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Table 3 shows the severity categorisation of the events as recorded in the various resources.
It is not surprising then that we found a difference between clinical categorisation and airflow severity categorisation, and this confirms that airflow obstruction severity alone is not necessarily an adequate measure of COPD severity.
18 There were no measures of disease severity in the data; however, the Global Initiative for Chronic Lung Obstructive Lung Disease GOLDD) has emphasised the importance of symptoms and GOLD severity categorisation in predicting respiratory care utilisation and decline in lung function.
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We modified EQUIP study criteria 3 for error categorisation and severity classification by adding or clarifying severity criteria for all error categories, and by grouping errors into 10 distinct areas according to stage of the prescribing process (see below and table 2).
Cut-off scores allow severity level categorisation: total PTSD-RI score of 0 to 11 = 'doubtful', 12 to 24 = 'mild', 25 39 = 'moderate', 40 59 = 'severe' and greater than 60 = 'very severe'.
Different costs patterns were estimated for mild, moderate, and severe injury according to ICD-derived Injury Severity Score (ICISS) categorisation.
Despite using a standard set of definitions, we noted discrepancies across various hospitals in both error categorisation and severity rating.
When we compared clinical categorisation of COPD severity with airflow obstruction severity we found that patients tended to be categorised clinically as having either the same or a higher severity of COPD than their category of airways obstruction severity.
The West Australian Categorisation of Operative Severity (WA classification) was created for all neurosurgical procedures.
To facilitate analysis, the main outcomes were restricted to binary events (e.g. presence and absence of symptoms), and the categorisation of their severity was only focussed on data collected from boxes C, H and I of the questionnaire.
If the individual gave written or verbal consent, a structured clinical diagnostic interview (the Revised Clinical Interview Schedule or CIS-R) (see below) was administered to provide a baseline assessment of severity and ICD-10 diagnostic categorisation.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com