Application of Clinical Databases to Contemporary Cardiac Surgery Practice: Where are We now?
| Autor: | Andrew Newcomb, Paul G. Bannon, Vikrant Dhurandhar, Akshat Saxena |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
Clinical governance medicine.medical_specialty Quality management Inclusion (disability rights) Database Databases Factual business.industry 030204 cardiovascular system & hematology computer.software_genre Missing data Causality Health care delivery Cardiac surgery 03 medical and health sciences 0302 clinical medicine medicine Humans Observational study 030212 general & internal medicine Cardiac Surgical Procedures Cardiology and Cardiovascular Medicine business computer |
| Zdroj: | Heart, lungcirculation. 25(3) |
| ISSN: | 1444-2892 |
| Popis: | Cardiac surgery has embraced and encouraged the use of large, multi-institutional datasets in clinical practice. From a research perspective, database studies have facilitated an increased understanding of cardiac surgery. Among other uses, they have allowed an investigation of disease incidence and mortality, high risk groups, disparities in health care delivery and the impact of new devices and techniques. Databases are also important tools for clinical governance and quality improvement. Despite their obvious utility, clinical databases have limitations; they are subject to treatment bias, contain missing data and cannot establish causality. Moreover, the ongoing maintenance of the database requires significant human and financial resources. In the future, inclusion of more detailed follow-up data and integration with other datasets will improve the utility of clinical databases. |
| Databáze: | OpenAIRE |
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