Quality Control Activities Associated with Registries in Interventional Cardiology and Surgery

被引：67

作者：

Andrianopoulos, Nick ^{[1
]}

Diem Dinh ^{[1
]}

Duffy, Stephen J. ^{[2
,3
]}

Clark, David J. ^{[4
,5
]}

Brennan, Angela L. ^{[1
]}

Chan, William ^{[2
,3
]}

Shardey, Gilbert C. ^{[8
,9
]}

Smith, Julian A. ^{[10
]}

Yap, Cheng-Hon ^{[1
,6
,7
]}

Buxton, Brian F. ^{[1
,4
,5
]}

Ajani, Andrew E. ^{[1
,6
,7
,11
]}

Reid, Christopher M. ^{[1
]}

机构：

[1] Monash Univ, Ctr Cardiovasc Res & Educ Therapeut, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia

[2] Alfred Hosp, Dept Cardiol, Melbourne, Vic, Australia

[3] Alfred Hosp, Dept Cardiac Surg, Melbourne, Vic, Australia

[4] Austin Hosp, Dept Cardiac Surg, Melbourne, Vic 3084, Australia

[5] Austin Hosp, Dept Cardiol, Melbourne, Vic 3084, Australia

[6] Royal Melbourne Hosp, Dept Cardiol, Melbourne, Vic, Australia

[7] Royal Melbourne Hosp, Dept Cardiac Surg, Melbourne, Vic, Australia

[8] Cabrini Med Ctr, Dept Cardiol, Melbourne, Vic, Australia

[9] Cabrini Med Ctr, Dept Cardiac Surg, Melbourne, Vic, Australia

[10] Monash Univ, Dept Surg MMC, Melbourne, Vic 3004, Australia

[11] Univ Melbourne, Melbourne, Vic, Australia

来源：

HEART LUNG AND CIRCULATION | 2011年 / 20卷 / 03期

基金：

英国医学研究理事会;

关键词：

Registries; Interventional cardiology; Surgery; ACUTE CORONARY SYNDROMES; DRUG-ELUTING STENTS; LONG-TERM OUTCOMES; PUBLIC HOSPITALS; DATABASE;

D O I：

10.1016/j.hlc.2010.11.001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To describe and outline audit and quality control activities of the multicentre interventional and cardiac surgery registry in Victoria as a potential model for a national registry. Design, setting, and patients: The Melbourne Interventional Group (MIG) database is a prospective multicentre registry recording consecutive percutaneous coronary interventional (PCI) procedures across eight Victorian hospitals. Similarly, the Australasian Society of Cardiac and Thoracic Surgeons (ASCTS) database captures cardiac surgical activity across six Victorian hospitals. Auditing of each registry involved systematic selection of baseline, clinical and procedural variables from 5% of procedures to examine for data integrity and mismatches. Main outcome measures: Performance trend and data accuracy of each registry was assessed by the number of mismatches detected during the auditing process for different demographic, clinical and procedural variables and across different (de-identified) sites. Results: Over two auditing phases from 2004-2006 and 2007, 10 (4.3%) of variables from 3% of all PCI procedures and 15(6.4%) variables from 5% of PCI procedures were analysed. There was 96.5% agreement during the first auditing phase of the MIG registry with an average of 0.35 mismatches per audit (CI 0.28-0.42), whereas during the second audit phase, agreement was up to 97% with 0.32 mismatches per 10 fields per audit (CI 0.25-0.40). The ASCTS database audit selected 39 (14.8%) variables from 5% of annual surgical cases across six cardiac surgical centres with an overall 96.7% agreement. Conclusion: The current auditing process of these two databases is rigorous, robust and reflects a high degree of accuracy of data collected by participating hospitals. (Heart, Lung and Circulation 2011;20:180-186) (C) 2010 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier Inc. All rights reserved.

引用

页码：180 / 186

页数：7

共 14 条

[1]

Ajani A E, 2006, Heart Lung Circ, V15, P44, DOI 10.1016/j.hlc.2005.08.001

[2] Trends in coronary artery bypass graft surgery in Victoria, 2001-2006: findings from the Australasian Society of Cardiac and Thoracic Surgeons database project [J].