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\begin{document}

\title{Discrepancy between admission diagnosis and discharge diagnosis in cardiovascular diseases}



\author[1]{Ahmad Jalilvand}%
\author[2]{Roghayeh Soleimani}%
\author[1]{mohsen soleimani}%
\affil[1]{Zanjan University of Medical Sciences}%
\affil[2]{Zanjan department of education}%


\vspace{-1em}



  
  \date{May 08, 2024}


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\selectlanguage{english}
\begin{abstract}
Abstract Introduction: There is a strong relationship between the
accurate medical diagnosis and appropriate treatment. Any disagreement
between admission diagnoses (ADx) and discharge diagnoses (DDx) can lead
to medical error. Because of high incidence rate of cardiovascular
disease in Zanjan province, this study aimed to determining the
Discrepancies between admission diagnoses and discharge diagnoses.
Method: This is a cross-sectional and descriptive-analytical study that
conducted at Zanjan province in the period from 2012 to 2018. The sample
limited to patients whom The ADX and DDX codes of ICD-10 were between
I00 and I99. Data analyzed by using R (v3.6.0) and Rstudio (v1.2.1335)
software. Agreement analysis was conducted using Cohen's Kappa
statistics and the Chi Square statistic is used for testing
relationships between variables. Results: Agreement analysis of CVDs
subgroups showed that the value of the Kappa coefficient range were from
\selectlanguage{greek}κ \selectlanguage{english}= 0.34 for Chronic rheumatic heart diseases to \selectlanguage{greek}κ \selectlanguage{english}= 0.93 for Acute
rheumatic fever diseases. The values of the Kappa coefficient for the 10
most CVDs ICD-10 codes were in the range from \selectlanguage{greek}κ \selectlanguage{english}= 0. 44 for I25.9 to \selectlanguage{greek}κ \selectlanguage{english}=
0. 77 for I80.2. Conclusion: ICD-10 diagnostic codes that recorded in
the HIS can be a reliable factor to evaluate the ADX and DDX
discrepancies. The findings of this study may help to understand the
cause of the differences in the qualities of health care in the
hospitals. Keywords: patient admission, patient discharge, diagnosis,
cardiovascular disease, international classification of diseases.%
\end{abstract}%



\sloppy


\textbf{Introduction}

Medical diagnosis is the basis for decision-making in clinical practice.
It provides essential information that can affect the quality of patient
health care in acute diseases.1 In fact, there is a strong relationship
between the accurate diagnosis and appropriate treatment.2
Hospitalizing, Laboratory test type, medication, treatment approach and
length of stay(LOS) depends on the admission diagnosis (ADX).3 ADX can
be consider as a primary or presumptive diagnosis of a patient's
condition or disorder at the admission time. The discharge diagnosis
(DDX) is the final diagnosis given a patient before release from the
hospital after all testing, surgery and workup are complete. Agreement
of ADx and DDX is important in the evaluation of health care system
efficiency. Any discrepancy can change or continue the medical education
policies and the treatment approaches.3 Discrepancy of ADX and DDX can
occur in various disease and lead to medical errors. The health care
system can prevent or reduce these errors by lessen the ADx and DDx
mismatch rates. It can improve the efficiency of health care system and
decrease the additional treatment cost.4,5

According to the World Health Organization (WHO) report, chronic disease
will be the main cause of disability until 2020. Cardiovascular diseases
(CVDs) are the most common chronic disease which if not manage properly,
it will be a serious and costly problem' in the health care system and
society.6 CVDs includes coronary artery disease, heart failure,
myocardial infarction, arrhythmia and cardiomyopathy and etc.(table 1)
The WHO estimates that if the current increasing trends of CVDs
continue; 25 percent of lives will be lost in the world.7 The Iranian
Ministry of Health and Medical Education Official statistics in 2017
show that 39\% of deaths in Iran and 42\% of deaths in Zanjan were due
to CVDs.8 Recent researches has shown that CVDs does not occur under a
specific condition, many conditions involved and the main causes of CVDs
still remain unclear. In addition, the symptoms of heart disease are
similar to each other which can makes it hard for physicians to make a
decision about the ADX. The ADX is very important and vital in some
conditions like Ischemic heart diseases which require accurate diagnosis
and quick treatment.9

Achieving a high degree of agreement diagnostic in medical settings is
important. This reflects the physician's professional competence and can
affect the patient-care quality. Misdiagnosis or disagreements between
ADX and DDX can lead to irreversible consequences. Therefore, because of
high incidence of CVDs in Zanjan and the serious complications of the
ADX and DDX disagreement, this study aimed to determine the discrepancy
between the ADX and DDX of CVDs.

