Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Eur J Trauma Emerg Surg. 2023 Aug;49(4):1627-1637. doi: 10.1007/s00068-023-02244-6. Epub 2023 Feb 21.
Validation of registries is important to ensure accuracy of data and registry-based research. This is often done by comparisons of the original registry data with other sources, e.g. another registry or a re-registration of data. Founded in 2011, the Swedish Trauma Registry (SweTrau) consists of variables based on international consensus (the Utstein Template of Trauma). This project aimed to perform the first validation of SweTrau.
On-site re-registration was performed on randomly selected trauma patients and compared to the registration in SweTrau. Accuracy (exact agreement), correctness (exact agreement plus data within acceptable range), comparability (similarity with other registries), data completeness (1-missing data) and case completeness (1-missing cases) were deemed as either good ([Formula: see text] 85%), adequate (70-84%) or poor (< 70%). Correlation was determined as either excellent ([Formula: see text] 0.8), strong (0.6-0.79), moderate (0.4-0.59) or weak (< 0.4).
The data in SweTrau had good accuracy (85.8%), correctness (89.7%) and data completeness (88.5%), as well as strong or excellent correlation (87.5%). Case completeness was 44.3%, however, for NISS > 15 case completeness was 100%. Median time to registration was 4.5 months, with 84.2% registered one year after the trauma. The comparability showed an accordance with the Utstein Template of Trauma of almost 90%.
The validity of SweTrau is good, with high accuracy, correctness, data completeness and correlation. The data are comparable to other trauma registries using the Utstein Template of Trauma; however, timeliness and case completeness are areas of improvement.
为了确保数据的准确性和基于注册的研究的可靠性，对注册进行验证非常重要。这通常通过将原始注册数据与其他来源（例如另一个注册或数据重新注册）进行比较来完成。瑞典创伤注册中心（SweTrau）成立于 2011 年，其变量基于国际共识（创伤 utstein 模板）。本项目旨在对 SweTrau 进行首次验证。
对随机选择的创伤患者进行现场重新登记，并与 SweTrau 中的登记进行比较。准确性（完全一致）、正确性（完全一致加上可接受范围内的数据）、可比性（与其他注册中心的相似性）、数据完整性（1-缺失数据）和病例完整性（1-缺失病例）被认为是良好的（[公式：见文本]85%）、适当的（70-84%）或较差的（<70%）。相关性被确定为优秀（[公式：见文本]>0.8）、强（0.6-0.79）、中（0.4-0.59）或弱（<0.4）。
SweTrau 的数据具有良好的准确性（85.8%）、正确性（89.7%）和数据完整性（88.5%），以及强或优秀的相关性（87.5%）。然而，病例完整性为 44.3%，但是，NISS>15 的病例完整性为 100%。登记中位数时间为 4.5 个月，84.2%的患者在创伤后 1 年内进行了登记。可比性与使用 utstein 模板的创伤几乎 90%相符。
SweTrau 的有效性良好，具有较高的准确性、正确性、数据完整性和相关性。该数据与使用 utstein 模板的其他创伤登记处具有可比性；然而，及时性和病例完整性是需要改进的领域。
