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2015-2019年中国居民心脑血管事件报告数据质量分析
引用本文:颜流霞,陈晓荣,覃玉,龚巍巍,史卫卫,李茜,何予晋,吴静. 2015-2019年中国居民心脑血管事件报告数据质量分析[J]. 疾病监测, 2021, 36(12): 1341-1346. DOI: 10.3784/jbjc.202101130020
作者姓名:颜流霞  陈晓荣  覃玉  龚巍巍  史卫卫  李茜  何予晋  吴静
作者单位:1.中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京 100050
基金项目:国家重点研发计划(No. 2018YFC1311703)
摘    要:目的 分析2015-2019年中国居民心脑血管事件报告数据质量.方法 选取河北、江苏、浙江、湖北和四川5个省10个国家心脑血管事件报告监测点,抽取2015-2019年其辖区内1家二级及以上医疗机构报告的脑卒中急性事件报告卡和急性心肌梗死事件报告卡(来源于中国疾病预防控制中心全民健康保障信息化疾病预防控制信息系...

关 键 词:急性心脑血管事件  脑卒中  急性心肌梗死  数据质量  完整性  准确性
收稿时间:2021-01-13

Data quality of acute stroke and myocardial infarction events registry in China,2015-2019
Yan Liuxia,Chen Xiaorong,Qin Yu,Gong Weiwei,Shi Weiwei,Li Qian,He Yujin,Wu Jing. Data quality of acute stroke and myocardial infarction events registry in China,2015-2019[J]. Disease Surveillance, 2021, 36(12): 1341-1346. DOI: 10.3784/jbjc.202101130020
Authors:Yan Liuxia  Chen Xiaorong  Qin Yu  Gong Weiwei  Shi Weiwei  Li Qian  He Yujin  Wu Jing
Abstract:  Objective  To evaluate the data quality of acute stroke and myocardial infarction (MI) events records in China.  Methods  Ten surveillance hospitals in Hebei, Jiangsu, Zhejiang, Hubei and Sichuan provinces were selected for this study. Stroke and MI event records reported between January 2015 and December 2019 were selected by quota sampling in each hospital. Data for stroke and MI event records were obtained from 'National Surveillance System for Chronic Disease, China Center for Disease Control and Prevention'. The completeness and accuracy of the event records were verified according to the electronic health records via a self-developed online quality assessment system.  Results  A total of 2184 acute stroke records were evaluated and data were 100.00% complete for the key variables. The consistency of key variables between the reported and the actual records were 79.21%–95.15%. A total of 2 062 acute stroke events were verified, the average positive predictive value was 94.41%, ranging from 93.07% to 96.14%. During 2015–2019, the accuracy of key variables of stroke reports significantly increased (P<0.001). A total of 699 acute MI event records were evaluated and all the data were completed. The consistency of key variables between the reported and the actual records were 75.10%–95.42%. A total of 668 acute MI events were verified, the average positive predictive value was 95.57%, ranging from 92.86% to 97.45%. During 2015–2019, the completeness of diagnostic criteria and the accuracy of key variables of acute MI reports significantly increased (P<0.001).  Conclusion  The completeness of stroke and MI events reports were high in China during 2015–2019, and the report accuracy gradually increased, yet false positive reports still existed. It is necessary to strengthen the standardized reporting of stroke and MI events.
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