The Validity and Reliability of Characterizing Epilepsy Based on an External Review of Medical Records / 한국역학회지
Epidemiology and Health
;
: e2013006-2013.
Article
in English
| WPRIM
| ID: wpr-721173
ABSTRACT
OBJECTIVES:
Our goal is to validate diagnosing and characterizing epilepsy based on a medical record survey by external reviewers.METHODS:
We reviewed medical records from 80 patients who received antiepileptic drugs in 2009 at two hospitals. The study consisted of two steps; data abstraction by certified health record administrators and then verification by the investigators. The gold standard was the results of the survey performed by the epileptologists from their own hospital.RESULTS:
The specificity was more than 90.0% for diagnosis and activity, and for new-onset seizures. The sensitivity was 97.0% or more for diagnosis and activity and 66.7-75.0% for new-onset epilepsy. This method accurately classified epileptic syndromes in 90.2-92.9% of patients, causes in 85.4-92.7%, and age of onset in 78.0-81.0%. Kappa statistics for inter-rater reliability and test-retest reliability ranged from 0.641-0.975, which means substantial to near-perfect agreement in all items.CONCLUSIONS:
Our data suggest that epilepsy can be well identified by external review of medical records. This method may be useful as a basis for large-scale epidemiological research.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Research Personnel
/
Seizures
/
Medical Records
/
Reproducibility of Results
/
Administrative Personnel
/
Sensitivity and Specificity
/
Age of Onset
/
Epilepsy
/
Anticonvulsants
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Epidemiology and Health
Year:
2013
Type:
Article
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