Case completeness in the Norwegian Cardiac Arrest Registry.

Autor: Alm-Kruse K; Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Tjelmeland I; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.; Division of Prehospital Services, Oslo University Hospital, Oslo, Norway.; Institute for Emergency Medicine, University Hospital Schleswig-Holstein, Kiel, Germany., Kongsgård H; Division of Prehospital Services, Oslo University Hospital, Oslo, Norway., Kvåle R; Department of Oncology, Haukeland University Hospital, Bergen, Norway.; Department of Health Registry Research and Development, National Institute of Public Health, Bergen, Norway., Kramer-Johansen J; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.; Division of Prehospital Services, Oslo University Hospital, Oslo, Norway.
Jazyk: angličtina
Zdroj: Resuscitation plus [Resusc Plus] 2021 Nov 14; Vol. 8, pp. 100182. Date of Electronic Publication: 2021 Nov 14 (Print Publication: 2021).
DOI: 10.1016/j.resplu.2021.100182
Abstrakt: Introduction: This study aimed to assess the case completeness of out-of-hospital cardiac arrests (OHCA) in the Norwegian Cardiac Arrest Registry (NorCAR) and describe the differences between the registered and missing patients identified from the case-control assessment.
Methods: We identified the relevant patients in the Norwegian Patient Registry and the Norwegian Cause of Death Registry and compared them with the patients in NorCAR. Data processors used patient records to confirm if the potential cardiac arrest cases met the inclusion criteria in NorCAR.
Results: Between 2015 and 2017, 8612 OHCA patients were registered in NorCAR. Through the Patient Registry and the Cause of Death Registry we identified 11,114 potential OHCA patients, 3469 of these were already registered in NorCAR. After evaluating the patient records for the remaining 7645 patients, we found 344 patients (4%), were eligible for inclusion in NorCAR, giving a case completeness of 96%. The registered and missing patients were similar in age and gender distribution. Initial shockable rhythm and presumed cause were also comparable. However, the missing patients more frequently achieved return of spontaneous circulation, were more often transported to hospital, and had higher survival rates. The already registered patients had more key variables registered than the missing patients.
Conclusion: Our results indicate high case completeness in NorCAR. The missing patients were too few to introduce significant changes in the distribution of patient characteristics, indicating that NorCAR is representative of the Norwegian OHCA population.
(© 2021 The Author(s).)
Databáze: MEDLINE