Biased Estimates of Expected Acute Myocardial Infarction Mortality Using Medis-Groups Admission Severity Groups

JAMA: The Journal of the American Medical Association

Volumn 265, Issue 22, 1991, Pages 2965-2970

  Blumberg, Mark S ^a  

^a Kaiser Foundation Health Plan Inc   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEART ENZYME;

ACUTE HEART INFARCTION; AGE; AGED; ARTICLE; BLOOD PRESSURE; CONGESTIVE HEART FAILURE; DISEASE CLASSIFICATION; DISEASE SEVERITY; ELECTROCARDIOGRAM; HUMAN; INFORMATION SYSTEM; MAJOR CLINICAL STUDY; MORTALITY; POTASSIUM BLOOD LEVEL; PRIORITY JOURNAL; PULSE RATE; RISK ASSESSMENT; UREA NITROGEN BLOOD LEVEL;

AGED; AGED, 80 AND OVER; ALGORITHMS; BIAS (EPIDEMIOLOGY); HOSPITALS; HUMAN; LENGTH OF STAY; MYOCARDIAL INFARCTION; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PROBABILITY; PROFESSIONAL REVIEW ORGANIZATIONS; RANDOM ALLOCATION; SEVERITY OF ILLNESS INDEX; UNITED STATES;

EID: 0026327476     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.1991.03460220053031     Document Type: Article

References (19)

1. 1. Hospital Effectiveness Report. Harrisburg: Pennsylvania Health Care Cost Containment Council; 1990;3. Publication HE5-4-88.
2. 2. Iezzoni LI, Ash AS, Coffman G, Moskowitz MA. Admission and mid-stay Medis-Groups scores as predictors of death within 30 days of hospital admission. Am J Public Health. 1991;81:74-78.
3. 3. Alemi F, Rice J, Hankins R. Predicting in-hospital survival of myocardial infarction: a comparative study of various severity measures. Med Care. 1990;28:762-775.
4. 4. Iezzoni LI, Ash AS, Moskowitz MA. Admission and Mid-Stay Medis-Groups Scores as Predictors of Hospital Charges and 30-Day Mortality. Boston, Mass: Health Policy Research Consortium, Boston University Medical Center; 1989. Prepared for the Health Care Financing Administration under cooperative agreement 18-C-99526/1-05.
5. 5. Sachs L; Reynarowych Z, trans. Applied Statistics: A Handbook of Techniques. 2nd ed. New York, NY: Springer-Verlag; 1984:66-67.
6. 6. Blumberg MS. Risk adjusting health care outcomes: a methodologic review. Med Care Rev. 1986;43:351-393.
7. 7. Iezzoni LI, Ash AS, Moskowitz MA. Medis-Groups: A Clinical and Analytic Assessment. Boston, Mass: Health Policy Research Consortium, Boston University Medical Center; 1987. Prepared for the Health Care Financing Administration under cooperative agreement 18-C-98526/1-03.
8. 8. Hospital Effectiveness Report Technical Notes. Harrisburg: Pennsylvania Health Care Cost Containment Council; 1990;4B. Publication HE-1-89.
9. 9. Mosteller F, Tukey JW. Data Analysis and Regression: A Second Course in Statistics. Reading, Mass: Addison-Wesley Publishing Co; 1977.
10. 10. Keeler EB, Kahn KL, Draper D, et al. Changes in sickness at admission following the introduction of the prospective payment system. JAMA. 1990;264:1962-1968.
11. 11. Blumberg MS, Binns GS. Risk-Adjusted 30-Day Mortality of Fresh Acute Myocardial Infarctions: The Technical Report. Chicago, Ill: The Hospital Research and Educational Trust; 1989.
12. 12. Blumberg MS. Potentials and limitations of database research illustrated by the QMMP AMI Medicare mortality study. Stat Med. 1991;10:637-646.
13. 13. Gomez-Marin O, Folsom AR, Kottke TE, et al. Improvement in long-term survival among patients hospitalized with acute myocardial infarction, 1970 to 1980: the Minnesota Heart Survey. N Engl J Med. 1987;316:1353-1359.
14. 14. Iezzoni LI, Moskowitz MA, Ash AS. The Ability of Medis-Groups and Its Clinical Variables to Predict Cost and In-Hospital Death. Boston, Mass: Health Policy Research Consortium, Boston University Medical Center; 1988. Prepared for the Health Care Financing Administration under cooperative agreement 18-C-98526/1-04.
15. 15. Iezzoni LI, Moskowitz MA. A clinical assessment of Medis-Groups. JAMA. 1988;260:3159-3163.
16. 16. Le Gall JR. The intensive care unit: definitions and managerial differences—a French multicentric study on 38 units. In: Miranda DR, Langrehr D, eds. The ICU—A Cost-Benefit Analysis. New York, NY: Elsevier Science Publishing Co Inc; 1987.
17. 17. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13:818-829.
18. 18. Sacco RL, VanGool R, Mohr JP, Hauser WA. Nontraumatic coma: Glasgow Coma Score and coma etiology as predictors of 2-week outcome. Arch Neurol. 1990;47:1181-1184.
19. 19. Schwartz S, Griffin T. Medical Thinking: The Psychology of Medical Judgment and Decision Making. New York, NY: Springer-Verlag; 1986.