Meijnen S, Weismuller M M, Claessens N J M, Kwanjana J H, Salaniponi F M, Harries A D
Academic Medical Centre, University of Amsterdam, The Netherlands.
Int J Tuberc Lung Dis. 2002 Aug;6(8):666-71.
All 43 non-private hospitals in Malawi which in 1999 registered and treated patients with tuberculosis (TB).
To determine the proportion of TB patients who transferred from one reporting unit to another and their treatment outcome, and to compare outcome results between the main TB register and the transfer-in register.
Retrospective data collection, using the main TB register and transfer-in register, on all patients registered in Malawi in 1999.
There were 24,908 patients, of whom 3249 (13%) in total were transfers. Significantly more patients transferred from mission hospitals (23%) compared with central (8%) or district (5%) hospitals (P < 0.001). The date of transfer was recorded for 1406 patients, of whom 1170 (83%) transferred in the first 10 weeks. Respectively 45% and 58% of transfer patients had unknown outcomes in the main TB register and transfer-in register; these rates were significantly lower in smear-positive pulmonary TB (PTB) patients. A total of 1357 patients were entered into transfer-in registers; 694 patients had matched names and/or registration numbers in both registers. Of the matched patients, 373 (54%) had similar treatment outcomes.
It is common for patients to transfer between treatment units, but the quality of the data for patients who transfer is poor, and needs to be improved.
马拉维所有43家非私立医院，这些医院在1999年对结核病患者进行登记和治疗。
确定从一个报告单位转到另一个报告单位的结核病患者比例及其治疗结果，并比较主要结核病登记册和转入登记册之间的结果。
采用回顾性数据收集方法，利用主要结核病登记册和转入登记册，收集1999年在马拉维登记的所有患者的数据。
共有24908名患者，其中3249名（13%）为转院患者。与中心医院（8%）或地区医院（5%）相比，从教会医院转院的患者明显更多（23%）（P<0.001）。记录了1406名患者的转院日期，其中1170名（83%）在最初10周内转院。在主要结核病登记册和转入登记册中，分别有45%和58%的转院患者结局未知；涂片阳性肺结核（PTB）患者的这些比例明显较低。共有1357名患者被录入转入登记册；694名患者在两个登记册中的姓名和/或登记号码匹配。在匹配的患者中，373名（54%）有相似的治疗结局。
患者在治疗单位之间转院很常见，但转院患者的数据质量较差，需要改进。
