Phoenix Perinatal Associates (A Division of Obstetrix Medical Group), Phoenix, Arizona, USA.
Popul Health Manag. 2010 Feb;13(1):27-32. doi: 10.1089/pop.2009.0008.
Pregnancy and neonatal outcome information is frequently used in disease management to evaluate the cost-effectiveness of prenatal interventions and for other research and reporting activities. The purpose of this study was to determine if a telephone interview process is a reliable methodology for collecting pregnancy outcomes. High-risk patients from a large maternal-fetal medicine practice who received outpatient preterm labor management services from January 1996 to June 2001 were identified. Patient-reported pregnancy outcome data for 285 mothers and 478 infants were collected via a telephone interview by a perinatal nurse and compared to pregnancy outcome data abstracted from the maternal and infant hospital records. Overall, concordance and/or Kappa coefficients between maternal report and the medical record were high for delivery date (96.4%), birth weight within 100 grams (88.9%), Cesarean delivery (99.0%, Kappa = 0.98), and high-level nursery admission (91.2%, Kappa = 0.82). Both singleton and multiple gestation types accurately reported pregnancy outcome information. A telephone interview with a skilled nurse can be a reliable methodology for collection of valuable clinical and research data related to pregnancy outcome. Data collected in this manner and maintained in a database may be used with a high level of confidence by health care providers, payers, and researchers.
妊娠和新生儿结局信息通常用于疾病管理，以评估产前干预的成本效益，并用于其他研究和报告活动。本研究旨在确定电话访谈过程是否是收集妊娠结局的可靠方法。1996 年 1 月至 2001 年 6 月，从一家大型母胎医学实践中确定了接受门诊早产管理服务的高危患者。通过围产期护士进行电话访谈，收集了 285 名母亲和 478 名婴儿的患者报告妊娠结局数据，并将其与从母婴病历中提取的妊娠结局数据进行比较。总体而言，母亲报告与病历之间的一致性和/或 Kappa 系数对于分娩日期（96.4%）、体重相差 100 克以内（88.9%）、剖宫产（99.0%，Kappa=0.98）和高级新生儿病房入院（91.2%，Kappa=0.82）均较高。单胎和多胎妊娠类型都准确报告了妊娠结局信息。经过训练有素的护士进行电话访谈可以成为收集与妊娠结局相关的有价值的临床和研究数据的可靠方法。以这种方式收集的数据并保存在数据库中，医疗保健提供者、付款人和研究人员可以高度信任地使用这些数据。
