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Journal of Asthma Volume 39, 2002 - Issue 4
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Reliability and Validity of a System for Coding Asthma Outcomes from Medical Records*

Frederick S. Wamboldt Department of Medicine, National Jewish Medical and Research Center, Denver, Colorado, U.S.A.; Department of Psychiatry, University of Colorado Health Sciences Center, Denver, Colorado, U.S.A.Correspondence[email protected]
, M.D.,
Marcella R. Price Department of Pediatrics, National Jewish Medical and Research Center, Denver, Colorado, U.S.A.
, M.S.P.H,
Leigh A. Hume Department of Quality Leadership, Inova Fairfax Hospital for Children, Falls Church, Virginia
, M.N.,
Leslie A. Gavin Division of Behavioral Pediatrics, Nemours Children's Clinic, Orlando, Florida, U.S.A.
, Ph.D.,
Marianne Z. Wamboldt Department of Pediatrics, National Jewish Medical and Research Center, Denver, Colorado, U.S.A.; Department of Psychiatry, University of Colorado Health Sciences Center, Denver, Colorado, U.S.A.
, M.D. &
Mary D. Klinnert Department of Pediatrics, National Jewish Medical and Research Center, Denver, Colorado, U.S.A.; Department of Psychiatry, University of Colorado Health Sciences Center, Denver, Colorado, U.S.A.
, Ph.D.
Pages 299-305 | Published online: 28 May 2002
 
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Abstract

To evaluate the reliability and validity of a standardized asthma outcome coding system, we obtained medical records for 182 asthmatic children. Records were coded by trained staff using explicit and detailed criteria. Outcome variables coded included number of corticosteroid bursts, asthma-related physician contacts, emergency room visits, hospitalizations, and number of asthma episodes. Interrater reliability was excellent. Patterns of associations between the coded variables and other independently obtained outcome measures supported concurrent and construct validity. Given the intense scrutiny of health outcomes in the current managed-care marketplace, use of this system may foster further clinical research examining asthma outcomes.

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