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基于医院记录评估唇腭裂患者临床研究的可行性。

Evaluating the Feasibility of Clinical Studies on Cleft Lip and Palate Patients Based on the Hospital Records.

作者信息

Vaghardoost Reza, Latifi Noor Ahmad, Abbaszadeh Abolfazl, Roustaei Shahram, Tavakoli Mahdiye

机构信息

Department of Plastic and Reconstructive Surgery, School of medicine, Iran university of medical sciences, Tehran, Iran.

PhD in Speech therapy, Hazrat Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

World J Plast Surg. 2025;14(1):28-32. doi: 10.61186/wjps.14.1.28.

DOI:10.61186/wjps.14.1.28
PMID:40453396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12124261/
Abstract

BACKGROUND

Policy makers, researchers and health care professionals are faced daily with the challenge of how to prioritize their activities and actions in different areas of their responsibilities. In the field of health, their decisions are often influenced by the reality of population needs on the one hand and limited resources on the other. The correctness of decisions is completely dependent on the quality and accuracy of information from the target population. Patient registries, have for decades been an important source of data needed to evaluate clinical practice, evaluate health service delivery, and assess policy implications at the local, regional, national, and international levels.

METHOD

Based on the research objectives, fourteen registration forms consisting of 790 variables were designed. The data of cleft lip and palate patients who underwent surgery in Hazrat Fatemeh Hospital during the year 2022, in Tehran, Iran, were collected and entered into the registration system, and then the amount of recorded data was assessed based on the research objectives.

RESULTS

Only 28% of the data of cleft lip and palate patients were recorded in the clinical files during their hospital stay, and 72% of the required data are not recorded. However, the accuracy of the recorded data and their validity has not been evaluated.

CONCLUSION

In order to obtain the necessary data for the designed objectives, the data recorded in the hospital are not sufficient and accurate, and a registry is needed to record accurately the data of cleft lip and palate patients.

摘要

背景

政策制定者、研究人员和医疗保健专业人员每天都面临着如何在其职责的不同领域中对活动和行动进行优先排序的挑战。在卫生领域,他们的决策一方面常常受到人群需求现实的影响,另一方面受到资源有限的影响。决策的正确性完全取决于来自目标人群信息的质量和准确性。几十年来,患者登记册一直是评估临床实践、评估卫生服务提供情况以及在地方、区域、国家和国际层面评估政策影响所需数据的重要来源。

方法

根据研究目标,设计了由790个变量组成的14份登记表。收集了2022年在伊朗德黑兰哈兹拉特·法特梅医院接受手术的唇腭裂患者的数据,并将其录入登记系统,然后根据研究目标评估记录的数据量。

