Registry-based stroke research in Taiwan: past and future
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Stroke registries are observational databases focusing on the clinical information and outcomes of stroke patients. They play an important role in the cycle of quality improvement. Registry data are collected from real-world experiences of stroke care and are suitable for measuring quality of care. By exposing inadequacies in performance measures of stroke care, research from stroke registries has changed how we manage stroke patients in Taiwan. With the success of various quality improvement campaigns, mortality from stroke and recurrence of stroke have decreased in the past decade. After the implementation of a nationwide stroke registry, researchers have been creatively expanding how they use and collect registry data for research. Through the use of the nationwide stroke registry as a common data model, researchers from many hospitals have built their own stroke registries with extended data elements to meet the needs of research. In collaboration with information technology professionals, stroke registry systems have changed from web-based, manual submission systems to automated fill-in systems in some hospitals. Furthermore, record linkage between stroke registries and administrative claims databases or other existing databases has widened the utility of registry data in research. Using stroke registry data as the reference standard, researchers have validated several algorithms for ascertaining the diagnosis of stroke and its risk factors from claims data, and have also developed a claims-based index to estimate stroke severity. By making better use of registry data, we believe that we will provide better care to patients with stroke.
Abstract
Stroke registries are observational databases focusing on the clinical information and outcomes of stroke patients. They play an important role in the cycle of quality improvement. Registry data are collected from real-world experiences of stroke care and are suitable for measuring quality of care. By exposing inadequacies in performance measures of stroke care, research from stroke registries has changed how we manage stroke patients in Taiwan. With the success of various quality improvement campaigns, mortality from stroke and recurrence of stroke have decreased in the past decade. After the implementation of a nationwide stroke registry, researchers have been creatively expanding how they use and collect registry data for research. Through the use of the nationwide stroke registry as a common data model, researchers from many hospitals have built their own stroke registries with extended data elements to meet the needs of research. In collaboration with information technology professionals, stroke registry systems have changed from web-based, manual submission systems to automated fill-in systems in some hospitals. Furthermore, record linkage between stroke registries and administrative claims databases or other existing databases has widened the utility of registry data in research. Using stroke registry data as the reference standard, researchers have validated several algorithms for ascertaining the diagnosis of stroke and its risk factors from claims data, and have also developed a claims-based index to estimate stroke severity. By making better use of registry data, we believe that we will provide better care to patients with stroke.
참고문헌 (55)
- "GBD compare" (2015)[URL]
- Meng Lee, "Trends in Incident and Recurrent Rates of First-Ever Ischemic Stroke in Taiwan between 2000 and 2011", 대한뇌졸중영문학회지, 18(1), pp.60~65 (2016), 대한뇌졸중학회
- Hsieh CY, "Trends in vascular risk factors, stroke performance measures, and outcomes in patients with first-ever ischemic stroke in Taiwan between 2000 and 2012", J Neurol Sci, 378, pp.80~84 (2017)[DOI]
- Tain-Junn Cheng, "Nationwide “Hospital Emergent Capability Accreditation by Level-Stroke” Improves Stroke Treatment in Taiwan", 대한뇌졸중영문학회지, 19(2), pp.205~212 (2017), 대한뇌졸중학회[DOI]
