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Feasibility and Data Quality of the National Spinal Cord Injury Registry of Iran (Nscir-Ir): A Pilot Study Pubmed



Naghdi K1 ; Azadmanjir Z2 ; Saadat S1 ; Abedi A1 ; Habibi SK2 ; Derakhshan P1 ; Safdarian M1 ; Zadegan SA1 ; Amirjamshidi A3 ; Sharifalhoseini M1 ; Kheradmand JA4 ; Mohammadzadeh M5 ; Zendehdel K6 ; Khazaeipour Z7 Show All Authors
Authors
  1. Naghdi K1
  2. Azadmanjir Z2
  3. Saadat S1
  4. Abedi A1
  5. Habibi SK2
  6. Derakhshan P1
  7. Safdarian M1
  8. Zadegan SA1
  9. Amirjamshidi A3
  10. Sharifalhoseini M1
  11. Kheradmand JA4
  12. Mohammadzadeh M5
  13. Zendehdel K6
  14. Khazaeipour Z7
  15. Hashemi SMR8
  16. Saberi H7
  17. Yarandi KK3
  18. Ketabchi SE3
  19. Yousefzadehchabok S9
  20. Heidari H9
  21. Sotodeh A10
  22. Pestei K11
  23. Ghodsi Z1
  24. Sadeghian F1
  25. Noonan V12
  26. Benzel EC13
  27. Oreilly G14
  28. Chapman J15
  29. Hagen EM16, 17, 18, 19
  30. Fehlings MG20
  31. Vaccaro AR21
  32. Jooybari MF22
  33. Zarei MR1
  34. Zafarghandi MR1
  35. Salamati P1
  36. Nezareh S23
  37. Khormali M1
  38. Sadeghinaini M1
  39. Jazayeri SB1
  40. Aarabi B24
  41. Rahimimovaghar V1
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 Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Ahya Neuroscience Research Center, Tehran, Iran
  5. 5. Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
  6. 6. Cancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Brain and Spinal Injuries Research Center (BASIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Department of Neurosurgery, Firoozgar General Hospital, Iran University of Medical Science, Tehran, Iran
  9. 9. Guilan Road Trauma Research Center (GRTRC), Guilan University of Medical Sciences, Rasht, Iran
  10. 10. Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
  11. 11. Department of Anesthesiology, Tehran University of Medical Sciences, Tehran, Iran
  12. 12. Rick Hansen Institute, University of British Columbia, Vancouver, BC, Canada
  13. 13. Cleveland Clinic Foundation, Department of Neurosurgery, Cleveland, OH, United States
  14. 14. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
  15. 15. Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, United States
  16. 16. Autonomic Unit, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom
  17. 17. Institute of Neurology, University College London, United Kingdom
  18. 18. Department of Neurology, Regional Hospital of Viborg, Viborg, Denmark
  19. 19. Department of Clinical Medicine Aarhus University, Aarhus, Denmark
  20. 20. Toronto Western Hospital, University Health Network, Toronto, ON, Canada
  21. 21. Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, United States
  22. 22. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  23. 23. Cloudware Company, Ltd, Tehran, Iran
  24. 24. Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, United States

Source: Archives of Iranian Medicine Published:2017


Abstract

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. © 2017, Academy of Medical Sciences of I.R. Iran. All rights reserved.