\textbf{Method}

\textbf{Study Area}

Zanjan is one of the 31 provinces located in North West of Iran. Its
center is Zanjan city. The province of Zanjan covers an area of 291.27
km2 and its population size is about 1,057,461 people (Statistical
Center of Iran - 2016).

\textbf{Data Gathering and analysis}

This is a cross-sectional and descriptive-analytical study that
conducted at Zanjan province, Iran. The sample included patients'
information records who admitted in hospitals with CVDs problem in the
period from March 20, 2012 to March 22, 2019. The data were taken from
the eight hospital information system (HIS) databases. The sample
limited to records which the ICD-10 codes of ADX and DDX were between
I00 and I99. Records with ADX or DDX missing were excluded. CVDs were
classified to 10 subgroups by using the International Classification of
Diseases 10th revision (ICD-10) (Table 1). The discrepancy measured by
comparing the ICD-10 codes of the ADX and DDX, if these two codes did
not match accurately at the terminal digit, classified as a discrepancy
or mismatch. Data analyzed using R (v3.6.0) and Rstudio (v1.2.1335)
software. The analysis of the diagnostic agreement according to the CVDs
subgroups was conducted using Cohen's Kappa statistic and 95\% of the
confidence interval. In case of perfect matching, the value of the Kappa
coefficient is 1. If the value of the Kappa coefficient is close to 0,
that means that matching is coincidental, and if it is less than 0, the
probability of matching is even less than coincidental.10 The Chi Square
statistic was used for testing relationships between variables such as
length of stay (LOS), age, gender and married state.

\textbf{Result}

From the total of 515273 patient records, in 126874 case the ICD-10
codes of ADX or DDX were between I00 and I99. 20971 (16.5\%) case lacked
ADX or DDX which excluded. By analyzing only the complete ICD-10 codes
of ADX and DDX, a total of 105903, there was a discrepancy in 17503
(16.5\%) records. The value of the Kappa coefficient in the specified
period of time was 0.76 (0.75--0.77) (Table 1). The kappa coefficients
in men (0.77) and singles (0.99) are higher than women (0.74) and
married (0.75). (Table 2)

The analysis of CVDs subgroups showed that the value of the Kappa
coefficient range was from \selectlanguage{greek}κ \selectlanguage{english}= 0.34 for CRHD to \selectlanguage{greek}κ \selectlanguage{english}= 0.93 for ARF (Table
3). The highest prevalence CVDs were IHD (47.8\%) with \selectlanguage{greek}κ \selectlanguage{english}= 0.78. DVLL
had the highest (91.3\%) and CRHID had the lowest (24.5\%) diagnostic
agreement. (Table 3)

The type of discharge indicates the efficiency of health care services.
Correctly and timely ADX led to appropriate interventions, improved the
quality of care and finally patient will be release from the hospital in
planned discharged type.11 In planned discharge type the patient
completes the initial, actual management in the hospital and cured
completely and not to be under direct supervision of that hospital. The
result of this study show that there was a relationship between the
discharge type and the diagnostic agreement (P\textless{}0/004). In
diagnostic agreement, (85.5\%) of patients were discharged in the
planned discharge but (4.3\%) died. While in diagnostic disagreement,
(81.4\%) of patients were discharged in planned discharge type and (8\%)
died. Discrepancy between the ADX and DDX was associated with a 34\%
longer of LOS (P \textless{} 0.001), translating into a 35-hours
increase. (Tables 4 and 5).

Atherosclerosis (I25.1) was the highest prevalence in CVDs (28.9\%). The
analysis of the most 10 prevalent ICD-10 codes showed that the values of
the Kappa coefficient was from \selectlanguage{greek}κ \selectlanguage{english}= 0. 44 for I25.9 to \selectlanguage{greek}κ \selectlanguage{english}= 0. 77 for
I80.2 (Table 6).

The order of occurrence of CVDs admission and discharge diagnostic
subgroups is shown in the Table 7. Disease of the Cerebrovascular
diseases(CD) tract as an admission diagnostic group occupied the 2nd
place and as a discharge diagnostic group it occupied the 3th place with
the \selectlanguage{greek}κ \selectlanguage{english}=0.85. (Table 7)

CVDs prevalence rate analysis between 2012 and 2018 showed that it had
been increased in recent years. For example, IHD has been increased from
5,000 patients in 2012 to more than 8,000 patients in 2018. In
gender-specific prevalence rates, men had higher quantity than women in
all subgroups of CVDs with Kappa coefficient value of (0.77). In
additions, men (85\%) had the highest diagnosis agreement than women
(81\%). (p\textless{}0.001) (Chart 1, 2)

