Bergqvist David, Björck Martin, Lees Tim, Menyhei Gabor
Department of Surgical Sciences, Uppsala, Sweden.
Vasa. 2014 Mar;43(2):141-4. doi: 10.1024/0301-1526/a000340.
VASCUNET is an international registry of vascular surgical (open and endovascular) procedures since 1997. The aim of this paper is to describe a pilot validation performed at three hospitals in Hungary in September 2012.
Three core indications were checked: abdominal aortic aneurysm, carotid artery disease and limb ischemia with infrainguinal treatment.
2439 registered procedures had been reported with between 94 and 109 per cent agreement with hospital administrative numbers. In a random sample of 29 patients the VASCUNET data were compared with the patient records regarding risk factors, procedures performed and in hospital results. Only few discrepancies were found.
The conclusions are that validation is feasible, that this pilot project in Hungary showed good agreement between registry and local patient records. For a registry to be accepted and used both for practical and scientific purposes regular validation by senior surgeons should be undertaken and the vascular surgical community must have a budget for such a process.
VASCUNET是一个自1997年起的血管外科(开放和血管腔内)手术国际登记处。本文旨在描述2012年9月在匈牙利三家医院进行的一次试点验证。
检查了三个核心适应症:腹主动脉瘤、颈动脉疾病以及接受腹股沟下治疗的肢体缺血。
报告了2439例登记手术,与医院管理编号的一致性在94%至109%之间。在29例患者的随机样本中,将VASCUNET数据与患者记录在危险因素、所实施手术及住院结果方面进行了比较。仅发现了少数差异。
结论是验证是可行的,匈牙利的这个试点项目表明登记处与当地患者记录之间具有良好的一致性。为使登记处被接受并用于实际和科学目的,应由资深外科医生定期进行验证,并且血管外科界必须为此过程提供预算。