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为伊朗川崎病登记处制定国家最低数据集。

Developing a National Minimum Data Set for Kawasaki Disease Registry in Iran.

作者信息

Qazizadeh Zainab, Shahbaznejad Leila, Navaeifar Mohammad Reza, Rezai Mohammad Sadegh

机构信息

Mazandaran Population-Based Cancer Registry, Mazandaran University of Medical Sciences, Sari, Iran.

Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Front Pediatr. 2022 Feb 28;10:834306. doi: 10.3389/fped.2022.834306. eCollection 2022.

Abstract

BACKGROUND

Kawasaki Disease is an acute and self-limited systemic inflammatory and febrile illness, which is the most common cause of acquired heart disease in children in developed countries. The incidence of KD in Asian countries is high. But, data is not available from the Middle East. So, the aim of this study was to develop an MDS to set up a national registry for KD to estimate the burden of disease in Iran.

MATERIALS AND METHODS

This cross-sectional and descriptive study was conducted in 2020. Literature review, data collection from patients medical records, and expert panel approach were used to design this MDS. Data elements with a Content Validity Ratio (CVR) of more than 0.56 were selected as the MDS of the registry.

RESULTS

Overall, 99 data elements were recognized. Of which, 51 and 48 data elements were verified and rejected, respectively. Moreover, 17 data elements were added as required by experts. Eventually, 68 data elements were chosen as the MDS of the national KD registry of IRAN; of which, 17 and 51 data elements were classified as administrative and clinical data, respectively.

CONCLUSIONS

These precise, integrated, and comprehensive developed data elements and the national KD registry will lead to effective disease management and thus, improve the quality of care and, consequently, improve public health.

摘要

背景

川崎病是一种急性自限性全身性炎症性发热疾病,是发达国家儿童后天性心脏病的最常见病因。亚洲国家川崎病的发病率较高。但是,中东地区尚无相关数据。因此,本研究的目的是开发一个最小数据集(MDS),以建立一个全国性的川崎病登记系统,以评估伊朗的疾病负担。

材料与方法

本横断面描述性研究于2020年进行。采用文献综述、从患者病历中收集数据以及专家小组方法来设计这个最小数据集。内容效度比(CVR)大于0.56的数据元素被选为登记系统的最小数据集。

结果

总体而言,共识别出99个数据元素。其中,分别有51个和48个数据元素被验证通过和被拒绝。此外,根据专家要求增加了17个数据元素。最终,68个数据元素被选为伊朗全国川崎病登记系统的最小数据集;其中,17个和51个数据元素分别被归类为行政数据和临床数据。

结论

这些精确、完整且全面开发的数据元素以及全国性的川崎病登记系统将有助于进行有效的疾病管理,从而提高医疗质量,进而改善公众健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b48/8919186/323bcf1ecf0a/fped-10-834306-g0001.jpg

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