The prevalence of CVDs had also increased with age in men and women
(p\textless{}0/004). The incidence of CVDs in different age groups were
(\textasciitilde{}3\%) from 0--24 years, (\textasciitilde{}11\%) from
25--44 years, (\textasciitilde{}40\%) from 45--64 years,
(\textasciitilde{}33\%) from 65--80 years and (\textasciitilde{}13\%)
above the age of 80. (Chart 3) There was a relationship between the
marriage state and diagnostic agreement (P\textless{}0/001). The
diagnosis agreement in singles (93\%) was higher than married (83\%)
with \selectlanguage{greek}κ \selectlanguage{english}=0.91. (Chart 4). The findings showed that DVLL had the highest
and CRHD had the lowest diagnostic agreement and the most discrepancy
was between the CRHD and OFHD groups. (Table 8)

\textbf{Discussion}

A statistic parameter which is most commonly used in determining the
degree of agreement between admission and discharge diagnostic groups
was the Kappa coefficient.10 The results of this study showed that the
agreement of ADX and DDX for the CVDs subgroups was satisfying (\selectlanguage{greek}κ \selectlanguage{english}=0.76)
but there was significant discrepancy in some subgroups, even though
some disagreement was expected. Similarly, Result of conducted study in
Brazil on 20,422 patients showed that the value kappa coefficient for
CVDs was \selectlanguage{greek}κ \selectlanguage{english}=0.61 (0.58 to 0.64). The value kappa coefficient for IHD
(0.57) and HD (0.33) was lower than the results of this study.5 In
Canada, the result of 13,803 hospitalization report analyzing showed
that the diagnostic group agreement was registered in 9,328 (67.6\%)
reports. The value of the Kappa coefficient for 50 most common
diagnostic groups was \selectlanguage{greek}κ \selectlanguage{english}= 0.81 (0.70 to 0.87). The value of the kappa
coefficient for CAD (0.86) was higher than the result of this study.12
175 (55\%) of 317 patients who admitted to the general internal medicine
unit of Rush University Medical Center (RUMC) had the diagnostic
agreement, while the agreement rate of this study was (83.5\%).11
Diagnostic discrepancy in patients with cardiac arrest was 6\%, which
was more than the results of this study.13 The agreement between ADx and
DDx in patients with or with no diabetes and with below-knee amputation
in the Republic of Ireland, shows that diagnostic group agreement with
diabetes patients who had an amputation was \selectlanguage{greek}κ \selectlanguage{english}= 0.82 (0.75--0.89).14
Analyzing of 1,090 patients record in Iran showed that there was (71\%)
agreement between the ADX and DDX and the agreement between DDX and
autopsy result was (72\%).15 The result of some studies was similar to
this study while some of them are different.

The result of study showed that the average of LOS was 119.9 \selectlanguage{ngerman}± 204
hours, and the mean of patients' age was 58.1 ± 17.1 years. The average
of LOS for the patients with angina pectoris in England was 120±72 hours
and the mean of age was 67 years.16 The result of this study showed that
there was a significant relationship between the marriage state, LOS,
sex, age and the incidence of CVDs. While a discrepancy between the ADX
and DDX was consistently associated with the increasing of LOS, the
underlying reasons are not yet understood. This study can only speculate
about the reasons for this association, and further work is need to
analysis these hypotheses. The similarities between the symptoms of CVDs
can be one of the reason of this variation. There are several possible
explanations for discrepant cases: (1) poorer documentation at the time
of admission, (2) more complexity in terms of the diagnostic task (3)
less thorough diagnostic workup at the time of admission.

The results of various studies show that the medical diagnosis is the
first and the most important issue in treatment approach at clinical
practice. Diagnostic agreement not only decreased the LOS and cost, it
can provide an adequate treatment immediately for a patient without
unnecessary waste of time.5 Despite improving the quality of diagnostic
technologies, the rate of diagnostic and medical errors has not
significantly decreased. Based on the findings of this study,
educational programs can be effective in reducing diagnostic errors. To
reducing these inconsistencies, the patients should be examined
carefully and avoid any inappropriate or inadequate actions at admission
time.

\textbf{Conclusion}

ICD-10 diagnostic codes that recorded in the HIS can be a reliable
factor to evaluate the ADX and DDX discrepancy. The findings of this
study may help to understand the cause of the differences in hospital
care qualities. Similarity symptoms in CVDs can be the one reason of
diagnosis errors that may reduce the quality of patient care. Listing
the differential diagnoses, examining their symptoms and using the
results of the present study can be helpful in improving diagnosis
agreement.17

\textbf{Limitations}

This study had some limitations. Working with Persian textual data in R
and Rstudio statistical program was so difficult and complicated. Using
multi packages and programming many codes almost reduce this limitation,
but it took a long time to run for cleaning and classifying information
from large data volumes. Another limitation was the incomplete or
inaccurate records of patient information in HIS, which modified or
deleted from study. Double coding in the use of ICD-10 diagnostic codes
to distinguish CVDs was another limitation of this study.

