TY - JOUR
T1 - Comparing two different techniques to assess the appropriateness of admissionsprovided in the emergency room of a pediatric hospital
AU - Corrao, Salvatore
AU - Turrisi, Antonino
AU - Capodicasa, Antonio
AU - Comito, Giuseppe
AU - Miccichè, Giovanna
AU - Colimberti, Domenico
AU - Corrao, Salvatore
PY - 2004
Y1 - 2004
N2 - Two different techniques aimed to assess the appropriateness of hospital utilisation were used to study the same sample of clinical records of admissions provided during 2001 by the emergency room of a pediatric sicilian hospital. The first technique estimated the '"high risk of inappropriateness" DRGs prevalence, according to the Decreto del Presidente del Consiglio dei Ministri of 29 Novembre 2001, and the second was the pediatric version of the Appropriateness Evaluation Protocol (AEP), based on clinical characteristics of patients and complexity of assistance provided. The comparison of results did not show any agreement between the two techniques (kappa= 0,031, C. I. 95%: from -0,001 to +0,062). In a paediatric emergency room AEP criteria cannot be used as clinical guidelines aimed to reduce the prevalence of "high risk of inappropriateness" DRGs.
AB - Two different techniques aimed to assess the appropriateness of hospital utilisation were used to study the same sample of clinical records of admissions provided during 2001 by the emergency room of a pediatric sicilian hospital. The first technique estimated the '"high risk of inappropriateness" DRGs prevalence, according to the Decreto del Presidente del Consiglio dei Ministri of 29 Novembre 2001, and the second was the pediatric version of the Appropriateness Evaluation Protocol (AEP), based on clinical characteristics of patients and complexity of assistance provided. The comparison of results did not show any agreement between the two techniques (kappa= 0,031, C. I. 95%: from -0,001 to +0,062). In a paediatric emergency room AEP criteria cannot be used as clinical guidelines aimed to reduce the prevalence of "high risk of inappropriateness" DRGs.
UR - http://hdl.handle.net/10447/121369
M3 - Article
VL - 60
SP - 343
EP - 355
JO - Igiene e Sanita Pubblica
JF - Igiene e Sanita Pubblica
SN - 0019-1639
ER -