Validation of Stroke Diagnosis in the National Registry of
Hospitalized Patients in the Czech Republic

J 2015

Validation of Stroke Diagnosis in the National Registry of Hospitalized Patients in the Czech Republic

ŠEDOVÁ, Petra; Robert D., Jr. BROWN; Miroslav ZVOLSKY; Pavla KADLECOVA; Tomas BRYNDZIAR et. al.

Základní údaje

Originální název

Validation of Stroke Diagnosis in the National Registry of Hospitalized Patients in the Czech Republic

Autoři

ŠEDOVÁ, Petra (203 Česká republika, domácí); Robert D., Jr. BROWN (840 Spojené státy); Miroslav ZVOLSKY (203 Česká republika); Pavla KADLECOVA (203 Česká republika); Tomas BRYNDZIAR (203 Česká republika); Ondrej VOLNY (203 Česká republika); Viktor WEISS (203 Česká republika); Josef BEDNAŘÍK (203 Česká republika, domácí) a Robert MIKULIK (203 Česká republika, garant)

Vydání

Journal of Stroke and Cerebrovascular Diseases, Amsterdam, Elsevier Science BV, 2015, 1052-3057

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.599

Kód RIV

RIV/00216224:14110/15:00083823

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.04.019

UT WoS

000360649000022

EID Scopus

2-s2.0-84940462215

Klíčová slova anglicky

Stroke; Czech Republic; validation; epidemiology; registry

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 28. 12. 2015 12:48, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Background: Stroke is a common cause of mortality and morbidity in Eastern Europe. However, detailed epidemiological data are not available. The National Registry of Hospitalized Patients (NRHOSP) is a nationwide registry of prospectively collected data regarding each hospitalization in the Czech Republic since 1998. As a first step in the evaluation of stroke epidemiology in the Czech Republic, we validated stroke cases in NRHOSP. Methods: Any hospital in the Czech Republic with a sufficient number of cases was included. We randomly selected 10 of all 72 hospitals and then 50 patients from each hospital in 2011 stratified according to stroke diagnosis (International Classification of Diseases Tenth Revision [ICD-10] cerebrovascular codes I60, I61, I63, I64, and G45). Discharge summaries from hospitalization were reviewed independently by 2 reviewers and compared with NRHOSP for accuracy of discharge diagnosis. Any disagreements were adjudicated by a third reviewer. Results: Of 500 requested discharge summaries, 484 (97%) were available. Validators confirmed diagnosis in NRHOSP as follows: transient ischemic attack (TIA) or any stroke type in 82% (95% confidence interval [CI], 79-86), any stroke type in 85% (95% CI, 81-88), I63/cerebral infarction in 82% (95% CI, 74-89), I60/subarachnoid hemorrhage in 91% (95% CI, 85-97), I61/intracerebral hemorrhage in 91% (95% CI, 85-96), and G45/TIA in 49% (95% CI, 39-58). The most important reason for disagreement was use of I64/stroke, not specified for patients with I63. Conclusions: The accuracy of coding of the stroke ICD-10 codes for subarachnoid hemorrhage (I60) and intracerebral hemorrhage (I61) included in a Czech Republic national registry was high. The accuracy of coding for I63/cerebral infarction was somewhat lower than for ICH and SAH.

Citovat

ŠEDOVÁ, Petra; Robert D., Jr. BROWN; Miroslav ZVOLSKY; Pavla KADLECOVA; Tomas BRYNDZIAR; Ondrej VOLNY; Viktor WEISS; Josef BEDNAŘÍK a Robert MIKULIK. Validation of Stroke Diagnosis in the National Registry of Hospitalized Patients in the Czech Republic. Journal of Stroke and Cerebrovascular Diseases. Amsterdam: Elsevier Science BV, 2015, roč. 24, č. 9, s. 2032-2038. ISSN 1052-3057. Dostupné z: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.04.019.