\textbf{Acknowledgements}

This study is a part of a Health Systems Research (HSR) research
financially supported by Zanjan University of Medical Sciences (ZUMS).
(Code A-12-1171-3)

\textbf{Ethical Approval and Consent to Participate}

This study approved by the Ethics Committee of ZUMS. (Code
IR.ZUMS.REC.1398.056)

\textbf{Consent for Publication}

Not applicable.

\textbf{Availability of Data and Material}

The datasets generated and/or analyzed during the current study are not
publicly available due to use of these data for other research studies
not yet published but are available from the corresponding author on
reasonable request.

\textbf{Competing Interests}

The authors declare that they have no competing interests.

\textbf{Funding}

Funding supported by Health Systems Research (HSR) committee of ZUMS.

\textbf{Authors Contributions}

Design of the study protocol: M.S. Writing HSR proposal: M.S., A.J.,
R.S. Collecting data from Hospitals: M.S., A.J. Analysis of data and
statistical analysis: M.S., A.J, R.S. Writing the manuscript: M.S.
Revising the manuscript critically: M.S., A.J., R.S. Adding relevant
suggestions to improve the manuscript: M.S., A.J., R.S. Agreement for
all aspects of the work and approval of the final version to be
published: M.S., A.J., R.S.

\textbf{ORCID}Mohsen Soleimani https://orcid.org/0000-0002-5221-7573.

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OF ISFAHAN MEDICAL SCHOOL (IUMS).} 2011;29(125):13-19.

8.. Benjamin EJ, Muntner P, Alonso A, et al. Heart Disease and Stroke
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9. Austin PC, Daly PA, Tu JV. A multicenter study of the coding accuracy
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cardiac care units in Ontario. \emph{Am Heart J.} 2002;144(2):290-296.

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length of stay. \emph{J Hosp Med.} 2009;4(4):234-239.

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hospital discharge data and medical records for the recording of lower
extremity amputation and diabetes in the Republic of Ireland. \emph{BMC
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\textbf{Tables}

\begin{quote}
Table 1 -- cardiovascular diseases subgroups Classification based on
ICD-10 codes
\end{quote}\selectlanguage{english}
\begin{longtable}[]{@{}llllll@{}}
\toprule
\textbf{abbreviation} & \textbf{ICD-10 disease sub-group} &
\textbf{ICD-10 code} & \textbf{abbreviation} & \textbf{ICD-10 disease
sub-group} & \textbf{ICD-10 code}\tabularnewline
\midrule
\endhead
ARF & Acute rheumatic fever & I00-I02 & OFHD & Other forms of heart
disease & I30-I52\tabularnewline
CRHD & Chronic rheumatic heart diseases & I05-I09 & CD & Cerebrovascular
diseases & I60-I69\tabularnewline
HD & Hypertensive diseases & I10-I15 & DAAC & Diseases of arteries,
arterioles and capillaries & I70-I79\tabularnewline
IHD & Ischemic heart diseases & I20-I25 & DVLL & Diseases of veins,
lymphatic vessels and lymph nodes, not elsewhere classified &
I80-I89\tabularnewline
PHDDPC & Pulmonary heart disease and diseases of pulmonary circulation &
I26-I28 & OUDCS & Other and unspecified disorders of the circulatory
system & I95-I99\tabularnewline
\bottomrule
\end{longtable}

