Abstract

JIMENEZ PANEQUE, Rosa E; DOMINGUEZ ALONSO, Enma; FARINAS SEIJAS, Humberto  and  FUENTES VALDES, Edelberto. Construcción y validación de un índice de gravedad para pacientes hospitalizados en áreas quirúrgicas. Rev Cubana Salud Pública [online]. 1999, vol.25, n.2, pp. 154-166. ISSN 1561-3127.

Following a previous paper presented in the clinical area, a quantitative index measuring the severity of illness of patients during their stay at the surgical services area in the hospital was developed and validated. This index is easy to obtain from medical history data. The working out of this index comprised the selection of components and search of weightings; litearture and experts were consulted and medical histories of 174 discharged patients provided the empirical basis. As a result, an index of two variants one quantitative and one qualitative-was reached. The validation process included four validity items, general reliability, agreement among judges and internal consistency. All the validity items were satisfactory: reliability index was 0.997; agreement among judges yielded a Kappa coefficient equals to 0.8 for ordinal index and the correlation rates were over 0,96 between pairs of judges. It is considered that this index is ready to be used in this hospital and that the procedure may be extended to other health venters.

Keywords : SEVERITY OF ILLNESS INDEX; REPRODUCTIBILITY OF RESULTS; QUALITY INDICATORS. HEALTH CARE [statistics]; MEDICAL RECORDS [statistics].

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