- "Taiwan's leading causes of death in 2016" (2017)[URL]
- Bhatt DL, "ACC", AHA, American Heart Association Task Force on Performance Measures and The Society of Thoracic Surgeons, pp.J Am Coll Cardiol, 2015[DOI]
- Cadilhac DA, "National stroke registries for monitoring and improving the quality of hospital care: a systematic review", Int J Stroke, 11, pp.28~40 (2016)[DOI]
- Asplund K, "Riks-stroke: a Swedish national quality register for stroke care", Cerebrovasc Dis, 15(Suppl 1), pp.5~7 (2003)[DOI]
- Califf RM, "Integrating quality into the cycle of therapeutic development", J Am Coll Cardiol, 40, pp.1895~1901 (2002)[DOI]
- Chao AC, "Outcomes of thrombolytic therapy for acute ischemic stroke in Chinese patients: the Taiwan Thrombolytic Therapy for Acute Ischemic Stroke (TTT-AIS) study", Stroke, 41, pp.885~890 (2010)[DOI]
- Chao AC, "Different doses of recombinant tissue-type plasminogen activator for acute stroke in Chinese patients", Stroke, 45, pp.2359~2365 (2014)[DOI]
- Anderson CS, "Low-dose versus standard-dose intravenous alteplase in acute ischemic stroke", N Engl J Med, 374, pp.2313~2323 (2016)[DOI]
- Hsieh FI, "Get With The Guidelines-Stroke performance indicators: surveillance of stroke care in the Taiwan stroke registry: Get With The Guidelines-Stroke in Taiwan", Circulation, 122, pp.1116~1123 (2010)[DOI]
- Lai EC, "Brief Report: databases in the Asia-Pacific region: the potential for a distributed network approach", Epidemiology, 26, pp.815~820 (2015)[DOI]
- Smith EE, "Clinical performance measures for adults hospitalized with acute ischemic stroke: performance measures for healthcare professionals from the American Heart Association", American Stroke Association, 2014, pp.45, 3472~3498
- Hsieh FI, "Quality improvement in acute ischemic stroke care in Taiwan: the Breakthrough Collaborative in Stroke", PLoS One, 11, pp.e0160426~ (2016)[DOI]
- Chen PK, "Onset headache predicts good outcome in patients with first-ever ischemic stroke", Stroke, 44, pp.1852~1858 (2013)[DOI]
- Tang SC, "Low pulse pressure after acute ischemic stroke is associated with unfavorable outcomes: the Taiwan Stroke Registry", J Am Heart Assoc, 6, pp.e005113~ (2017)
- Wen CP, "Prestroke physical activity is associated with fewer post-stroke complications, lower mortality and a better long-term outcome", Eur J Neurol, 24, pp.1525~1531 (2017)[DOI]
- Wang IK, "Renal function is associated with 1-month and 1-year mortality in patients with ischemic stroke", Atherosclerosis, 269, pp.288~293 (2018)[DOI]
- Hsieh CY, "Hospital-based stroke registry in Taiwan", Acta Neurol Taiwan, 25, pp.73~74 (2016)
- Lin HJ, "Readmission after stroke in a hospital-based registry: risk, etiologies, and risk factors", Neurology, 76, pp.438~443 (2011)[DOI]
- Chen CH, "Optimal dose for stroke thrombolysis in Asians: low dose may have similar safety and efficacy as standard dose", J Thromb Haemost, 10, pp.1270~1275 (2012)[DOI]
- Sung SF, "Comparison of risk-scoring systems in predicting symptomatic intracerebral hemorrhage after intravenous thrombolysis", Stroke, 44, pp.1561~1566 (2013)[DOI]
- "Hospital overview"[URL]
- "Correlation of stroke severity, early recovery, destinations after acute hospitalization and prehospital/posthospital delay and length of stay"[URL]
- Lee TH, "Establishment of electronic chart-based stroke registry system in a medical system in Taiwan", J Formos Med Assoc, 110, pp.543~547 (2011)[DOI]
- "Novel electronic medical record-based stroke registry system"[URL]
- Liu CH, "Initial blood pressure is associated with stroke severity and is predictive of admission cost and one-year outcome in different stroke subtypes: a SRICHS registry study", BMC Neurol, 16, pp.27~ (2016)[DOI]
- Yeo LLL, "Derivation and validation of a scoring system for intravenous tissue plasminogen activator use in Asian patients", J Stroke Cerebrovasc Dis, 26, pp.1695~1703 (2017)[DOI]