Table 2- Sample characteristics\selectlanguage{english}
\begin{longtable}[]{@{}lllllllll@{}}
\toprule
\begin{minipage}[b]{0.11\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[b]{0.11\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[b]{0.11\columnwidth}\raggedright\strut
\textbf{Total} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.11\columnwidth}\raggedright\strut
\textbf{LOS} \textbf{X±SD}\selectlanguage{ngerman}\strut
\end{minipage} & \begin{minipage}[b]{0.11\columnwidth}\raggedright\strut
\textbf{AGE} \textbf{X±SD}\selectlanguage{ngerman}\strut
\end{minipage} & \begin{minipage}[b]{0.11\columnwidth}\raggedright\strut
\textbf{Agreement} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.11\columnwidth}\raggedright\strut
\textbf{Disagreement} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.11\columnwidth}\raggedright\strut
\textbf{kappa}\strut
\end{minipage} & \begin{minipage}[b]{0.11\columnwidth}\raggedright\strut
\textbf{95\% CI}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
\textbf{Sex}\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
Men\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
58254 (55)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
126.1 \selectlanguage{ngerman}± 247.5\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
56.6 \selectlanguage{ngerman}± 15.2\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
49516 (85)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
8738 (15)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
0.77\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
0.77-0.78\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
Women\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
47649 (45)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
114.7 \selectlanguage{ngerman}± 148.8\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
60.5 \selectlanguage{ngerman}± 17.4\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
38884 (81/6)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
8765 (18/4)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
0.74\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
0.74-0.75\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
\textbf{Married statue}\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
Married\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
103099 (97.4)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
120.6 \selectlanguage{ngerman}± 206.3\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
64.4 \selectlanguage{ngerman}± 13.7\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
85779 (83/2)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
17320 (16/8)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
0.75\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
0.75-0.76\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
Single\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
2804 (2.6)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
98 \selectlanguage{ngerman}± 143.5\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
25.6 \selectlanguage{ngerman}± 16.3\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
2621 (93/5)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
183 (6/5)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
0.91\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
0.89-0.92\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
\textbf{sum}\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
\textbf{sum}\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
105903 (100)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
119.9 \selectlanguage{ngerman}± 204.1\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
58.1 \selectlanguage{ngerman}± 17.1\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
88400 (83/5)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
17503 (16/5)\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
0.76\strut
\end{minipage} & \begin{minipage}[t]{0.08\columnwidth}\raggedright\strut
0.75-0.77\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

N-Number; LOS -- length of stay; X-- \selectlanguage{english}mean; SD -- standard deviation; CI
-- confidence intervals.

\begin{quote}
Table 3- cardiovascular diseases subgroups information
\end{quote}\selectlanguage{english}
\begin{longtable}[]{@{}llllllllllll@{}}
\toprule
\begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{CVDs} \textbf{subgroup}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{Total} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{sex}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{sex}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{Married statue}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{Married statue}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{LOS} \textbf{X±SD}\selectlanguage{ngerman}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{AGE} \textbf{X±SD}\selectlanguage{ngerman}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{Agreement} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{Disagreement} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{Kappa}\strut
\end{minipage} & \begin{minipage}[b]{0.08\columnwidth}\raggedright\strut
\textbf{95\% CI}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{Men} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{Women} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{Married} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{Single} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{ARF}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
16 (0.02)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
6 (37.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
10 (62.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
3 (18.8)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
13 (81.3)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
111.4 \selectlanguage{ngerman}± 91.7\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
24 \selectlanguage{ngerman}± 25.4\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
14 (87.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
2 (12.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.93\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.84-1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{CD}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
14425 (13.6)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
6893 (47.8)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
7532 (52.2)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
14230 (98.6)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
195 (1.4)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
164.6 \selectlanguage{ngerman}± 489.8\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
68.5 \selectlanguage{ngerman}± 14.8\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
12716 (88.2)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
1709 (11.8)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.85\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.84-0.85\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{CRHD}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
1066 (1)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
679 (63.7)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
387 (36.3)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
1042 (97.7)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
24 (2.3)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
162.4 \selectlanguage{ngerman}± 314.6\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
60.8 \selectlanguage{ngerman}± 15\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
261 (24.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
805 (75.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.34\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.31-0.37\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{DAAC}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
1685 (1.6)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
586 (34.8)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
1099 (65.2)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
1614 (95.8)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
71 (4.2)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
119.8 \selectlanguage{ngerman}± 184.6\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
61.8 \selectlanguage{ngerman}± 17\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
841 (49.9)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
844 (50.1)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.58\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.56-0.60\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{DVLL}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
7939 (7.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
2957 (37.2)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
4982 (62.8)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
6700 (84.4)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
1239 (15.6)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
83.8 \selectlanguage{ngerman}± 124.6\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
46.5 \selectlanguage{ngerman}± 19.5\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
7247 (91.3)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
692 (8.7)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.9\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.89-0.90\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{HD}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
10445 (9.9)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
6167 (59)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
4278 (41)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
10270 (98.3)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
175 (1.7)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
63.1 \selectlanguage{ngerman}± 129.3\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
64.6 \selectlanguage{ngerman}± 13.4\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
8010 (76.7)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
2435 (23.3)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.74\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.73-0.75\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{ISD}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
50619 (47.8)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
20713 (40.9)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
29906 (59.1)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
50079 (98.9)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
540 (1.1)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
85.9 \selectlanguage{ngerman}± 112.6\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
62.2 \selectlanguage{ngerman}± 12.8\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
45887 (90.7)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
4732 (9.3)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.78\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.77-0.78\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{OUCS}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
428 (0.4)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
167 (39)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
261 (61)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
407 (95.1)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
21 (4.9)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
111.3 \selectlanguage{ngerman}± 198.3\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
61.8 \selectlanguage{ngerman}± 18.7\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
208 (48.6)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
220 (51.4)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.51\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.46-0.55\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{OFHD}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
17044 (16.1)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
8336 (48.9)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
8708 (51.1)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
16612 (97.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
432 (2.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
115.9 \selectlanguage{ngerman}± 165.2\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
67.2 \selectlanguage{ngerman}± 15.4\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
11839 (69.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
5205 (30.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.67\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.66-0.67\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{PHDAP}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
2236 (2.1)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
1145 (51.2)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
1091 (48.8)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
2142 (95.8)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
94 (4.2)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
181.2 \selectlanguage{ngerman}± 230.7\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
63.6 \selectlanguage{ngerman}± 18.6\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
1377 (61.6)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
859 (38.4)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.63\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.61-0.64\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
\textbf{sum}\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
105903 (100)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
47649 (45)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
58254 (55)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
103099 (97.4)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
2804 (2.6)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
119.9 \selectlanguage{ngerman}± 204.1\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
58.05 \selectlanguage{ngerman}± 17.01\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
88400 (83.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
17503 (16.5)\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.76\strut
\end{minipage} & \begin{minipage}[t]{0.06\columnwidth}\raggedright\strut
0.75-0.77\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

