Construct validity of acute morbidity as a novel outcome for emergency patients.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2019
Historique:
received: 30 08 2017
accepted: 08 11 2018
entrez: 3 1 2019
pubmed: 3 1 2019
medline: 19 9 2019
Statut: epublish

Résumé

Validation of acute morbidity as a novel outcome in emergency medicine. Construct validity of acute morbidity was established by comparison to other outcomes using linear and logistic regression models. Data of 4608 patients were analysed. 1869 patients (40.6%) fulfilled the criteria for acute morbidity. Using multivariate analyses, acute morbidity was associated with outcomes such as hospitalisation (OR: 11, 95%-CI 9-13), mortality (OR 15, 95%-CI 6-49), and ICU admission (OR: 46, 95%-CI 25-96). Reliability of the construct "acute morbidity" was estimated using Cohens Kappa, which was 0.96 for intra-rater and 0.94 for inter-rater reliability. Reliability of the framework for acute morbidity was high. Construct validity was shown by associations with hospitalisation, mortality, and ICU admission.

Identifiants

pubmed: 30601812
doi: 10.1371/journal.pone.0207906
pii: PONE-D-17-31896
pmc: PMC6314600
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0207906

Déclaration de conflit d'intérêts

Roland Bingisser is editor, Christian H. Nickel is co-editor of medstandards.com, a symptom-based decision-support tool licensed to 150 European hospitals, owned by the University Hospital of Basel. This does not alter our adherence to PLOS ONE policies on sharing data and materials.

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Auteurs

Fabrizia Schmid (F)

Emergency Department, University Hospital Basel, Basel, Switzerland.

Alexandra Malinovska (A)

Department of Internal Medicine, University Hospital Basel, Basel, Switzerland.

Karin Weigel (K)

Joint Practice Boettcher and Hoeller, Laufenburg, Germany.

Tito Bosia (T)

Emergency Department, University Hospital Basel, Basel, Switzerland.

Christian H Nickel (CH)

Emergency Department, University Hospital Basel, Basel, Switzerland.

Roland Bingisser (R)

Emergency Department, University Hospital Basel, Basel, Switzerland.

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Classifications MeSH