BMC Med Inform Decis Mak - Methodological challenges in using the Finnish Hospital Discharge Register for studying fire-related injuries leading to inpatient care.

Tópicos

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Resumo

CKGROUND: The objective was to examine feasibility of using hospital discharge register data for studying fire-related injuries.METHODS: The Finnish National Hospital Discharge Register (FHDR) was the database used to select relevant hospital discharge data to study usability and data quality issues. Patterns of E-coding were assessed, as well as prominent challenges in defining the incidence of injuries. Additionally, the issue of defining the relevant amount of hospital days accounted for in injury care was considered.RESULTS: Directly after the introduction of the ICD-10 classification system, in 1996, the completeness of E-coding was found to be poor, but to have improved dramatically around 2000 and thereafter. The scale of the challenges to defining the incidence of injuries was found to be manageable. In counting the relevant hospital days, psychiatric and long-term care were found to be the obvious and possible sources of overestimation.CONCLUSIONS: The FHDR was found to be a feasible data source for studying fire-related injuries so long as potential challenges are acknowledged and taken into account. Hospital discharge data can be a unique and powerful means for injury research as issues of representativeness and coverage of traditional probability samples can frequently be completely avoided.

Resumo Limpo

ckground object examin feasibl use hospit discharg regist data studi firerel injuriesmethod finnish nation hospit discharg regist fhdr databas use select relev hospit discharg data studi usabl data qualiti issu pattern ecod assess well promin challeng defin incid injuri addit issu defin relev amount hospit day account injuri care consideredresult direct introduct icd classif system complet ecod found poor improv dramat around thereaft scale challeng defin incid injuri found manag count relev hospit day psychiatr longterm care found obvious possibl sourc overestimationconclus fhdr found feasibl data sourc studi firerel injuri long potenti challeng acknowledg taken account hospit discharg data can uniqu power mean injuri research issu repres coverag tradit probabl sampl can frequent complet avoid

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