@article{1311064,
   author = {Šedová, Petra and Brown, Robert D., Jr. and Zvolsky, Miroslav and Kadlecova, Pavla and Bryndziar, Tomas and Volny, Ondrej and Weiss, Viktor and Bednařík, Josef and Mikulik, Robert},
   article_location = {Amsterdam},
   article_number = {9},
   doi = {http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.04.019},
   keywords = {Stroke; Czech Republic; validation; epidemiology; registry},
   language = {eng},
   issn = {1052-3057},
   journal = {Journal of Stroke and Cerebrovascular Diseases},
   title = {Validation of Stroke Diagnosis in the National Registry of Hospitalized Patients in the Czech Republic},
   volume = {24},
   year = {2015}
}

TY  - JOUR
ID  - 1311064
AU  - Šedová, Petra - Brown, Robert D., Jr. - Zvolsky, Miroslav - Kadlecova, Pavla - Bryndziar, Tomas - Volny, Ondrej - Weiss, Viktor - Bednařík, Josef - Mikulik, Robert
PY  - 2015
TI  - Validation of Stroke Diagnosis in the National Registry of Hospitalized Patients in the Czech Republic
JF  - Journal of Stroke and Cerebrovascular Diseases
VL  - 24
IS  - 9
SP  - 2032-2038
EP  - 2032-2038
PB  - Elsevier Science BV
SN  - 10523057
KW  - Stroke
KW  - Czech Republic
KW  - validation
KW  - epidemiology
KW  - registry
N2  - Background: Stroke is a common cause of mortality and morbidity in Eastern Europe. However, detailed epidemiological data are not available. The National Registry of Hospitalized Patients (NRHOSP) is a nationwide registry of prospectively collected data regarding each hospitalization in the Czech Republic since 1998. As a first step in the evaluation of stroke epidemiology in the Czech Republic, we validated stroke cases in NRHOSP. Methods: Any hospital in the Czech Republic with a sufficient number of cases was included. We randomly selected 10 of all 72 hospitals and then 50 patients from each hospital in 2011 stratified according to stroke diagnosis (International Classification of Diseases Tenth Revision [ICD-10] cerebrovascular codes I60, I61, I63, I64, and G45). Discharge summaries from hospitalization were reviewed independently by 2 reviewers and compared with NRHOSP for accuracy of discharge diagnosis. Any disagreements were adjudicated by a third reviewer. Results: Of 500 requested discharge summaries, 484 (97%) were available. Validators confirmed diagnosis in NRHOSP as follows: transient ischemic attack (TIA) or any stroke type in 82% (95% confidence interval [CI], 79-86), any stroke type in 85% (95% CI, 81-88), I63/cerebral infarction in 82% (95% CI, 74-89), I60/subarachnoid hemorrhage in 91% (95% CI, 85-97), I61/intracerebral hemorrhage in 91% (95% CI, 85-96), and G45/TIA in 49% (95% CI, 39-58). The most important reason for disagreement was use of I64/stroke, not specified for patients with I63. Conclusions: The accuracy of coding of the stroke ICD-10 codes for subarachnoid hemorrhage (I60) and intracerebral hemorrhage (I61) included in a Czech Republic national registry was high. The accuracy of coding for I63/cerebral infarction was somewhat lower than for ICH and SAH.
ER  -

ŠEDOVÁ, Petra; Robert D., Jr. BROWN; Miroslav ZVOLSKY; Pavla KADLECOVA; Tomas BRYNDZIAR; Ondrej VOLNY; Viktor WEISS; Josef BEDNAŘÍK a Robert MIKULIK. Validation of Stroke Diagnosis in the National Registry of Hospitalized Patients in the Czech Republic. \textit{Journal of Stroke and Cerebrovascular Diseases}. Amsterdam: Elsevier Science BV, 2015, roč.~24, č.~9, s.~2032-2038. ISSN~1052-3057. Dostupné z: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.04.019.

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