School of Public Health, Curtin University, Perth, AU.
Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, VN.
Glob Heart. 2020 Apr 8;15(1):30. doi: 10.5334/gh.782.
In lower- and middle-income countries across Asia there has been a rapid expansion and uptake of percutaneous coronary intervention (PCI). However, there has been limited routine collection of related data, particularly around quality, safety and cost. The aim of this study was to assess the viability of implementing routine collection of PCI data in a registry at a leading hospital in Hanoi, Vietnam.
A Vietnamese data collection form and collection strategy were developed in collaboration with the Vietnam National Heart Institute. Information on patient characteristics, treatments, and outcomes was collected through direct interviews using a standardised form and medical record abstraction, while PCI data was read and coded into paper forms by interventional cardiologists. Viability of the registry was determined by four main factors: 1) being able to collect a representative sample; 2) quality of data obtained; 3) costs and time taken for data collection by hospital staff; and 4) level of support from key stakeholders in the institute.
Between September 2017 and May 2018, 1,022 patients undergoing PCI were recruited from a total of 1,041 procedures conducted during that time frame. The estimated mean time to collect information from patients before discharge was 60 minutes. Of the collected data fields, 98% were successfully completed. Most hospital staff surveyed indicated support for the continuation of the activity following the implementation of the pilot study.
The proposed methodology for establishing a PCI registry in a large hospital in Vietnam produced high quality data and was considered worthwhile by hospital staff. The model has the potential opportunity for replication in other cardiac catheterisation sites, leading to a national PCI registry in Vietnam.
在亚洲的中低收入国家，经皮冠状动脉介入治疗（PCI）迅速扩张并得到采用。然而，在质量、安全和成本方面，相关数据的常规收集非常有限。本研究旨在评估在越南河内一家领先医院实施 PCI 数据常规收集的可行性。
与越南国家心脏研究所合作，制定了越南数据收集表和收集策略。通过使用标准化表格和病历摘要对患者特征、治疗和结果进行直接访谈，同时由介入心脏病专家读取和将 PCI 数据编码到纸质表格中，来收集信息，而 PCI 数据则由介入心脏病专家读取和编码到纸质表格中。该注册的可行性通过以下四个主要因素来确定：1）能够收集有代表性的样本；2）获得的数据质量；3）医院工作人员收集数据的成本和时间；4）研究所内关键利益相关者的支持程度。
2017 年 9 月至 2018 年 5 月，从该时间段内总共进行的 1041 次 PCI 中，共招募了 1022 名接受 PCI 的患者。估计在出院前从患者处收集信息的平均时间为 60 分钟。在所收集的数据字段中，98%的字段成功完成。大多数接受调查的医院工作人员表示，在实施试点研究后，他们支持继续开展该活动。
在越南一家大型医院建立 PCI 注册的拟议方法产生了高质量的数据，并且得到了医院工作人员的认可。该模型有可能在其他心脏导管插入站点复制，从而在越南建立一个全国性的 PCI 注册。
