In all, 245 intercepts were marked for identification, pending admission into evidence.
There was substantial to high agreement for the identification of admission (K = 0.87, 0.77 0.96) and readmission (K = 0.76, 0.62 0.87) to hospital, and referral to another hospital (K = 0.78, 0.58 1.00).
The data set permits identification of admission day as a weekend or weekday.
We merged these 2 databases using the hospitals' dummy identification number, admission date, discharge date, and patient classification system code for further analysis.
Although case identification using admission to ICU is easier; it would have heavily underestimated severe morbidity, as generally <10% of near-miss cases in low-resource settings receive intensive care [ 11, 24] (26.6% in our study).
The identification of admissions is managed at individual hospital level; guidelines recommend a combination of approaches to identify eligible admissions, including biochemistry records (specifically measurements of troponin), admission notes, and discharge slips.
Identification of admissions for serious infection depended on the quality of medical records and follow-up.
Similarly, after each hospital discharge, Quebec hospitals submit a discharge summary that includes the patient's identification, dates of admission and discharge, attending physicians, main reason for admission and up to 16 ICD-9 diagnoses.
The project aims to produce a validated tool for prospectively assessing the preventability of individual admissions, enabling identification of chronic PPH admissions which are considered preventable and the underlying modifiable factors contributing to them, at the time of admission.
In multivariate analysis, increasing age, diabetes mellitus, malignancy, lack of pathogen identification, and higher admission SOFA score remained independent risk factors of early death.
