Datta Indraneel, Findlay Christi, Kortbeek John B, Hameed S Morad
Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
Can J Surg. 2007 Jun;50(3):210-3.
For decades, trauma registries have been the primary source of data for resource allocation, quality improvement efforts and hypothesis-generating research in trauma care. Surprisingly, the quality and completion of data in these registries has rarely been reported. In preparation for a research program on population-based epidemiology of severe trauma, we evaluated the Calgary component of the Alberta Trauma Registry (ATR).
We identified the ATR records of all adult trauma patients (aged > or = 16 yr) admitted to hospitals in the Calgary Health Region (CRH) between April 1, 2001 and March 31, 2002 with severe injuries (Injury Severity Score > or = 12). From these registry data, we randomly selected 100 patient records, and we compared 14 fields, sampling parameters from prehospital care to discharge, with information from the hospital chart.
Only 9 of 100 records were found to be incomplete. Of these, none had more than 1 field incomplete. Of the approximately 1400 data fields assessed, only 9 were missing data, resulting in a 99% (1391/1400) completion rate. Of 100 records, 22 were found to have inaccurate data; of these, 18 had 1 incorrect field, 2 had 2 incorrect fields and 2 had 3 incorrect fields. Overall, the ATR is 98% accurate.
The Calgary component of the ATR can be considered accurate and complete. Some of its inaccuracy is attributable to a change in the way time to operating room was recorded. Data from all other fields collected in a standard manner can continue to be used with confidence for administrative and research purposes.
几十年来，创伤登记系统一直是创伤护理中资源分配、质量改进工作以及产生假设性研究的数据主要来源。令人惊讶的是，这些登记系统中数据的质量和完整性很少被报告。在为一项关于严重创伤人群流行病学的研究项目做准备时，我们评估了艾伯塔创伤登记系统（ATR）的卡尔加里部分。
我们确定了2001年4月1日至2002年3月31日期间入住卡尔加里健康区域（CRH）医院的所有成年创伤患者（年龄≥16岁）且伤势严重（损伤严重度评分≥12）的ATR记录。从这些登记数据中，我们随机抽取了100份患者记录，并将从院前护理到出院的14个字段、抽样参数与医院病历中的信息进行了比较。
100份记录中仅发现9份不完整。其中，没有一份记录有超过1个字段不完整。在评估的约1400个数据字段中，仅有9个字段缺失数据，完成率为99%（1391/1400）。在100份记录中，发现22份数据不准确；其中，18份有1个错误字段，2份有2个错误字段，2份有3个错误字段。总体而言，ATR准确率为98%。
ATR的卡尔加里部分可被认为是准确和完整的。其部分不准确归因于记录到达手术室时间的方式发生了变化。以标准方式收集的所有其他字段的数据可继续放心地用于管理和研究目的。
