Kaufman G I, Grabau J C, Schmidt E M, Han Y
New York State Department of Health, Albany 12237-0045.
N Y State J Med. 1990 May;90(5):238-42.
Abstracted records of all patients discharged from New York State acute care hospitals from January 1, 1983, through October 1, 1987, containing a diagnosis of HIV infection (N = 36,664) were linked into a longitudinal file of 20,005 patient-specific case histories. A validation study utilizing Medicaid patient-specific discharge information for calendar year 1985 showed that, on the average, each case history of the longitudinal file contained 85% (+/- 5%) of the expected discharges. The number of patients present in the longitudinal file was 10% (+/- 4%)--too large a percentage, due to a failure to link all the discharges to the appropriate case histories. The number of patients with a diagnosis of Pneumocystis carinii pneumonia (PCP) found in the longitudinal file was found to be consistent with the number reported to the New York State AIDS Registry. The longitudinal file appears to be sufficiently accurate and complete to use in evaluating HIV-related acute care in hospitals.
1983年1月1日至1987年10月1日期间从纽约州急症医院出院的所有患者的摘要记录，其中包含HIV感染诊断（N = 36,664），被链接到一个包含20,005份患者特定病历的纵向文件中。一项利用1985年医疗补助患者特定出院信息的验证研究表明，纵向文件中的每份病历平均包含预期出院记录的85%（±5%）。纵向文件中的患者数量为10%（±4%），由于未能将所有出院记录链接到适当的病历，这个百分比过高。在纵向文件中发现的卡氏肺孢子虫肺炎（PCP）诊断患者数量与向纽约州艾滋病登记处报告的数量一致。纵向文件似乎足够准确和完整，可用于评估医院中与HIV相关的急症护理。