N-Number; LOS -- length of stay; X-- \selectlanguage{english}mean; SD -- standard deviation; CI
-- confidence intervals.

Table 4-diagnostic agreement between the cardiovascular diseases
subgroups\selectlanguage{english}
\begin{longtable}[]{@{}lllllllllll@{}}
\toprule
\begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{ADx} \textbf{DDx}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{ARF}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{CD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{CRHD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{DAAC}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{DVLL}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{HD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{ISD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{OUCS}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{OFHD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{PHDAPC}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{ARF} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{14 (87.5)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1 (6.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1 (6.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{CD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{12716 (88.2)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
8 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
38 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
133 (0.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
405 (2.8)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
669 (4.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
18 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
383 (2.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
55 (0.4)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{CRHD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
26 (2.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{261 (24.5)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
3 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
7 (0.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
31 (2.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
331 (31.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
395 (37.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
12 (1.1)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{DAAC} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
73 (4.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{841 (49.9)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
58 (3.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
82 (4.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
480 (28.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
34 (2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
94 (5.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
23 (1.4)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{DVLL} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
153 (1.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
5 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
50 (0.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{7247 (91.3)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
72 (0.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
157 (2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
15 (0.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
116 (1.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
124 (1.6)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{HD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
486 (4.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
4 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
52 (0.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
78 (0.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{8010 (76.7)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1400 (13.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
37 (0.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
342 (3.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
36 (0.3)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{ISD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
664 (1.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
32 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
99 (0.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
134 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1314 (2.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{45887 (90.7)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
37 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
2276 (4.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
176 (0.3)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{OUCS} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
29 (6.8)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
4 (0.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
26 (6.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
15 (3.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
34 (7.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
65 (15.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{208 (48.6)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
37 (8.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
10 (2.3)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{OFHD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
583 (3.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
116 (0.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
49 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
181 (1.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
403 (2.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
3579 (21)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
25 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{11839 (69.5)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
269 (1.6)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{PHDAPC} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
72 (3.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
6 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
8 (0.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
148 (6.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
41 (1.8)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
270 (12.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
11 (0.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
303 (13.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{1377 (61.6)}\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

N-Number; LOS -- length of stay; X-- \selectlanguage{english}mean; SD -- standard deviation; CI
-- confidence intervals

Table 5- diagnostic disagreement between the cardiovascular diseases
subgroups\selectlanguage{english}
\begin{longtable}[]{@{}lllllllllll@{}}
\toprule
\begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{ADx} \textbf{DDx}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{ARF}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{CD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{CRHD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{DAAC}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{DVLL}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{HD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{ISD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{OUCS}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{OFHD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{PHDAPC}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{ARF} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{14 (87.5)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1 (6.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1 (6.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{CD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{12716 (88.2)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
8 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
38 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
133 (0.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
405 (2.8)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
669 (4.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
18 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
383 (2.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
55 (0.4)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{CRHD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
26 (2.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{261 (24.5)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
3 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
7 (0.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
31 (2.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
331 (31.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
395 (37.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
12 (1.1)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{DAAC} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
73 (4.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{841 (49.9)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
58 (3.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
82 (4.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
480 (28.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
34 (2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
94 (5.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
23 (1.4)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{DVLL} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
153 (1.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
5 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
50 (0.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{7247 (91.3)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
72 (0.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
157 (2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
15 (0.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
116 (1.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
124 (1.6)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{HD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
486 (4.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
4 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
52 (0.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
78 (0.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{8010 (76.7)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1400 (13.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
37 (0.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
342 (3.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
36 (0.3)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{ISD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
664 (1.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
32 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
99 (0.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
134 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1314 (2.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{45887 (90.7)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
37 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
2276 (4.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
176 (0.3)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{OUCS} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
29 (6.8)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
4 (0.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
26 (6.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
15 (3.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
34 (7.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
65 (15.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{208 (48.6)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
37 (8.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
10 (2.3)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{OFHD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
583 (3.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
116 (0.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
49 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
181 (1.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
403 (2.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
3579 (21)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
25 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{11839 (69.5)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
269 (1.6)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{PHDAPC} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
72 (3.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
6 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
8 (0.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
148 (6.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
41 (1.8)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
270 (12.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
11 (0.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
303 (13.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{1377 (61.6)}\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

