Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Department of Pediatrics, Division of Neonatology, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
J Matern Fetal Neonatal Med. 2022 Feb;35(4):617-624. doi: 10.1080/14767058.2020.1730319. Epub 2020 Oct 13.
Neonatal abstinence syndrome (NAS) is a combination of symptoms in infants exposed to any variety of substances in utero. Information systems and registries help to collect information about these patients; however, there is always a deep gap between complete and accurate information to be collected, understood, and applied in the health care system; thus, defining a minimum data sets (MDS) as one of the primarily steps of designing a registry system is essential. The aim of this study was to develop an MDS of the registry for infants with NAS in Iran.
This research is a descriptive cross-sectional study. In this study, three steps were carried out to develop the MDS including systematic review, Delphi technique, and focus group discussion. A systematic review was conducted in relevant databases to identify appropriate related data. In the second phase, a focus group discussion was used to classify the extracted data elements by contributing neonatologists. Finally, data elements were chosen through the decision Delphi technique in two distinct rounds. Collected data were analyzed using SPSS 22 (SPSS Inc., Chicago, IL).
By reviewing related papers and available NAS registries in other countries, 145 essential data elements were identified. They were classified into two main categories based on the eight experts' opinions including maternal with two sections and infant with two sections. After applying two rounds of Delphi technique, the final data elements for maternal and infant categories were 42 and 31, respectively. Thus, on completion of the survey, 73 data elements were approved.
The proposed MDS for NAS can help to store an accurate and comprehensive data, document medical records, integrate them with other information systems and registries, and communicate with other healthcare providers and healthcare centers. This MDS can contribute to the provision of high-quality care and better clinical decisions.
新生儿戒断综合征（NAS）是一组在子宫内暴露于任何物质的婴儿的症状组合。信息系统和登记处有助于收集有关这些患者的信息；然而，在需要收集、理解和应用于医疗保健系统的完整和准确信息之间，始终存在着巨大的差距；因此，将最小数据集（MDS）定义为设计登记系统的主要步骤之一是至关重要的。本研究的目的是为伊朗 NAS 婴儿的登记处制定一个 MDS。
这是一项描述性的横断面研究。在这项研究中，为了制定 MDS，进行了三个步骤，包括系统评价、德尔菲技术和焦点小组讨论。在相关数据库中进行了系统评价，以确定合适的相关数据。在第二阶段，通过有贡献的新生儿科医生使用焦点小组讨论对提取的数据元素进行分类。最后，通过两轮独立的决策德尔菲技术选择数据元素。使用 SPSS 22（芝加哥，IL，SPSS Inc.）分析收集的数据。
通过回顾相关文献和其他国家的 NAS 登记处，确定了 145 个基本数据元素。根据 8 位专家的意见，将它们分为两类，包括母体的两个部分和婴儿的两个部分。经过两轮德尔菲技术的应用，母体和婴儿两个类别的最终数据元素分别为 42 个和 31 个。因此，在调查结束时，有 73 个数据元素得到了批准。
为 NAS 提出的 MDS 可以帮助存储准确和全面的数据，记录病历，将其与其他信息系统和登记处集成，并与其他医疗保健提供者和医疗中心进行沟通。这个 MDS 可以有助于提供高质量的护理和更好的临床决策。
