{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T21:59:36Z","timestamp":1777672776167,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,3,30]],"date-time":"2017-03-30T00:00:00Z","timestamp":1490832000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIM J"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Comorbidities and complications of stroke have implications for level of care and hospital resources. It is critical, therefore, that hospital morbidity data accurately reflect the prevalence of these additional diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to measure and describe the concordance between stroke clinicians\/researchers and medical record coders when recording stroke and related diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Diagnoses recorded prospectively, according to defined criteria by a clinical research team, were compared with the coding of stroke comorbidities and complications as per the Australian Coding Standards (ACS) from the separations of 100 inpatients from three rehabilitation facilities in South Australia. Percentage agreement, kappa coefficient, sensitivity and specificity values were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Kappa coefficients for agreement of prospective diagnoses with coding ranged from 0.08 to 0.819. The diagnoses with the highest agreement were stroke, aspiration pneumonia (nil cases), aphasia and dysphagia. The diagnoses with the lowest agreement were apraxia, cognitive impairment, constipation and dehydration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Not all stroke comorbidities are represented accurately in hospital morbidity datasets. Education of stroke clinicians about the current ACS may clarify expectations about medical record documentation for coding purposes which in turn may result in more accurate morbidity data and therefore costings for the rehabilitation sector.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1833358317699841","type":"journal-article","created":{"date-parts":[[2017,3,30]],"date-time":"2017-03-30T06:24:06Z","timestamp":1490855046000},"page":"134-139","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Coding of significant comorbidities and complications for stroke in rehabilitation"],"prefix":"10.1177","volume":"46","author":[{"given":"Joanne","family":"Murray","sequence":"first","affiliation":[{"name":"Flinders University, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhonda","family":"Pfeiffer","sequence":"additional","affiliation":[{"name":"Government of South Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Scholten","sequence":"additional","affiliation":[{"name":"Flinders University, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,3,30]]},"reference":[{"key":"bibr1-1833358317699841","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0148424"},{"key":"bibr2-1833358317699841","volume-title":"Stroke and Its Management in Australia: An Update. Cardiovascular Disease Series No. 37. Cat. No. CVD 61","author":"Australian Institute of Health and Welfare","year":"2013"},{"key":"bibr3-1833358317699841","unstructured":"Centre for Health Service Development (2015) The Australian National Subacute and Non-Acute Patient (AN-SNAP) Classification Version 4. Available at: http:\/\/ahsri.uow.edu.au\/chsd\/an-snapversion4\/index.html (accessed 25 November 2016)."},{"key":"bibr4-1833358317699841","doi-asserted-by":"publisher","DOI":"10.1159\/000082787"},{"key":"bibr5-1833358317699841","unstructured":"Department of Health Government of Western Australia (2016) Clinical Coding in Western Australia. Available at: http:\/\/www.clinicalcoding.health.wa.gov.au\/news\/audit_index.cfm (accessed 2 January 2017)."},{"key":"bibr6-1833358317699841","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61953-4"},{"key":"bibr7-1833358317699841","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02526.x"},{"key":"bibr8-1833358317699841","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000260967.77422.97"},{"key":"bibr9-1833358317699841","volume-title":"IBM SPSS Statistics for Windows, Version 22.0","author":"IBM Corp","year":"2013"},{"key":"bibr10-1833358317699841","volume-title":"The Pricing Framework for Australian Public Hospital Services 2016\u201317","author":"Independent Hospital Pricing Authority","year":"2015"},{"key":"bibr11-1833358317699841","volume-title":"How to Report Statistics in Medicine: Annotated Guidelines for Authors, Editors, and Reviewers","author":"Lang TA","year":"2006"},{"key":"bibr12-1833358317699841","doi-asserted-by":"publisher","DOI":"10.1191\/0269215503cr585oa"},{"key":"bibr13-1833358317699841","volume-title":"Australian Coding Standards","author":"National Centre for Classification in Health","year":"2008","edition":"6"},{"key":"bibr14-1833358317699841","volume-title":"International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification","author":"National Centre for Classification in Health","year":"2008","edition":"6"},{"key":"bibr15-1833358317699841","volume-title":"Australian Coding Standards","author":"National Centre for Classification in Health","year":"2010","edition":"7"},{"key":"bibr16-1833358317699841","volume-title":"International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification","author":"National Centre for Classification in Health","year":"2010","edition":"7"},{"key":"bibr17-1833358317699841","volume-title":"Clinical Coding Audit 2010\u201311 Statewide Summary Report","author":"SA Health","year":"2011"},{"key":"bibr18-1833358317699841","volume-title":"Monitoring Activity Based Funding Quality Through Routine Clinical Coding Audit Programs. Independent Hospital Pricing Authority Conference","author":"Shepheard J","year":"2015"},{"key":"bibr19-1833358317699841","unstructured":"Statewide Service Strategy Division DoH, South Australia (2009) Statewide Rehabilitation Service Plan 2009\u20132017. Available at: http:\/\/www.sahealth.sa.gov.au\/wps\/wcm\/connect\/97db9d0042632bfebce5beb44d317729\/serviceplan09-17-clinicalnetworks-sahealth-0911.pdf?MOD=AJPERES&CACHEID=97db9d0042632bfebce5beb44d317729 (accessed 17 March 2016)."},{"key":"bibr20-1833358317699841","volume-title":"National Stroke Audit \u2013 Rehabilitation Services Report 2016","author":"Stroke Foundation","year":"2016"}],"container-title":["Health Information Management Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1833358317699841","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1833358317699841","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1833358317699841","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:06:11Z","timestamp":1777449971000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1833358317699841"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,30]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.1177\/1833358317699841"],"URL":"https:\/\/doi.org\/10.1177\/1833358317699841","relation":{},"ISSN":["1833-3583","1833-3575"],"issn-type":[{"value":"1833-3583","type":"print"},{"value":"1833-3575","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,30]]}}}