoring by registrars. Eighty-two American College of Surgeons (ACS)/state-verified Level I and II trauma centers were invited to determine different data elements including diagnostic, procedure, and Abbreviated Injury Scale (AIS) coding as well as selected National Trauma Data Bank definitions for the same fictitious case. Variability and accuracy in data entries were assessed by the maximal percent agreement among the registrars for the tested data elements, and 95% confidence intervals were computed to compare this level of agreement to the ideal value of 100%. Variability and accuracy in all elements were compared (χ testing) based on Trauma Quality Improvement Program (TQIP) membership, level of trauma center, ACS verification, and registrar's certifications. Fifty registrars (61%) completed the survey. The overall accuracy for all tested elements was 64%. Variability was noted in all examined parameters except for the place of occurrence code in all groups and the lower extremity AIS code in Level II trauma centers and in the Certified Specialist in Trauma Registry- and Certified Abbreviated Injury Scale Specialist-certified registrar groups. No differences in variability were noted when groups were compared based on TQIP membership, level of center, ACS verification, and registrar's certifications, except for prehospital Glasgow Coma Scale (GCS), where TQIP respondents agreed more than non-TQIP centers (p = 0.004). There is variability and inaccuracy in interhospital data coding and scoring of injury information. This finding casts doubt on the validity of registry data used in all aspects of trauma care and injury surveillance. |
| Author | Marcus, Michael Wolfe, Jennefer Rabinovici, Reuven Captain, Kevin Arabian, Sandra S Breeze, Janis Pomphrey, Michelle Bugaev, Nikolay |
| Author_xml | – sequence: 1 givenname: Sandra S surname: Arabian fullname: Arabian, Sandra S organization: From the Institute for Clinical Research and Health Policy Studies (J.B.), Tufts Medical Center (S.S.A., N.B., R.R.), Tufts Clinical and Translational Science Institute (J.B.), Tufts University, Boston, Massachusetts; Lee Memorial Hospital (M.M., J.W.), Fort Myers; Halifax Health (K.C.), Daytona, Florida; and University of Virginia Health System (M.P.), Charlottesville, Virginia – sequence: 2 givenname: Michael surname: Marcus fullname: Marcus, Michael – sequence: 3 givenname: Kevin surname: Captain fullname: Captain, Kevin – sequence: 4 givenname: Michelle surname: Pomphrey fullname: Pomphrey, Michelle – sequence: 5 givenname: Janis surname: Breeze fullname: Breeze, Janis – sequence: 6 givenname: Jennefer surname: Wolfe fullname: Wolfe, Jennefer – sequence: 7 givenname: Nikolay surname: Bugaev fullname: Bugaev, Nikolay – sequence: 8 givenname: Reuven surname: Rabinovici fullname: Rabinovici, Reuven |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26307866$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkN9LwzAQx4Mobs79BYLk0ZfOJG2Txrcx_AUDX6av5Zpeu0jXzCQF99_b4QSPL9wd3w9fuLsi573rkZAbzhacaXW_WS7Y_1JFcUamgss0YUqmEzIP4fNo5FKneX5JJkKmIyXllHx_gLdQ2c7GA7X9qIh-68LeRuho9DDsgNYQgRpX276l0Nc0GOfH-YEuqdlC12HfIo2Oxi1SMGbwYA7UNRTa1mMLEeu_pHG1IXqL4ZpcNNAFnJ_6jLw_PW5WL8n67fl1tVwnJmV5TNBonckcc8FTLQ1H0FwVpqmFbpjRTZEpHA81uaqNZlWmGimPfNVIYFJoMSN3v7l7774GDLHc2WCw66BHN4SSK1ZwmXEhR_T2hA7VDuty7-0O_KH8-5b4Afwabok |
| CitedBy_id | crossref_primary_10_1007_s00068_018_1040_6 crossref_primary_10_1016_j_jpedsurg_2024_161911 crossref_primary_10_1016_j_jss_2019_06_065 crossref_primary_10_1016_j_injury_2020_06_015 crossref_primary_10_1016_j_injury_2022_11_012 crossref_primary_10_1136_jech_2018_210437 crossref_primary_10_1097_JTN_0000000000000436 crossref_primary_10_1097_PCC_0000000000001120 crossref_primary_10_1007_s12028_018_0590_0 crossref_primary_10_1016_j_jpurol_2020_05_155 crossref_primary_10_3390_ijerph13080763 crossref_primary_10_1016_j_jss_2017_03_023 crossref_primary_10_1016_j_injury_2021_03_052 crossref_primary_10_1093_intqhc_mzw142 crossref_primary_10_1213_ANE_0000000000006338 crossref_primary_10_1186_s13049_025_01320_7 crossref_primary_10_3390_healthcare11212865 crossref_primary_10_1097_JTN_0000000000000507 crossref_primary_10_1136_tsaco_2018_000247 crossref_primary_10_1177_00031348251358446 crossref_primary_10_1016_j_injury_2016_04_035 crossref_primary_10_1097_TA_0000000000003290 crossref_primary_10_1302_1863_2548_12_180096 crossref_primary_10_1097_JTN_0000000000000246 crossref_primary_10_1177_14604086211041877 crossref_primary_10_1136_tsaco_2020_000667 crossref_primary_10_1053_j_semvascsurg_2022_09_002 crossref_primary_10_1186_s12873_019_0265_y crossref_primary_10_1016_j_injury_2018_09_038 crossref_primary_10_1002_ams2_302 crossref_primary_10_1093_intqhc_mzab041 crossref_primary_10_1177_000313481808401120 |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1097/TA.0000000000000788 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| EISSN | 2163-0763 |
