학술논문
The data set development for the National Spinal Cord Injury Registry of Iran (NSCIR-IR): progress toward improving the quality of care.
Document Type
article
Author
Azadmanjir, Zahra; Jazayeri, Seyed Behzad; Habibi Arejan, Roya; Ghodsi, Zahra; Sharif-Alhoseini, Mahdi; Kheiri, Ghazaleh; Zendehdel, Kazem; Safdarian, Mahdi; Sadeghian, Farideh; Khazaeipour, Zahra; Naghdi, Khatereh; Arab Kheradmand, Jalil; Saadat, Soheil; Pirnejad, Habibollah; Fazel, Mohammad Reza; Fakharian, Esmail; Mohammadzadeh, Mahdi; Sadeghi-Naini, Mohsen; Saberi, Houshang; Derakhshan, Pegah; Sabour, Hadis; Benzel, Edward C; Oreilly, Gerard; Noonan, Vanessa; Vaccaro, Alexander R; Emami-Razavi, Seyed Hassan; Rahimi-Movaghar, Vafa
Source
Spinal cord series and cases. 6(1)
Subject
Language
Abstract
Study designDescriptive study.ObjectivesThe aim of this manuscript is to describe the development process of the data set for the National Spinal Cord Injury Registry of Iran (NSCIR-IR).SettingSCI community in Iran.MethodsThe NSCIR-IR data set was developed in 8 months, from March 2015 to October 2015. An expert panel of 14 members was formed. After a review of data sets of similar registries in developed countries, the selection and modification of the basic framework were performed over 16 meetings, based on the objectives and feasibility of the registry.ResultsThe final version of the data set was composed of 376 data elements including sociodemographic, hospital admission, injury incidence, prehospital procedures, emergency department visit, medical history, vertebral injury, spinal cord injury details, interventions, complications, and discharge data. It also includes 163 components of the International Standards for the Neurologic Classification of Spinal Cord Injury (ISNCSCI) and 65 data elements related to quality of life, pressure ulcers, pain, and spasticity.ConclusionThe NSCIR-IR data set was developed in order to meet the quality improvement objectives of the registry. The process was centered around choosing the data elements assessing care provided to individuals in the acute and chronic phases of SCI in hospital settings. The International Spinal Cord Injury Data Set was selected as a basic framework, helped by comparison with data from other countries. Expert panel modifications facilitated the implementation of the registry process with the current clinical workflow in hospitals.