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The Data Set Development for the National Spinal Cord Injury Registry of Iran (Nscir-Ir): Progress Toward Improving the Quality of Care Publisher Pubmed



Azadmanjir Z1, 2, 19 ; Jazayeri SB1, 3, 19 ; Habibi Arejan R1, 19 ; Ghodsi Z1, 19 ; Sharifalhoseini M1, 19 ; Kheiri G4, 5 ; Zendehdel K6 ; Safdarian M1, 19 ; Sadeghian F1, 7, 19 ; Khazaeipour Z8, 20 ; Naghdi K1, 19 ; Arab Kheradmand J9 ; Saadat S1, 19 ; Pirnejad H10 Show All Authors
Authors
  1. Azadmanjir Z1, 2, 19
  2. Jazayeri SB1, 3, 19
  3. Habibi Arejan R1, 19
  4. Ghodsi Z1, 19
  5. Sharifalhoseini M1, 19
  6. Kheiri G4, 5
  7. Zendehdel K6
  8. Safdarian M1, 19
  9. Sadeghian F1, 7, 19
  10. Khazaeipour Z8, 20
  11. Naghdi K1, 19
  12. Arab Kheradmand J9
  13. Saadat S1, 19
  14. Pirnejad H10
  15. Fazel MR11
  16. Fakharian E11
  17. Mohammadzadeh M11
  18. Sadeghinaini M1, 12, 19
  19. Saberi H8, 13, 20
  20. Derakhshan P14
  21. Sabour H8, 20
  22. Benzel EC15
  23. Oreilly G16
  24. Noonan V17
  25. Vaccaro AR18
  26. Emamirazavi SH8, 20
  27. Rahimimovaghar V1, 8, 19, 20, 21
Show Affiliations
Authors Affiliations
  1. 1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Urology, University of Florida, FL, Jacksonville, United States
  4. 4. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Student's Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Cancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Center for Health Related Social and Behavioral Science Research, Shahroud University of Medical Sciences, Iran
  8. 8. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Ahya Neuroscience Research Center, Tehran, Iran
  10. 10. Health Information Technology Department, Urmia University of Medical Sciences, Iran
  11. 11. Trauma Research Center, Kashan University of Medical Sciences, Iran
  12. 12. Shahid Beheshti University of Medical Science, Tehran, Iran
  13. 13. Department of Neurosurgery Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  14. 14. Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  15. 15. Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, OH, USA
  16. 16. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
  17. 17. Rick Hansen Institute, University of British Columbia, Vancouver, Canada
  18. 18. Department of Orthopedic Surgery, Rothman Institute, Thomas Jefferson University, PA, Philadelphia, United States
  19. 19. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  20. 20. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  21. 21. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Spinal cord series and cases Published:2020


Abstract

STUDY DESIGN: Descriptive study. OBJECTIVES: The 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). SETTING: SCI community in Iran. METHODS: The 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. RESULTS: The 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. CONCLUSION: The 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.