Validity of heart failure diagnoses made in 2000–2012 in western Sweden
Abstract Aims The aim of this study is to validate a diagnosis of heart failure (HF) according to the European Society of Cardiology (ESC) guidelines among patients hospitalized at Sahlgrenska University Hospital, Gothenburg, Sweden, between 2000 and 2012. Methods and results In Sweden, it is mandat...
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doaj-017d54fbd5ea4736852798b8dc606cbc2020-11-25T02:41:15ZengWileyESC Heart Failure2055-58222020-02-0171374610.1002/ehf2.12519Validity of heart failure diagnoses made in 2000–2012 in western SwedenMaria Schaufelberger0Sofia Ekestubbe1Simon Hultgren2Hans Persson3Ann Reimstad4Mattias Schaufelberger5Annika Rosengren6Emergency and Cardiovascular Medicine Section, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy University of Gothenburg, Sahlgrenska University Hospital/Östra Gothenburg SwedenEmergency and Cardiovascular Medicine Section, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy University of Gothenburg, Sahlgrenska University Hospital/Östra Gothenburg SwedenEmergency and Cardiovascular Medicine Section, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy University of Gothenburg, Sahlgrenska University Hospital/Östra Gothenburg SwedenDepartment of Cardiology and Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet Danderyds Sjukhus (KIDS) Stockholm SwedenDepartment of Respiratory Medicine and Department of Medical and Health Sciences Linköping University Linköping SwedenEmergency and Cardiovascular Medicine Section, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy University of Gothenburg, Sahlgrenska University Hospital/Östra Gothenburg SwedenEmergency and Cardiovascular Medicine Section, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy University of Gothenburg, Sahlgrenska University Hospital/Östra Gothenburg SwedenAbstract Aims The aim of this study is to validate a diagnosis of heart failure (HF) according to the European Society of Cardiology (ESC) guidelines among patients hospitalized at Sahlgrenska University Hospital, Gothenburg, Sweden, between 2000 and 2012. Methods and results In Sweden, it is mandatory to report all hospital discharge diagnoses to the Swedish national inpatient register. In total, 27 517 patients were diagnosed with HF at the Sahlgrenska University hospital between 2000 and 2012. Altogether, 1100 records with a primary (n = 550) or contributory (n = 550) diagnosis of HF were randomly selected. The diagnosis was validated according to the ESC guidelines from 1995, 2001, 2005, and 2008, and cases were divided into three groups: definite, probable, and miscoded. In total, 965 cases were validated, while 135 records were excluded for various reasons. Of the 965 records, the diagnosis was validated as definite in 601 (62.3%) and as probable in 310 (32.1%); only 54 (5.6%) of cases had been miscoded. Echocardiography, as an objective evidence of cardiac dysfunction, had been performed in 581 (96.7%) of the definite, 106 (34.2%) of the probable, and 31 (57.4%) of the miscoded cases. Among the probable cases, the main reason they had not been classified as a definitive diagnosis of HF was lack of examination by echocardiography (63.8%). Conclusions The overall validity of HF diagnosis at Sahlgrenska University Hospital is high. This may reflect a high diagnostic validity at the time of diagnosis in the national Swedish patient register, supporting the continued use of this register in epidemiological research.https://doi.org/10.1002/ehf2.12519Heart failureDiagnosisValidationCo‐morbiditiesEchocardiography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Maria Schaufelberger Sofia Ekestubbe Simon Hultgren Hans Persson Ann Reimstad Mattias Schaufelberger Annika Rosengren |
spellingShingle |
Maria Schaufelberger Sofia Ekestubbe Simon Hultgren Hans Persson Ann Reimstad Mattias Schaufelberger Annika Rosengren Validity of heart failure diagnoses made in 2000–2012 in western Sweden ESC Heart Failure Heart failure Diagnosis Validation Co‐morbidities Echocardiography |
author_facet |
Maria Schaufelberger Sofia Ekestubbe Simon Hultgren Hans Persson Ann Reimstad Mattias Schaufelberger Annika Rosengren |
author_sort |
Maria Schaufelberger |
title |
Validity of heart failure diagnoses made in 2000–2012 in western Sweden |
title_short |
Validity of heart failure diagnoses made in 2000–2012 in western Sweden |
title_full |
Validity of heart failure diagnoses made in 2000–2012 in western Sweden |
title_fullStr |
Validity of heart failure diagnoses made in 2000–2012 in western Sweden |
title_full_unstemmed |
Validity of heart failure diagnoses made in 2000–2012 in western Sweden |
title_sort |
validity of heart failure diagnoses made in 2000–2012 in western sweden |
publisher |
Wiley |
series |
ESC Heart Failure |
issn |
2055-5822 |
publishDate |
2020-02-01 |
description |
Abstract Aims The aim of this study is to validate a diagnosis of heart failure (HF) according to the European Society of Cardiology (ESC) guidelines among patients hospitalized at Sahlgrenska University Hospital, Gothenburg, Sweden, between 2000 and 2012. Methods and results In Sweden, it is mandatory to report all hospital discharge diagnoses to the Swedish national inpatient register. In total, 27 517 patients were diagnosed with HF at the Sahlgrenska University hospital between 2000 and 2012. Altogether, 1100 records with a primary (n = 550) or contributory (n = 550) diagnosis of HF were randomly selected. The diagnosis was validated according to the ESC guidelines from 1995, 2001, 2005, and 2008, and cases were divided into three groups: definite, probable, and miscoded. In total, 965 cases were validated, while 135 records were excluded for various reasons. Of the 965 records, the diagnosis was validated as definite in 601 (62.3%) and as probable in 310 (32.1%); only 54 (5.6%) of cases had been miscoded. Echocardiography, as an objective evidence of cardiac dysfunction, had been performed in 581 (96.7%) of the definite, 106 (34.2%) of the probable, and 31 (57.4%) of the miscoded cases. Among the probable cases, the main reason they had not been classified as a definitive diagnosis of HF was lack of examination by echocardiography (63.8%). Conclusions The overall validity of HF diagnosis at Sahlgrenska University Hospital is high. This may reflect a high diagnostic validity at the time of diagnosis in the national Swedish patient register, supporting the continued use of this register in epidemiological research. |
topic |
Heart failure Diagnosis Validation Co‐morbidities Echocardiography |
url |
https://doi.org/10.1002/ehf2.12519 |
work_keys_str_mv |
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