Excellent agreement of Norwegian trauma registry data compared to corresponding data in electronic patient records

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Original Research

N Naberezhneva¹  Oddvar Uleberg²  M Dahlhaug³  K G Ringdal⁴  O Røise⁵  V Giil-Jensen⁶ 

[1] Biobank and Registry Support Department, Division for medical quality registries for South- Eastern Norway Regional Health Authority, Oslo University Hospital, Oslo, Norway;Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway;Department of Emergency Medicine and Pre-hospital services, St. Olav`s University Hospital, Trondheim, Norway;Norwegian Trauma Registry, Division of Orthopedics, Oslo University Hospital, Oslo, Norway;Norwegian Trauma Registry, Division of Orthopedics, Oslo University Hospital, Oslo, Norway;Department of Anesthesiology, Vestfold Hospital Trust, Tønsberg, Norway;Division of Prehospital Care, Vestfold Hospital Trust, Tønsberg, Norway;Norwegian Trauma Registry, Division of Orthopedics, Oslo University Hospital, Oslo, Norway;Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway;Norwegian Trauma Registry, Division of Orthopedics, Oslo University Hospital, Oslo, Norway;Western Norway Trauma Center, Haukeland University Hospital, Bergen, Norway;

关键词: Data Quality;    Data Accuracy;    Data Collection;    Health Care Evaluation Mechanisms;    Wounds and Injuries;    Registries;   

DOI  :  10.1186/s13049-023-01118-5

 received in 2023-06-21, accepted in 2023-09-10,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe Norwegian Trauma Registry (NTR) is designed to monitor and improve the quality and outcome of trauma care delivered by Norwegian trauma hospitals. Patient care is evaluated through specific quality indicators, which are constructed of variables reported to the registry by certified registrars. Having high-quality data recorded in the registry is essential for the validity, trust and use of data. This study aims to perform a data quality check of a subset of core data elements in the registry by assessing agreement between data in the NTR and corresponding data in electronic patient records (EPRs).MethodsWe validated 49 of the 118 variables registered in the NTR by comparing those with the corresponding ones in electronic patient records for 180 patients with a trauma diagnosis admitted in 2019 at eight public hospitals. Agreement was quantified by calculating observed agreement, Cohen’s Kappa and Gwet’s first agreement coefficient (AC1) with 95% confidence intervals (CIs) for 27 nominal variables, quadratic weighted Cohen’s Kappa and Gwet’s second agreement coefficient (AC2) for five ordinal variables. For nine continuous, one date and seven time variables, we calculated intraclass correlation coefficient (ICC).ResultsAlmost perfect agreement (AC1 /AC2/ ICC > 0.80) was observed for all examined variables. Nominal and ordinal variables showed Gwet’s agreement coefficients ranging from 0.85 (95% CI: 0.79–0.91) to 1.00 (95% CI: 1.00–1.00). For continuous and time variables there were detected high values of intraclass correlation coefficients (ICC) between 0.88 (95% CI: 0.83–0.91) and 1.00 (CI 95%: 1.00–1.00). While missing values in both the NTR and EPRs were in general negligeable, we found a substantial amount of missing registrations for a continuous “Base excess” in the NTR. For some of the time variables missing values both in the NTR and EPRs were high.ConclusionAll tested variables in the Norwegian Trauma Registry displayed excellent agreement with the corresponding variables in electronic patient records. Variables in the registry that showed missing data need further examination.

【 授权许可】

CC BY   
© Norwegian Air Ambulance Foundation 2023

【 图 表 】

Fig. 1

41408_2023_902_Tab1_HTML.png