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DOI: 10.1055/s-0038-1628587
Hintergründe und Ergebnisse der Datenpoolung der ADSR von 2000 bis 2005
Methods and results from the combined data analyses of the German Stroke Registers Study Group (ADSR) between 2000 and 2005Publication History
Eingegangen am:
09 October 2008
angenommen am:
13 October 2008
Publication Date:
23 January 2018 (online)
Zusammenfassung
Gegenstand und Ziel: Die Arbeitsgemeinschaft Deutscher Schlaganfall Register (ADSR) ist ein freiwilliger Zusammenschluss regionaler Datenbanken zur Qualitätssicherung und Versorgungsforschung Schlaganfall. Seit 2003 wurde die ADSR-Datenpoolung im Rahmen des Kompetenznetzes Schlaganfall gefördert. Der Artikel fasst Methodik und Ergebnisse der Datenpoolung zusammen.
Material und Methoden: An der Datenpoolung von 2000 bis 2005 nahmen die Qualitätssicherungsprojekte Bayern, Hamburg, Hessen, Nordrhein, Nordwestdeutschland, Rheinland- Pfalz sowie Schleswig-Holstein teil. Die Datenpoolung wurde durch das ADSR-Poolungszentrum nach definierten Kriterien durchgeführt.
Ergebnisse: Zwischen 2000 und 2005 beteiligten sich 513 Kliniken/Abteilungen an der Datenpoolung, 276 021 Patienten mit Schlaganfall oder TIA wurden dokumentiert. Basierend auf diesen Daten wurden Studien zur Versorgungsforschung Schlaganfall veröffentlicht. Weiterhin wurden die Daten genutzt, einheitliche Qualitätsindikatoren in Deutschland sowie Methoden zur Datensammlung und Datenauswertung zu entwickeln.
Schlussfolgerung: Die ADSR-Datenpoolung wurde während des Förderzeitraumes erfolgreich als Methodenplattform im Bereich Qualitätssicherung und Versorgungsforschung Schlaganfall in Deutschland etabliert.
Summary
Objective: The German Stroke Registers Study Group (ADSR) is a voluntary network of regional databases for quality assurance and health services research in stroke. Since 2003 the combined data analyses of this network is funded within the national competence net stroke. The article summarises methods and results from the combined analyses.
Material and methods: The stroke registers in Bavaria, Hesse, North Rhine, Northwest-Germany, Rhineland-Palatinate and Schleswig- Holstein participated between 2000 and 2005. Data were combined centrally by a coordinating office following a priori defined criteria.
Results: From 2000 to 2005, 513 hospitals/ departments participated in the project, documenting 276 021 patients with stroke or TIA. Based on this dataset, patterns of routine stroke care in Germany were investigated; the data pool was also used for developing evidence- based performance measures for acute stroke care in Germany as well as for defining standards for data collection and data analyses.
Conclusions: The ADSR data pool was successfully used as methodological platform for health services research and quality assurance in stroke in Germany during the funding period.
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Literatur
- 1 Heuschmann PU. et al. Quality assurance in treatment of stroke: basic module of the German Stroke Registry Study Group. Gesundheitswesen 2000; 62 (10) 547-52.
- 2 Heuschmann PU, Berger K. International experience in stroke registries: German Stroke Registers Study Group. Am J Prev Med 2006; 31 (6 Suppl 2): S238-S239.
- 3 Heuschmann PU. et al. Frequency of Thrombolytic Therapy in Patients With Acute Ischemic Stroke and the Risk of In-Hospital Mortality. The German Stroke Registers Study Group. Stroke 2003; 34 (05) 1106-13.
- 4 Heuschmann PU. et al. Predictors of in-hospital mortality in patients with acute ischemic stroke treated with thrombolytic therapy. JAMA 2004; 292 (15) 1831-8.
- 5 Heuschmann PU. et al. Predictors of in-hospital mortality and attributable risks of death after ischemic stroken – The German Stroke Registers Study Group. Archives of Internal Medicine 2004; 164 (16) 1761-8.
- 6 Dittrich R. et al. [Differences in the extent of diagnostic procedures after acute stroke in patients treated in departments of neurology, internal medicine and geriatric medicine]. Fortschr Neurol Psychiatr 2005; 73 (02) 68-73.
- 7 Heuschmann PU. et al. Factors influencing duration of hospitalization after stroke in Germany. Deutsche Medizinische Wochenschrift 2004; 129 (07) 299-304.
- 8 Heuschmann PU. et al. Development and implementation of evidence-based indicators for measuring quality of acute stroke care: the Quality Indicator Board of the German Stroke Registers Study Group (ADSR). Stroke 2006; 37 (10) 2573-8.
- 9 Heuschmann PU. et al. The reliability of the German version of the Barthel-Index and the development of a postal and telephone version for the application on stroke patients. Fortschritte der Neurologie Psychiatrie 2005; 73 (02) 74-82.
- 10 Berger K. et al. The glu298asp polymorphism in the nitric oxide synthase 3 gene is associated with the risk of ischemic stroke in two large independent casecontrol studies. Hum Genet 2007; 121 (02) 169-78.
- 11 Audebert HJ. et al. Effects of the implementation of a telemedical stroke network: the Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria, Germany. Lancet Neurol 2006; 05 (09) 742-8.
- 12 Kurth T. et al. Results of multivariable logistic regression, propensity matching, propensity adjustment, and propensity-based weighting under conditions of nonuniform effect. Am J Epidemiol 2006; 163 (03) 262-70.
- 13 Kurth T. et al. Mortality of stroke patients treated with thrombolysis: analysis of nationwide inpatient sample. Neurology 2007; 68 (09) 710.
- 14 Ringelstein EB, Busse O. Stroke Units in Deutschland – Gefährdung eines Erfolgsrezeptes?. GGW. 2004: 7-14.
- 15 Foerch C. et al. Sex disparity in the access of elderly patients to acute stroke care. Stroke 2007; 38 (07) 2123-6.
- 16 Foerch C. et al. Abrupt shift of the pattern of diurnal variation in stroke onset with daylight saving time transitions. Circulation 2008; 118 (03) 284-90.
- 17 Rudd AG. et al. Regional variations in stroke care in England, Wales and Northern Ireland: results from the National Sentinel Audit of Stroke. Royal College of Physicians Intercollegiate Stroke Working Party. Clin Rehabil 2001; 15 (05) 562-72.
- 18 Schneider K. et al. Lebens-und Versorgungssituation von Schlaganfallpatienten. Nervenheilkunde 2009; 28: 114-118.