Vaz Jacqueline, Abelin Anibal Pereira, Schmidt Marcia Moura, Oliveira Pedro Piccaro de, Gottschall Carlos A M, Rodrigues Clarissa Garcia, Quadros Alexandre Schaan de
Instituto de Cardiologia, Porto Alegre, RS - Brasil.
Universidade Federal de Santa Maria (UFSM), Santa Maria, RS - Brasil.
Arq Bras Cardiol. 2020 May-Jun;114(3):446-455. doi: 10.36660/abc.20190036.
Multicenter registries representing the real world can be a significant source of information, but few studies exist describing the methodology to implement these tools.
To describe the process of implementing a database of ST-segment elevation acute myocardial infarction (STEMI) at a reference hospital, and the application of this process to other centers by means of an online platform.
In 2009, our institution implemented an Registry of Acute Myocardial Infarction (RIAM), with the prospective and consecutive inclusion of every patient admitted to the institution who received a diagnosis of STEMI. From March 2014 to April 2016, the registries were uploaded to a web-based system using the REDCap software and the registry was expanded to other centers. Upon subscription, the REDCap platform is a noncommercial software made available by Vanderbilt University to institutions interested in research.
The following steps were taken to improve and expand the registry: 1. Standardization of variables; 2. Implementation of institutional REDCap (Research Electronic Data Capture); 3. Development of data collection forms (Case Report Form - CRF); 4. Expansion of registry to other reference centers using the REDCap software; 5. Training of teams and participating centers following an SOP (Standard Operating Procedure).
The description of the methodology used to implement and expand the RIAM may help other centers and researchers to conduct similar studies, share information between institutions, develop new health technologies, and assist public policies regarding cardiovascular diseases. (Arq Bras Cardiol. 2020; 114(3):446-455).
代表现实世界的多中心注册登记系统可能是重要的信息来源，但描述实施这些工具方法的研究较少。
描述在一家参考医院实施ST段抬高型急性心肌梗死（STEMI）数据库的过程，以及通过在线平台将该过程应用于其他中心的情况。
2009年，我们机构实施了急性心肌梗死注册登记系统（RIAM），前瞻性且连续纳入每一位在该机构入院并被诊断为STEMI的患者。2014年3月至2016年4月，使用REDCap软件将注册登记数据上传至基于网络的系统，并将该注册登记系统扩展至其他中心。订阅后，REDCap平台是范德比尔特大学向有研究兴趣的机构提供的非商业软件。
采取了以下步骤来改进和扩展注册登记系统：1. 变量标准化；2. 实施机构的REDCap（研究电子数据采集）；3. 开发数据收集表格（病例报告表 - CRF）；4. 使用REDCap软件将注册登记系统扩展至其他参考中心；5. 按照标准操作程序（SOP）对团队和参与中心进行培训。
对用于实施和扩展RIAM的方法的描述可能有助于其他中心和研究人员开展类似研究、在机构间共享信息、开发新的卫生技术以及协助制定有关心血管疾病的公共政策。（《巴西心脏病学杂志》。2020年；114(3):446 - 455）
