Validation of the Recording of Acute Exacerbations of COPD in UK Primary Care Electronic Healthcare Records
- Publication Date
- March 09, 2016
- Journal
- PLOS ONE
- Authors
- Kieran J. Rothnie, Hana Müllerová, John R. Hurst, Liam Smeeth, et al
- Volume
- 11
- Issue
- 3
- Pages
- e0151357
- DOI
- https://dx.plos.org/10.1371/journal.pone.0151357
- Publisher URL
- http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0151357
- PubMed
- http://www.ncbi.nlm.nih.gov/pubmed/26959820
- PubMed Central
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784784
- Europe PMC
- http://europepmc.org/abstract/MED/26959820
- Web of Science
- 000371992300118
- Scopus
- 84962312918
- Mendeley
- http://www.mendeley.com/research/validation-recording-acute-exacerbations-copd-uk-primary-care-electronic-healthcare-records-8
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Mendeley | Further Information
{"title"=>"Validation of the recording of acute exacerbations of COPD in UK primary care electronic healthcare records", "type"=>"journal", "authors"=>[{"first_name"=>"Kieran J.", "last_name"=>"Rothnie", "scopus_author_id"=>"56541625200"}, {"first_name"=>"Hana", "last_name"=>"Müllerová", "scopus_author_id"=>"6602455464"}, {"first_name"=>"John R.", "last_name"=>"Hurst", "scopus_author_id"=>"7202860805"}, {"first_name"=>"Liam", "last_name"=>"Smeeth", "scopus_author_id"=>"7003651182"}, {"first_name"=>"Kourtney", "last_name"=>"Davis", "scopus_author_id"=>"7403213774"}, {"first_name"=>"Sara L.", "last_name"=>"Thomas", "scopus_author_id"=>"56030316300"}, {"first_name"=>"Jennifer K.", "last_name"=>"Quint", "scopus_author_id"=>"16507541000"}], "year"=>2016, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"609034705", "sgr"=>"84962312918", "pmid"=>"26959820", "scopus"=>"2-s2.0-84962312918", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "doi"=>"10.1371/journal.pone.0151357", "issn"=>"19326203"}, "id"=>"a1f5abc7-1b39-366f-85a9-31f8ebe7ed52", "abstract"=>"Background Acute Exacerbations of COPD (AECOPD) identified from electronic healthcare records (EHR) are important for research, public health and to inform healthcare utilisation and ser- vice provision. However, there is no standardised method of identifying AECOPD in UK EHR. We aimed to validate the recording of AECOPD in UK EHR. Methods We randomly selected 1385 patients with COPD from the Clinical Practice Research Data- link.Weselected dates of possible AECOPDbased on 15 different algorithms between Jan- uary 2004 and August 2013. Questionnaires were sent to GPs asking for confirmation of their patients’ AECOPD on the dates identified and for any additional relevant information. Responses were reviewed independently by two respiratory physicians. Positive predictive value (PPV) and sensitivity were calculated. Results The response rate was 71.3%. AECOPD diagnostic codes, lower respiratory tract infection (LRTI) codes, and prescriptions of antibiotics and oral corticosteroids (OCS) together for 5–14 days had a high PPV (>75%) for identifying AECOPD. Symptom-based algorithms and prescription of antibiotics or OCS alone had lower PPVs (60–75%). A combined strat- egy of antibiotic and OCS prescriptions for 5–14 days, or LRTI or AECOPD code resulted in a PPV of 85.5% (95% CI, 82.7–88.3%) and a sensitivity of 62.9%(55.4–70.4%). Conclusion", "link"=>"http://www.mendeley.com/research/validation-recording-acute-exacerbations-copd-uk-primary-care-electronic-healthcare-records-8", "reader_count"=>34, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Researcher"=>17, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>1, "Other"=>2, "Student > Master"=>3, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Researcher"=>17, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>1, "Other"=>2, "Student > Master"=>3, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Biochemistry, Genetics and Molecular Biology"=>2, "Mathematics"=>2, "Medicine and Dentistry"=>21, "Pharmacology, Toxicology and Pharmaceutical Science"=>3, "Computer Science"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>21}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Computer Science"=>{"Computer Science"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Mathematics"=>{"Mathematics"=>2}, "Unspecified"=>{"Unspecified"=>4}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>3}}, "reader_count_by_country"=>{"Canada"=>1, "Brazil"=>1}, "group_count"=>6}CrossRef
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Scopus | Further Information
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Relative Metric
{"start_date"=>"2016-01-01T00:00:00Z", "end_date"=>"2016-12-31T00:00:00Z", "subject_areas"=>[]}Loading … 

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