- Liu CH, "Causes of death in different subtypes of ischemic and hemorrhagic stroke", Angiology (2017)
- Hsing AW, "Nationwide population science: lessons from the Taiwan National Health Insurance Research Database", JAMA Intern Med, 175, pp.1527~1529 (2015)[DOI]
- Hammill BG, "Linking inpatient clinical registry data to Medicare claims data using indirect identifiers", Am Heart J, 157, pp.995~1000 (2009)[DOI]
- Rost NS, "Stroke severity is a crucial predictor of outcome: an international prospective validation study", J Am Heart Assoc, 5, pp.e002433~ (2016)
- Setoguchi S, "Validity of deterministic record linkage using multiple indirect personal identifiers: linking a large registry to claims data", Circ Cardiovasc Qual Outcomes, 7, pp.475~480 (2014)[DOI]
- Cheng CL, "Validation of the National Health Insurance Research Database with ischemic stroke cases in Taiwan", Pharmacoepidemiol Drug Saf, 20, pp.236~242 (2011)[DOI]
- Hsieh CY, "Validating the diagnosis of acute ischemic stroke in a National Health Insurance claims database", J Formos Med Assoc, 114, pp.254~259 (2015)[DOI]
- Cheng CL, "Validity of inhospital mortality data among patients with acute myocardial infarction or stroke in National Health Insurance Research Database in Taiwan", Int J Cardiol, 201, pp.96~101 (2015)[DOI]
- Hanberg JS, "An exploratory analysis of the competing effects of aggressive decongestion and high-dose loop diuretic therapy in the DOSE trial", Int J Cardiol, 241, pp.277~282 (2017)[DOI]
- Sung SF, "Developing a stroke severity index based on administrative data was feasible using data mining techniques", J Clin Epidemiol, 68, pp.1292~1300 (2015)[DOI]
- Sung SF, "Validity of a stroke severity index for administrative claims data research: a retrospective cohort study", BMC Health Serv Res, 16, pp.509~ (2016)[DOI]
- Hung LC, "Validation of a novel claims-based stroke severity index in patients with intracerebral hemorrhage", J Epidemiol, 27, pp.24~29 (2017)[DOI]
- Lu CY, "Acupuncture therapy and incidence of depression after stroke", Stroke, 48, pp.1682~1684 (2017)[DOI]
- Lee M, "Utilization of statins beyond the initial period after stroke and 1-year risk of recurrent stroke", J Am Heart Assoc, 6, pp.e005658~ (2017)
- Chen CM, "Effects of transferring to the rehabilitation ward on long-term mortality rate of firsttime stroke survivors: a population-based study", Arch Phys Med Rehabil, 98, pp.2399~2407 (2017)[DOI]
- Lin CY, "Long-term outcome of multiform premature ventricular complexes in structurally normal heart", Int J Cardiol, 180, pp.80~85 (2015)[DOI]
- Yamada S, "Risk of stroke in patients with short-run atrial tachyarrhythmia", Stroke, 48, pp.3232~3238 (2017)[DOI]
- Song S, "Association of Get With The Guidelines-Stroke program participation and clinical outcomes for Medicare beneficiaries with ischemic stroke", Stroke, 47, pp.1294~1302 (2016)[DOI]
- Tu JV, "Impracticability of informed consent in the Registry of the Canadian Stroke Network", N Engl J Med, 350, pp.1414~1421 (2004)[DOI]
- Fang J, "The Registry of Canadian Stroke Network: an evolving methodology", Acta Neurol Taiwan, 20, pp.77~84 (2011)
- Goryachev S, "A suite of natural language processing tools developed for the I2B2 project", AMIA Annu Symp Proc, pp.931~ (2006)
- Paxton EW, "Kaiser Permanente National Total Joint Replacement Registry: aligning operations with information technology", Clin Orthop Relat Res, 468, pp.2646~2663 (2010)[DOI]
- Kim BJ, "Current status of acute stroke management in Korea: a report on a multicenter, comprehensive acute stroke registry", Int J Stroke, 9, pp.514~518 (2014)[DOI]
- 김범준, "Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea", 대한뇌졸중영문학회지, 17(1), pp.38~53 (2015), 대한뇌졸중학회
- Coloma PM, "Combining electronic healthcare databases in Europe to allow for large-scale drug safety monitoring: the EU-ADR Project", Pharmacoepidemiol Drug Saf, 20, pp.1~11 (2011)[DOI]