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Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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<strong>KCE</strong> Reports 94 <strong>Maternal</strong> <strong>Int<strong>en</strong>sive</strong> <strong>Care</strong> in Belgium 129<br />

ANNEX 3 : MERGE OF AIM-IMA AND RCM-MKG DATABASES<br />

Table 3 : MKG/RCM : received files<br />

2003 2004<br />

Name of the RCM-file<br />

Class. Hospit. Day Hosp. Class. Hospit. Day Hosp.<br />

Sum<br />

File Pati<strong>en</strong>t : 282.983 304.035<br />

File Hospital stays : 282.983 22.071 304.035 28.922<br />

File Extra Stays : 282.983 22.071 304.035 28.922<br />

File Stay ./. Specialism : 304.134 22.926 356.273 32.013 703.316<br />

File Stay ./. Bedindex : 298.401 22.362 321.352 29.609 661.499<br />

File Stay ./. <strong>Care</strong> unit : 353.744 23.304 396.699 32.204 792.992<br />

File Diagnose : 797.271 45.432 895.235 68.251 1.772.110<br />

File ICD9 procedures : 542.251 31.975 582.789 45.280 1.180.393<br />

File INAMI procedures : 1.816.702 95.087 196.074 134.632 3.930.927<br />

File Newborn babies : 119.369 944 120.819 779 239.583<br />

Table 4: Merging-preparation of MKG/RCM data<br />

2003 2004<br />

Class. Hospit. Day Hosp. Class. Hospit. Day Hosp.<br />

1.1 Creation of a basic databank<br />

merging RCM data in PATVERBIJF, STAYHOSP<br />

1.2 Neutralisations<br />

282.983 282.983 304.035 304.035<br />

1ste neutralisation : only classical hospitalisations - 215 - 279.499 - 206 - 298.096<br />

2de neutralisation : only records with IDnumbers - 90.788 - 354 - 106.496 - 772<br />

1.3 Segm<strong>en</strong>tation in 3 databanks<br />

(=d<strong>en</strong>ominator of pct linked records)<br />

191.980 3.130 197.333 5.167<br />

Records with age=0 --> Babies 59.700 1.177 59.119 474<br />

Others records --> "Mothers" 132.280 1.953 138.215 4.693<br />

Dubbles records of "mothers" 17.123 9 18.253 18<br />

Remark :<br />

Among the MKG/RCM hospital stays, many pati<strong>en</strong>ts are admitted and discharged during<br />

the same month and week The majority of these stays appeared to be stays from the<br />

newborns or other childr<strong>en</strong>.<br />

We created 3 new databases based on the age of the admitted pati<strong>en</strong>t:<br />

• Newborns: wh<strong>en</strong> the age is zero, the pati<strong>en</strong>t was considered to<br />

be a newborn<br />

• Mothers: the other stays were those of the mothers<br />

Merging of data<br />

• Doubles: stays with double records were kept in a separate<br />

database.<br />

The first cycle of merging was based on IMA/AIM administrative data and health care<br />

invoices.<br />

For some MKG/RCM data, one hospital admission corresponds up to 6 numbers of<br />

pati<strong>en</strong>ts‘ id<strong>en</strong>tification. A merge was attempted for each ID.<br />

The merging procedure was repeated on all three MKG/RCM databases, (newborns,<br />

mothers, and doubles). The merge of the doubles was done in order to differ<strong>en</strong>tiate<br />

betwe<strong>en</strong> mothers and newborns because they have the same IMA/AIM ID if the baby<br />

was not admitted directly after the birth.<br />

The first merge was realised on the exact match of the admission and discharge dates.<br />

However, these dates did not always correspond exactly.

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