• J Clin Epidemiol · Feb 1992

    Reliability of a measure of severity of illness: acute physiology of chronic health evaluation--II.

    • A M Damiano, M Bergner, E A Draper, W A Knaus, and D P Wagner.
    • Health Services Research and Development Center, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205.
    • J Clin Epidemiol. 1992 Feb 1;45(2):93-101.

    AbstractThis study examines how reliably the components of the APACHE II score (Acute Physiology Score (APS), age and chronic health) are abstracted from the medical record in terms of inter-rater reproducibility (Intraclass Correlation Coefficient [ICC], kappa). In the sample studied, assignment of the APS is highly reproducible (ICC = 0.90). Reproducibility of the age variable (ICC = 0.998) suggests that age is accurately abstracted. Chronic health data does not fare as well as the APS and age (kappa = 0.66). This study suggests that the components of the APACHE II score can be collected reliably.

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