结果

唇腭裂患者住院期间,临床档案中仅记录了28%的数据,72%的所需数据未被记录。然而,所记录数据的准确性及其有效性尚未得到评估。

结论

为了获取实现既定目标所需的数据,医院记录的数据既不充分也不准确,需要一个登记册来准确记录唇腭裂患者的数据。

相似文献

1
Evaluating the Feasibility of Clinical Studies on Cleft Lip and Palate Patients Based on the Hospital Records.基于医院记录评估唇腭裂患者临床研究的可行性。
World J Plast Surg. 2025;14(1):28-32. doi: 10.61186/wjps.14.1.28.
2
Enhancing accessibility of patients with cleft lip/palate to healthcare services via a cleft birth registration system.通过唇腭裂出生登记系统提高唇腭裂患者获得医疗服务的可及性。
J Med Assoc Thai. 2014 Oct;97 Suppl 10:S32-6.
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Coverage, reporting degree and design of the Swedish quality registry for patients born with cleft lip and/or palate.瑞典唇腭裂患者质量登记处的覆盖范围、报告程度和设计。
BMC Health Serv Res. 2020 Jun 11;20(1):528. doi: 10.1186/s12913-020-05389-x.
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Evidence-Triggered for Care of Patients with Cleft Lip and Palate in Srinagarind Hospital: Operating Room.诗里那琳医院唇腭裂患者护理的证据触发因素:手术室
J Med Assoc Thai. 2016 Aug;99 Suppl 5:S58-64.
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Problems With Reliability of Speech Variables for Use in Quality Registries for Cleft Lip and Palate-Experiences From the Swedish Cleft Lip and Palate Registry.唇腭裂质量登记中语音变量可靠性问题——来自瑞典唇腭裂登记处的经验
Cleft Palate Craniofac J. 2018 Sep;55(8):1051-1059. doi: 10.1177/1055665618765777. Epub 2018 Mar 26.
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Cleft lip and palate and related factors: A 10 years study in university hospitalised patients at Mashhad--Iran.唇腭裂及相关因素:对伊朗马什哈德大学附属医院住院患者的10年研究
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Frequency of cleft lip and palate among live births in Akbar Abadi Hospital.阿克巴阿巴迪医院活产儿中唇腭裂的发生率。
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Medical care for 4- to 5-year-olds with cleft lip/palate at the Tawanchai Center: geoinformatics study.塔万猜中心4至5岁唇腭裂患儿的医疗护理:地理信息学研究
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本文引用的文献

1
Barriers and facilitators for disease registry systems: a mixed-method study.疾病登记系统的障碍和促进因素:一项混合方法研究。
BMC Med Inform Decis Mak. 2022 Apr 11;22(1):97. doi: 10.1186/s12911-022-01840-7.
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Cleft Palate Craniofac J. 2021 Nov;58(11):1430-1437. doi: 10.1177/1055665620987677. Epub 2021 Jan 25.
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Comparison of speech outcomes using type 2b intravelar veloplasty or furlow double-opposing Z plasty for soft palate repair of patients with unilateral cleft lip and palate.比较 2b 型内陷软腭裂成形术或 Furlow 双瓣反向 Z 成形术修复单侧唇腭裂患者软腭裂的语音效果。
J Craniomaxillofac Surg. 2021 Mar;49(3):215-222. doi: 10.1016/j.jcms.2021.01.003. Epub 2021 Jan 8.
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Cleft lip and palate: Care configuration, national registration, and research strategies.唇腭裂:护理配置、国家登记和研究策略。
J World Fed Orthod. 2020 Oct;9(3S):S40-S44. doi: 10.1016/j.ejwf.2020.09.003.
5
Physical Health in Adults Born With Cleft Lip and/or Palate: A Whole of Life Survey in the United Kingdom.唇腭裂成年患者的身体健康状况:英国一项全生命周期调查
Cleft Palate Craniofac J. 2021 Feb;58(2):153-162. doi: 10.1177/1055665620944758. Epub 2020 Jul 31.
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Coverage, reporting degree and design of the Swedish quality registry for patients born with cleft lip and/or palate.瑞典唇腭裂患者质量登记处的覆盖范围、报告程度和设计。
BMC Health Serv Res. 2020 Jun 11;20(1):528. doi: 10.1186/s12913-020-05389-x.
7
Measurement of health-related and oral health-related quality of life among individuals with nonsyndromic orofacial clefts: a systematic review and meta-analysis.非综合征性口腔颌面部裂隙患者健康相关及口腔健康相关生活质量的测量:一项系统评价与荟萃分析。
Cleft Palate Craniofac J. 2015 Mar;52(2):157-72. doi: 10.1597/13-104. Epub 2014 May 7.
8
Cleft lip and palate: understanding genetic and environmental influences.唇腭裂:了解遗传和环境的影响。
Nat Rev Genet. 2011 Mar;12(3):167-78. doi: 10.1038/nrg2933.
9
Cleft lip and palate.唇腭裂。
Lancet. 2009 Nov 21;374(9703):1773-85. doi: 10.1016/S0140-6736(09)60695-4. Epub 2009 Sep 9.
10
Epidemiology of cleft palate in Europe: implications for genetic research.欧洲腭裂的流行病学:对基因研究的启示
Cleft Palate Craniofac J. 2004 May;41(3):244-9. doi: 10.1597/02-074.1.