TY - JOUR
T1 - Feasibility and Data Quality of the National Spinal Cord Injury Registry of Iran (NSCIR-IR)
T2 - A Pilot Study
AU - Naghdi, Khatereh
AU - Azadmanjir, Zahra
AU - Saadat, Soheil
AU - Abedi, Aidin
AU - Habibi, Sahar Koohi
AU - Derakhshan, Pegah
AU - Safdarian, Mahdi
AU - Zadegan, Shayan Abdollah
AU - Amirjamshidi, Abbas
AU - Sharif-Alhoseini, Mahdi
AU - Kheradmand, Jalil Arab
AU - Mohammadzadeh, Mahdi
AU - Zendehdel, Kazem
AU - Khazaeipour, Zahra
AU - Hashemi, Seyed Mahmood Ramak
AU - Saberi, Hooshang
AU - Yarandi, Kourosh Karimi
AU - Ketabchi, Seyed Ebrahim
AU - Yousefzadeh-Chabok, Shahrokh
AU - Heidari, Hamid
AU - Sotodeh, Arezo
AU - Pestei, Khalil
AU - Ghodsi, Zahra
AU - Sadeghian, Farideh
AU - Noonan, Vanessa
AU - Benzel, Edward C.
AU - Oreilly, Gerard
AU - Chapman, Jens
AU - Hagen, Ellen Merete
AU - Fehlings, Michael G.
AU - Vaccaro, Alexander R.
AU - Jooybari, Morteza Faghih
AU - Zarei, Mohammad Reza
AU - Zafarghandi, Mohammad Reza
AU - Salamati, Payman
AU - Nezareh, Saeed
AU - Khormali, Moein
AU - Sadeghi-Naini, Mohsen
AU - Jazayeri, Seyed Behzad
AU - Aarabi, Bizhan
AU - Rahimi-Movaghar, Vafa
PY - 2017/8
Y1 - 2017/8
N2 - Background: Spinal cord injury (SCI) is one of the most disabling consequences of trauma with unparalleled economic, social, and personal burden. Any attempt aimed at improving quality of care should be based on comprehensive and reliable data. This pilot investigation studied the feasibility of implementing the National Spinal Cord and Column Injury Registry of Iran (NSCIR-IR) and scrutinized the quality of the registered data. Methods: From October 2015 to May 2016, over an 8-month period, 65 eligible trauma patients who were admitted to hospitals in three academic centers in mainland Iran were included in this pilot study. Certified registered nurses and neurosurgeons were in charge of data collection, quality verification, and registration. Results: Sixty-five patients with vertebral column fracture dislocations were registered in the study, of whom 14 (21.5%) patients had evidence of SCI. Mechanisms of injury included mechanical falls in 30 patients (46.2%) and motor vehicle accidents in 29 (44.6%). The case identification rate i.e. clinical and radiographic confirmation of spine and SCI, ranged from 10.0% to 88.9% in different registry centers. The completion rate of all data items was 100%, except for five data elements in patients who could not provide clinical information because of their medical status. Consistency i.e. identification of the same elements by all the registrars, was 100% and accuracy of identification of the same pathology ranged from 66.6% to 100%. Conclusions: Our pilot study showed both the feasibility and acceptable data quality of the NSCIR-IR. However, effective and successful implementation of NSCIR-IR data use requires some modifications such as presence of a dedicated registrar in each center, verification of data by a neurosurgeon, and continuous assessment of patients’ neurological status and complications.
AB - Background: Spinal cord injury (SCI) is one of the most disabling consequences of trauma with unparalleled economic, social, and personal burden. Any attempt aimed at improving quality of care should be based on comprehensive and reliable data. This pilot investigation studied the feasibility of implementing the National Spinal Cord and Column Injury Registry of Iran (NSCIR-IR) and scrutinized the quality of the registered data. Methods: From October 2015 to May 2016, over an 8-month period, 65 eligible trauma patients who were admitted to hospitals in three academic centers in mainland Iran were included in this pilot study. Certified registered nurses and neurosurgeons were in charge of data collection, quality verification, and registration. Results: Sixty-five patients with vertebral column fracture dislocations were registered in the study, of whom 14 (21.5%) patients had evidence of SCI. Mechanisms of injury included mechanical falls in 30 patients (46.2%) and motor vehicle accidents in 29 (44.6%). The case identification rate i.e. clinical and radiographic confirmation of spine and SCI, ranged from 10.0% to 88.9% in different registry centers. The completion rate of all data items was 100%, except for five data elements in patients who could not provide clinical information because of their medical status. Consistency i.e. identification of the same elements by all the registrars, was 100% and accuracy of identification of the same pathology ranged from 66.6% to 100%. Conclusions: Our pilot study showed both the feasibility and acceptable data quality of the NSCIR-IR. However, effective and successful implementation of NSCIR-IR data use requires some modifications such as presence of a dedicated registrar in each center, verification of data by a neurosurgeon, and continuous assessment of patients’ neurological status and complications.
KW - BLUNT TRAUMA PATIENTS
KW - CLINICAL-TRIALS
KW - LUMBAR SPINE
KW - Nervous System
KW - RADIOGRAPHS
KW - registries
KW - spinal cord injuries
KW - spinal fractures
KW - trauma
UR - http://www.scopus.com/inward/record.url?scp=85028624209&partnerID=8YFLogxK
M3 - Journal article
SN - 1029-2977
VL - 20
SP - 494
EP - 502
JO - Archives of Iranian Medicine
JF - Archives of Iranian Medicine
IS - 8
ER -