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. Author manuscript; available in PMC: 2015 May 1.
Published in final edited form as: Med Care. 2014 May;52(5):e30–e38. doi: 10.1097/MLR.0b013e31825a8c22

Table 2.

Unweighted frequencies of heart failure and cardiomyopathy diagnoses by various claims-based and chart-review algorithms among the chart sample, eligible cohort, and full cohort

Outcome Algorithm Chart-review
patients
(N=400)
Chart-review
eligible patients
(N=6,460)
All patients

(N=13,472)
Virtual Data Warehouse (including claims-based data)

Algorithm #1: ≥1 primary discharge diagnosis of HF/CM 43 (10.8%) 108 (1.7%) 199 (1.5%)
Algorithm #2:
   ≥1 primary discharge OR 43 (10.8%) 108 (1.7%) 199 (1.5%)
   ≥3 secondary discharge OR 6 (1.5%) 20 (0.3%) 31 (0.2%)
   ≥2 outpatient OR 72 (18.0%) 206 (3.2%) 383 (2.8%)
   ≥3 ED OR 0 0 2 (0.0%)
   ≥2 secondary discharge + ≥1 outpatient diagnosis of HF/CM 3 (0.8%) 3 (0.1%) 8 (0.1%)
   Any of the above 124 (31.0%) 337 (5.2%) 623 (4.6%)
Algorithm #3: Any ICD-9 code for HF/CM 166 (41.5%) N/A N/A

   Medical Charts

A) Clinician indication of HF/CM 92 (23.0%) N/A N/A
B) LVEF <50% 52 (13.0%) N/A N/A
C) Either A or B (gold standard) 108 (27.0%) N/A N/A