Datakvalitet i Norsk hjerteinfarktregister.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Tidsskrift for Den Norske Laegeforening Pub Date : 2024-10-22 Print Date: 2024-11-26 DOI:10.4045/tidsskr.23.0821
Ida Almenning Kiel, Ragna Elise Støre Govatsmark, Veronica Bendiktsen Berge, Kari Krizak Halle, Stian Lydersen, Cecilie Risøe, Bjørn Haug, Jarle Jortveit, Siri Malm, Gard Frodahl Tveitevåg Svingen, Miriam Wiksnes, Christian Engelsen Berg-Hansen, Lars Håvard Nilsen, Espen Ellingsen Moe, Kaare Harald Bønaa
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Abstract

Background: The main purpose of national medical quality registries is to contribute to better patient treatment. The registries are also used in research and as management tools. The aim of the study was to investigate data quality in the Norwegian Myocardial Infarction Registry by comparing the proportion of correctly registered variables with a reference standard.

Material and method: A total of 641 myocardial infarction cases registered in the Norwegian Myocardial Infarction Registry in 2020 were randomly sampled from seven hospitals. Seven doctors - specialists in cardiovascular diseases or specialty registrars in cardiovascular diseases or internal medicine - reviewed the patient records and re-registered 23 registry variables for the sample. These new registrations constituted the reference standard. The variables were divided into three categories: categorical variables with and without interpretation of the text in the records and continuous variables for the time indications. We then calculated the proportion of correctly registered variables and response alternatives.

Results: For variables retrieved from the patient record text without interpretation, 87 % to 100 % were correctly registered. For variables that were based on interpretations of the patient record text, the proportion that were correctly registered was lower: 20 % to 70 % for 'yes' for variables on clinical instability in non-ST-elevation myocardial infarction (NSTEMI), and 60 % for 'yes' for the variable 'myocardial infarction as complication'. The proportion of correctly registered time variables was 48 % to 100 %.

Interpretation: The proportion of correctly registered variables was higher for categorical variables that could be retrieved without interpretation from the patient record text than for continuous time variables and categorical variables based on interpretations of the patient record text.

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挪威心肌梗塞登记处的数据质量。
背景:国家医疗质量登记的主要目的是促进更好地治疗病人。登记册还可用于研究和作为管理工具。本研究旨在通过比较正确登记的变量比例与参考标准,调查挪威心肌梗死登记处的数据质量:从七家医院随机抽取了2020年在挪威心肌梗死登记处登记的641例心肌梗死病例。七名医生(心血管疾病专家或心血管疾病或内科专业注册医师)审查了患者记录,并重新登记了样本的23个登记变量。这些新登记的数据构成了参考标准。这些变量被分为三类:对记录中的文字进行解释和未进行解释的分类变量,以及时间适应症的连续变量。然后,我们计算了正确登记的变量比例和备选答案:结果:对于从病历文本中检索到的未作解释的变量,87%至100%的变量被正确登记。对于基于病历文本解释的变量,正确登记的比例较低:对于非 ST 段抬高型心肌梗死(NSTEMI)临床不稳定性变量,"是 "的比例为 20% 至 70%;对于 "心肌梗死并发症 "变量,"是 "的比例为 60%。正确登记时间变量的比例为 48% 至 100%:与连续时间变量和基于病历文本解释的分类变量相比,无需解释病历文本即可检索到的分类变量的正确登记比例更高。
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来源期刊
Tidsskrift for Den Norske Laegeforening
Tidsskrift for Den Norske Laegeforening MEDICINE, GENERAL & INTERNAL-
CiteScore
0.60
自引率
18.20%
发文量
593
审稿时长
28 weeks
期刊最新文献
Rettelse: Geografiske forskjeller i trombolysebehandling ved akutt hjerneinfarkt. Entropion. Geographical differences in thrombolysis treatment for acute ischaemic stroke. Håpet om liv. Hypochondria, from gut to brain.
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