| EndPage | 363 |
| ExternalDocumentID | 26307866 |
| Genre | Multicenter Study Journal Article |
| GeographicLocations | United States |
| GeographicLocations_xml | – name: United States |
| GroupedDBID | --- .XZ .Z2 01R 1J1 53G 5VS 71W AAAAV AAAXR AAGIX AAHPQ AAIQE AAJCS AAMOA AAMTA AAQKA AARTV AASCR AASOK AASXQ AAUEB AAXQO ABASU ABBUW ABDIG ABVCZ ABXVJ ABXYN ABZAD ABZZY ACCJW ACDDN ACDOF ACEWG ACIJW ACILI ACLDA ACOAL ACWDW ACWRI ACXJB ACXNZ ACZKN ADGGA ADHPY ADNKB AEBDS AEETU AENEX AFBFQ AFDTB AFEXH AFMBP AFNMH AFSOK AFUWQ AGINI AHOMT AHQNM AHQVU AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJNYG AJZMW AKCTQ AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BOYCO BQLVK BYPQX C45 CGR CUY CVF DIWNM DUNZO E.X EBS ECM EEVPB EIF EJD ERAAH EX3 FCALG FL- FW0 GNXGY GQDEL HLJTE IKREB IKYAY IN~ JG8 JK3 JK8 L-C NPM N~7 N~B OB4 OBH ODA ODMTH OHYEH ONV OPUJH OUVQU OVD OVDNE OVIDH OVLEI OVOZU OWBYB OXXIT PONUX RLZ S4R S4S TEORI TSPGW V2I WOW ZZMQN 7X8 ABPXF ADKSD ADSXY |
| ID | FETCH-LOGICAL-c305t-ec99465e521396c1ea9178cfd29f0c9f847e163c57dc90b47f66465ebf6a06292 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 32 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000360571900007&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| IngestDate | Thu Oct 02 07:17:51 EDT 2025 Thu Apr 03 07:05:59 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 3 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c305t-ec99465e521396c1ea9178cfd29f0c9f847e163c57dc90b47f66465ebf6a06292 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| PMID | 26307866 |
| PQID | 1708164126 |
| PQPubID | 23479 |
| PageCount | 5 |
| ParticipantIDs | proquest_miscellaneous_1708164126 pubmed_primary_26307866 |
| PublicationCentury | 2000 |
| PublicationDate | 2015-09-01 |
| PublicationDateYYYYMMDD | 2015-09-01 |
| PublicationDate_xml | – month: 09 year: 2015 text: 2015-09-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | The journal of trauma and acute care surgery |
| PublicationTitleAlternate | J Trauma Acute Care Surg |
| PublicationYear | 2015 |
| SSID | ssj0000569355 |
| Score | 2.3190634 |
| Snippet | Analyses of data aggregated in state and national trauma registries provide the platform for clinical, research, development, and quality improvement efforts... BACKGROUNDAnalyses of data aggregated in state and national trauma registries provide the platform for clinical, research, development, and quality improvement... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 359 |
| SubjectTerms | Clinical Coding - standards Humans International Classification of Diseases Quality Improvement Registries - standards Reproducibility of Results Surveys and Questionnaires Trauma Centers Trauma Severity Indices United States |
| Title | Variability in interhospital trauma data coding and scoring: A challenge to the accuracy of aggregated trauma registries |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/26307866 https://www.proquest.com/docview/1708164126 |
| Volume | 79 |
| WOSCitedRecordID | wos000360571900007&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV07T8MwELaAMrDwEK_ykpFYo7ZO4gcLqhAVA1QdStUtci42MJCUJEX033POAxYGJDJkSqLIPvu-O3_6PkKuEhZL3_q-JxPJvQC49jRI7Vnui0T6cWArtsXsQYzHcj5Xk6bhVjS0ynZPrDbqJAPXI-8NhLOICAaM3yzePeca5U5XGwuNddLxEco4SpeYy-8eCyZ3Jx_eig0p0ZsOa8HC9hKN48qv0LJKMaOd__7cLtluwCUd1tGwR9ZMuk8-Z1gO12rcK_qaUicQkb80diG0zPXyTVNHFKWQuURGdZrQAipi3jUdUmjtVmiZUYSLVAMscw0rmlmqn7Fed524pP2Sc3pwXiCmOCBPo7vp7b3X-C14gKu-9AwoFfDQYEb3FYeB0VjLSbAJU7YPymIiMwjfIBQJqH4cCMu5ez62XPc5U-yQbKRZao4JBV9oAdwwZhDyhFIZGbI4Fn0TYMEFqksu24GMMJ7dIYVOTbYsop-h7JKjejaiRS28ETGOO5Lk_OQPb5-SLcQ2YU0HOyMdi6vZnJNN-Chfi_yiChS8jyePX8z_ykI |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Variability+in+interhospital+trauma+data+coding+and+scoring%3A+A+challenge+to+the+accuracy+of+aggregated+trauma+registries&rft.jtitle=The+journal+of+trauma+and+acute+care+surgery&rft.au=Arabian%2C+Sandra+S&rft.au=Marcus%2C+Michael&rft.au=Captain%2C+Kevin&rft.au=Pomphrey%2C+Michelle&rft.date=2015-09-01&rft.eissn=2163-0763&rft.volume=79&rft.issue=3&rft.spage=359&rft.epage=363&rft_id=info:doi/10.1097%2FTA.0000000000000788&rft.externalDBID=NO_FULL_TEXT |