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伊朗伊斯法罕先天性心脏病登记的启动:方法与设计

The commencement of congenital heart diseases registry in Isfahan, Iran: Methodology and design.

作者信息

Dehghan Bahar, Sabri Mohammad Reza, Hosseinzadeh Mohsen, Ahmadi Alireza, Ghaderian Mehdi, Sarrafzadegan Nizal, Roohafza Hamidreza

机构信息

Assistant Professor, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Professor, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

ARYA Atheroscler. 2020 Sep;16(5):244-247. doi: 10.22122/arya.v16i5.1913.

Abstract

BACKGROUND

Reported prevalence of congenital heart diseases (CHDs) varies widely among studies worldwide. The incidence of CHD, total number of pediatric and adult grown-up congenital heart disease (GUCH), is not determined in Iran. Therefore, we have designed a system to register the information of patients with CHD for the first time in our country.

METHODS

CHD registry is a database in which the patients' data are collected by five pediatric cardiologists from three referral hospitals affiliated to Isfahan University of Medical Sciences, Isfahan, Iran, and five outpatient clinics. We enrolled patients with CHD either as new cases who were referred for evaluation of potential CHD or those who were being followed within the outpatient clinics and entered their whole information in a website specifically designed for it. All the information was collected from checklist by those pediatric cardiologists.

RESULTS

From April 2017 to April 2020, after developing the forms and website, the Quality Control Committee evaluated the first 558 files. 73 files (13%) needed major revisions. Among them, 34 (46%) files were omitted totally and the 39 remaining files were revised and completed. After that revision, we changed our checklist and gathered about 1600 patients accordingly.

CONCLUSION

Registry of CHDs not only improves epidemiologic studies but also assists researchers to understand how much a disease management is useful and how to raise the quality of cares and outcomes. Moreover, this provides a better insight for policymakers to understand the extent of health-related problems as well as the issues related to the prevention and management of CHDs all around the world.

摘要

背景

全球范围内,先天性心脏病(CHD)的报告患病率在不同研究中差异很大。伊朗尚未确定先天性心脏病(包括小儿和成人先天性心脏病,即GUCH)的发病率。因此,我们首次在我国设计了一个系统来登记先天性心脏病患者的信息。

方法

先天性心脏病登记处是一个数据库,由来自伊朗伊斯法罕医科大学附属的三家转诊医院的五名儿科心脏病专家以及五家门诊诊所收集患者数据。我们将先天性心脏病患者纳入研究,包括因潜在先天性心脏病接受评估的新病例,以及在门诊接受随访的患者,并将他们的全部信息录入专门为此设计的网站。所有信息均由那些儿科心脏病专家从检查表中收集。

结果

从2017年4月到2020年4月,在制定表格和网站后,质量控制委员会评估了前558份文件。73份文件(13%)需要大幅修订。其中,34份文件(46%)被完全遗漏,其余39份文件经过修订并完成。那次修订后,我们更改了检查表,并相应收集了约1600名患者的信息。

结论

先天性心脏病登记不仅改善了流行病学研究,还帮助研究人员了解疾病管理的有用程度以及如何提高护理质量和治疗效果。此外,这为政策制定者提供了更好的视角,以了解全球范围内与健康相关问题的程度以及与先天性心脏病预防和管理相关的问题。

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本文引用的文献

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Congenital heart defects and extracardiac malformations.先天性心脏缺陷和心外畸形。
Rev Paul Pediatr. 2013 Jun;31(2):243-51. doi: 10.1590/s0103-05822013000200017.
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The incidence of congenital heart disease.先天性心脏病的发病率。
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