Table 4 Documentation of rheumatic heart disease information in health centre clinical records of people with ARF/RHD 1
Risk classification | 2008 | 2009 | 2010 | p value | |
|---|---|---|---|---|---|
Diagnosis recorded on Client’s clinical record summary sheet | Recurrent or suspected recurrent ARF episode | 56% (31/55) | 73% (44/60) | 81% (50/62) | 0.004 |
Rheumatic heart disease | 84% (115/137) | 86% (115/133) | 90% (135/150) | 0.12 | |
Documentation of risk classification in full clinical record | All | 56% (87/154) | 71% (103/145) | 76% (118/156) | <0.001 |
High/Med | 36% (50/138) | 43% (45/104) | 46% (56/122) | 0.11 | |
Documentation of risk classification in the clinical record summary sheet page? | All | 29% (44/154) | 34% (50/145) | 56% (88/156) | <0.001 |
High/Med | 35% (24/69) | 42% (22/52) | 64% (39/61) | 0.001 | |
ARF/RHD management plan in notes | All | 46% (71/154) | 57% (83/145) | 53% (83/156) | 0.22 |
High/Med | 51% (35/69) | 77% (40/52) | 62% (38/61) | 0.15 | |
Low/Undetermined | 42% (36/85) | 46% (43/93) | 47% (45/95) | 0.50 | |
Current prescription on file | All | 66% (77/116) | 82% (81/99) | 58% (60/103) | 0.24 |
High/Med | 72% (41/57) | 82% (36/44) | 64% (30/47) | 0.41 | |
Low/Undetermined | 61% (36/59) | 82% (45/55) | 54% (30/56) | 0.43 | |
Smoking status recorded | All | 23% (36/154) | 40% (58/145) | 38% (60/156) | 0.005 |
Attendance within the previous month | All | 68% (105/154) | 63% (92/145) | 65% (101/156) | 0.53 |
High/Med | 71% (49/69) | 62% (32/52) | 80% (49/61) | 0.27 | |
Low/Undetermined | 66% (56/85) | 65% (60/93) | 55% (52/95) | 0.56 | |
Attendance within the previous three months | All | 84% (129/154) | 90% (130/145) | 86% (134/156) | 0.59 |
High/Med | 86% (59/69) | 90% (47/52) | 93% (57/61) | 0.14 | |
Low/Undetermined | 82% (70/85) | 89% (83/93) | 81% (77/95) | 0.77 |