N-Number; LOS -- length of stay; X-- \selectlanguage{english}mean; SD -- standard deviation; CI
-- confidence intervals

Table 6- Top 10 ICD-10 Codes of cardiovascular diseases\selectlanguage{english}
\begin{longtable}[]{@{}llllllll@{}}
\toprule
\begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Numb}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Disease name}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{ICD-10 Codes}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Total} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Agreement} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Disagreement} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{Kappa}\strut
\end{minipage} & \begin{minipage}[b]{0.12\columnwidth}\raggedright\strut
\textbf{95\% CI}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{1}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
atherosclerosis\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
I25.1\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
30623 (28.9)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
28243 (92.2)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2380 (7.8)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.62\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.61-0.62\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{2}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
Unstable angina\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
I20.0\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
10420 (9.8)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
9462 (90.8)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
958 (9.2)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.56\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.55-0.56\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{3}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
Essential (primary) hypertension\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
I10\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
10408 (9.8)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
7991 (76.8)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2417 (23.2)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.74\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.73-0.75\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.12\columnwidth}\raggedright\strut
\textbf{4}\strut
\end{minipage} & \begin{minipage}[t]{0.12\columnwidth}\raggedright\strut
Stroke, not specified as hemorrhage or infarction\strut
\end{minipage} & \begin{minipage}[t]{0.12\columnwidth}\raggedright\strut
I64\strut
\end{minipage} & \begin{minipage}[t]{0.12\columnwidth}\raggedright\strut
10318 (9.7)\strut
\end{minipage} & \begin{minipage}[t]{0.12\columnwidth}\raggedright\strut
9088 (88.1)\strut
\end{minipage} & \begin{minipage}[t]{0.12\columnwidth}\raggedright\strut
1230 (11.9)\strut
\end{minipage} & \begin{minipage}[t]{0.12\columnwidth}\raggedright\strut
0.76\strut
\end{minipage} & \begin{minipage}[t]{0.12\columnwidth}\raggedright\strut
0.75-0.76\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{5}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
Congestive heart failure\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
I50.0\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
5584 (5.3)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
4001 (71.7)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
1583 (28.3)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.57\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.55-0.58\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{6}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
Atrial fibrillation and flutter\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
I48\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
3250 (3.1)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2387 (73.4)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
863 (26.6)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.58\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.56-0.59\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{7}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
Acute myocardial infarction, unspecified\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
I21.9\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2855 (2.7)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2470 (86.5)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
385 (13.5)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.48\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.46-0.49\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{8}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
Other venous embolism and thrombosis\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
I80.2\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2619 (2.5)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
2157 (82.4)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
462 (17.6)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.77\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.76-0.78\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{9}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
Chronic ischemic heart disease, unspecified\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
I25.9\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
1855 (1.8)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
1341 (72.3)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
514 (27.7)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.44\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.41-0.45\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
\textbf{10}\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
Heart failure, unspecified\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
I50.9\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
1710 (1.6)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
1148 (67.1)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
562 (32.9)\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.47\strut
\end{minipage} & \begin{minipage}[t]{0.10\columnwidth}\raggedright\strut
0.44-0.49\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

N-Number; CI -- confidence intervals.

