TY - JOUR PY - 2017// TI - Feasibility and data quality of the National Spinal Cord Injury Registry of Iran (NSCIR-IR): a pilot study JO - Archives of Iranian medicine A1 - Naghdi, Khatereh A1 - Azadmanjir, Zahra A1 - Saadat, Soheil A1 - Abedi, Aidin A1 - Koohi Habibi, Sahar A1 - Derakhshan, Pegah A1 - Safdarian, Mahdi A1 - Abdollah Zadegan, Shayan A1 - Amirjamshidi, Abbas A1 - Sharif-Alhoseini, Mahdi A1 - Arab Kheradmand, Jalil A1 - Mohammadzadeh, Mahdi A1 - Zendehdel, Kazem A1 - Khazaeipour, Zahra A1 - Hashemi, Seyed Mahmood Ramak A1 - Saberi, Hooshang A1 - Karimi Yarandi, Kourosh A1 - Ketabchi, Seyed Ebrahim A1 - Yousefzadeh-Chabok, Shahrokh A1 - Heidari, Hamid A1 - Sotodeh, Arezo A1 - Pestei, Khalil A1 - Ghodsi, Zahra A1 - Sadeghian, Farideh A1 - Noonan, Vanessa A1 - Benzel, Edward C. A1 - Oreilly, Gerard A1 - Chapman, Jens A1 - Hagen, Ellen Merete A1 - Fehlings, Michael G. A1 - Vaccaro, Alexander R. A1 - Faghih Jooybari, Morteza A1 - Zarei, Mohammad Reza A1 - Zafarghandi, Mohammad Reza A1 - Salamati, Payman A1 - Nezareh, Saeed A1 - Khormali, Moein A1 - Sadeghi-Naini, Mohsen A1 - Jazayeri, Seyed Behzad A1 - Aarabi, Bizhan A1 - Rahimi-Movaghar, Vafa SP - 494 EP - 502 VL - 20 IS - 8 N2 - BACKGROUND: Spinal cord injury (SCI) is one of the most disabling consequences of trauma with unparalleled economic, social, and personal burden. Any attempt aimed at improving quality of care should be based on comprehensive and reliable data. This pilot investigation studied the feasibility of implementing the National Spinal Cord and Column Injury Registry of Iran (NSCIR-IR) and scrutinized the quality of the registered data.

METHODS: From October 2015 to May 2016, over an 8-month period, 65 eligible trauma patients who were admitted to hospitals in three academic centers in mainland Iran were included in this pilot study. Certified registered nurses and neurosurgeons were in charge of data collection, quality verification, and registration.

RESULTS: Sixty-five patients with vertebral column fracture dislocations were registered in the study, of whom 14 (21.5%) patients had evidence of SCI. Mechanisms of injury included mechanical falls in 30 patients (46.2%) and motor vehicle accidents in 29 (44.6%). The case identification rate i.e. clinical and radiographic confirmation of spine and SCI, ranged from 10.0% to 88.9% in different registry centers. The completion rate of all data items was 100%, except for five data elements in patients who could not provide clinical information because of their medical status. Consistency i.e. identification of the same elements by all the registrars, was 100% and accuracy of identification of the same pathology ranged from 66.6% to 100%.

CONCLUSIONS: Our pilot study showed both the feasibility and acceptable data quality of the NSCIR-IR. However, effective and successful implementation of NSCIR-IR data use requires some modifications such as presence of a dedicated registrar in each center, verification of data by a neurosurgeon, and continuous assessment of patients' neurological status and complications.

Language: en

LA - en SN - 1029-2977 UR - http://dx.doi.org/ ID - ref1 ER -