Table 7- Order of admission and discharge diagnostic of cardiovascular
diseases subgroups\selectlanguage{english}
\begin{longtable}[]{@{}llllll@{}}
\toprule
\begin{minipage}[b]{0.16\columnwidth}\raggedright\strut
\textbf{Numb}\strut
\end{minipage} & \begin{minipage}[b]{0.16\columnwidth}\raggedright\strut
\textbf{ICD-10} \textbf{sub Groups}\strut
\end{minipage} & \begin{minipage}[b]{0.16\columnwidth}\raggedright\strut
\textbf{admission diagnosis} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.16\columnwidth}\raggedright\strut
\textbf{order}\strut
\end{minipage} & \begin{minipage}[b]{0.16\columnwidth}\raggedright\strut
\textbf{discharge diagnosis} \textbf{N (\%)}\strut
\end{minipage} & \begin{minipage}[b]{0.16\columnwidth}\raggedright\strut
\textbf{order}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
\textbf{1}\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
IHD\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
33474 ( 49.15 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
1\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
38609 ( 44.79 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
1\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
\textbf{2}\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
CD\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
10910 ( 16.02 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
2\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
12099 ( 14.04 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
3\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
\textbf{3}\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
OFHD\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
8314 ( 12.21 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
3\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
14146 ( 16.41 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
2\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
\textbf{4}\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
HD\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
6651 ( 9.77 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
4\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
7895 ( 9.16 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
5\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
\textbf{5}\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
DVLL\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
6246 ( 9.17 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
5\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
8198 ( 9.51 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
4\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
\textbf{6}\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
PHDAPC\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
1359 ( 2.00 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
6\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
2398 ( 2.78 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
6\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
\textbf{7}\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
DAAC\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
669 ( 0.98 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
7\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
1334 ( 1.55 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
7\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
\textbf{8}\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
OUCS\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
262 ( 0.38 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
8\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
457 ( 0.53 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
9\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
\textbf{9}\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
CRHD\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
211 ( 0.31 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
9\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
1042 ( 1.21 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
8\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
\textbf{10}\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
ARF\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
14 ( 0.02 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
10\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
26 ( 0.03 )\strut
\end{minipage} & \begin{minipage}[t]{0.14\columnwidth}\raggedright\strut
10\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

N-Number

Table 8 diagnostic agreement and discrepancy between the cardiovascular
diseases subgroups\selectlanguage{english}
\begin{longtable}[]{@{}lllllllllll@{}}
\toprule
\begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{ADx} \textbf{DDx}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{ARF}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{CD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{CRHD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{DAAC}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{DVLL}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{HD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{ISD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{OUCS}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{OFHD}\strut
\end{minipage} & \begin{minipage}[b]{0.09\columnwidth}\raggedright\strut
\textbf{PHDAPC}\strut
\end{minipage}\tabularnewline
\midrule
\endhead
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{ARF} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{14 (87.5)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1 (6.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1 (6.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{CD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{12716 (88.2)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
8 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
38 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
133 (0.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
405 (2.8)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
669 (4.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
18 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
383 (2.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
55 (0.4)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{CRHD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
26 (2.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{261 (24.5)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
3 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
7 (0.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
31 (2.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
331 (31.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
395 (37.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
12 (1.1)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{DAAC} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
73 (4.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{841 (49.9)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
58 (3.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
82 (4.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
480 (28.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
34 (2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
94 (5.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
23 (1.4)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{DVLL} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
153 (1.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
5 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
50 (0.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{7247 (91.3)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
72 (0.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
157 (2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
15 (0.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
116 (1.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
124 (1.6)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{HD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
486 (4.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
4 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
52 (0.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
78 (0.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{8010 (76.7)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1400 (13.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
37 (0.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
342 (3.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
36 (0.3)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{ISD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
664 (1.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
32 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
99 (0.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
134 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
1314 (2.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{45887 (90.7)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
37 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
2276 (4.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
176 (0.3)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{OUCS} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
29 (6.8)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
4 (0.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
26 (6.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
15 (3.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
34 (7.9)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
65 (15.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{208 (48.6)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
37 (8.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
10 (2.3)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{OFHD} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
583 (3.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
116 (0.7)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
49 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
181 (1.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
403 (2.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
3579 (21)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
25 (0.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{11839 (69.5)}\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
269 (1.6)\strut
\end{minipage}\tabularnewline
\begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{PHDAPC} N (\%)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
0 (0)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
72 (3.2)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
6 (0.3)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
8 (0.4)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
148 (6.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
41 (1.8)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
270 (12.1)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
11 (0.5)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
303 (13.6)\strut
\end{minipage} & \begin{minipage}[t]{0.07\columnwidth}\raggedright\strut
\textbf{1377 (61.6)}\strut
\end{minipage}\tabularnewline
\bottomrule
\end{longtable}

N-Number\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/image1/image1}

\end{center}
\end{figure}

Chart 1 - cardiovascular diseases subgroups Prevalence and diagnostic
agreement rate\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/image2/image2}

\end{center}
\end{figure}

Chart 2 - gender-specific cardiovascular diseases prevalence rates\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/image3/image3}

\end{center}
\end{figure}

Chart 3 - cardiovascular diseases subgroups prevalence in different age
groups\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/image4/image4}

\end{center}
\end{figure}

Chart 4- marriage state-specific cardiovascular diseases subgroups
prevalence

\selectlanguage{english}
\FloatBarrier
\end{document}

