The Validity of Intracerebral Hemorrhage Diagnoses in the Danish Patient Registry and the Danish Stroke Registry.
epidemiology
intracerebral hemorrhage
register-based research
stroke
validity
Journal
Clinical epidemiology
ISSN: 1179-1349
Titre abrégé: Clin Epidemiol
Pays: New Zealand
ID NLM: 101531700
Informations de publication
Date de publication:
2020
2020
Historique:
received:
13
06
2020
accepted:
27
08
2020
entrez:
9
12
2020
pubmed:
10
12
2020
medline:
10
12
2020
Statut:
epublish
Résumé
To establish the validity of intracerebral hemorrhage (ICH) diagnoses in the Danish Stroke Registry (DSR) and the Danish National Patient Registry (DNPR). Based on discharge summaries and brain imaging reports, we estimated the positive predictive value (PPV) of a first-ever diagnosis code for ICH (ICD-10, code I61) for all patients in the Region of Southern Denmark (1.2 million) during 2009-2017 according to either DNPR or DSR. We estimated PPVs for any non-traumatic ICH (a-ICH) and spontaneous ICH (s-ICH) alone (ie, without underlying structural cause). We also calculated the sensitivity of these diagnoses in each of the registers. Finally, we classified the location of verified s-ICH. A total of 3,956 patients with ICH diagnosis codes were studied (DSR only: 87; DNPR only: 1,513; both registries: 2,356). In the DSR, the PPVs were 86.5% (95% CI=85.1-87.8) for a-ICH and 81.8% (95% CI=80.2-83.3) for s-ICH. The PPVs in DNPR (discharge code, primary diagnostic position) were 76.2% (95% CI=74.7-77.6) for a-ICH and 70.2% (95% CI=68.6-71.8) for s-ICH. Sensitivity for a-ICH and s-ICH was 76.4% (95% CI=74.8-78.0) and 78.7% (95% CI=77.1-80.2) in DSR, and 87.3% (95% CI=86.0-88.5) and 87.7% (95% CI=86.3-88.9) in DNPR. The location of verified s-ICH was lobar (39%), deep (33.6%), infratentorial (13.2%), large unclassifiable (11%), isolated intraventricular (1.9%), or unclassifiable due to insufficient information (1.3%). The validity of a-ICH diagnoses is high in both registries. For s-ICH, PPV was higher in DSR, while sensitivity was higher in DNPR. The location of s-ICH was similar to distributions seen in other populations.
Identifiants
pubmed: 33293870
doi: 10.2147/CLEP.S267583
pii: 267583
pmc: PMC7719118
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1313-1325Subventions
Organisme : Medical Research Council
ID : G1002605
Pays : United Kingdom
Organisme : Medical Research Council
ID : G108/613
Pays : United Kingdom
Informations de copyright
© 2020 Hald et al.
Déclaration de conflit d'intérêts
The activities of DG are supported by a grant from Odense University Hospital. Luis Alberto García Rodríguez reports grants from Bayer AG, personal fees from Bayer AG, outside the submitted work. Rustam Al-Shahi Salman reports grants from British Heart Foundation, grants from The Stroke Association, outside the submitted work. The authors report no other potential conflicts of interest in this work.
Références
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
Neuroepidemiology. 2007;29(3-4):218-25
pubmed: 18075278
Stroke. 2013 Jul;44(7):1766-8
pubmed: 23735952
Neurology. 2011 May 10;76(19):1662-7
pubmed: 21555734
J Am Heart Assoc. 2019 Aug 6;8(15):e011870
pubmed: 31315496
Neuroepidemiology. 2014;43(1):57-64
pubmed: 25323533
Stroke. 2016 Mar;47(3):829-35
pubmed: 26903585
Neuroepidemiology. 2007;28(3):150-4
pubmed: 17478969
Neuroepidemiology. 2005;24(1-2):32-7
pubmed: 15459507
PLoS One. 2018 Aug 23;13(8):e0202575
pubmed: 30138389
JAMA. 2017 Feb 28;317(8):836-846
pubmed: 28245322
Int J Stroke. 2019 Jan;14(1):61-68
pubmed: 30056783
Int J Qual Health Care. 2004 Apr;16 Suppl 1:i45-50
pubmed: 15059986
JAMA. 2019 Jun 4;321(21):2113-2123
pubmed: 31121602
Neurology. 2013 Aug 6;81(6):559-65
pubmed: 23843467
Neurology. 2018 Jan 9;90(2):e119-e126
pubmed: 29247070
Neurosurgery. 2010 Jun;66(6):1039-43; discussion 1043
pubmed: 20386139
Stroke. 2015 Feb;46(2):361-8
pubmed: 25586833
Clin Epidemiol. 2013 Dec 23;6:27-36
pubmed: 24399886
Thromb Haemost. 2015 Nov;114(5):1064-75
pubmed: 26202836
Stroke. 2018 Sep;49(9):2248-2255
pubmed: 30355005
Stroke. 2017 Jan;48(1):180-186
pubmed: 27899749
J Headache Pain. 2014 Nov 11;15:74
pubmed: 25387444
Acta Neurol Scand. 2018 Sep;138(3):235-244
pubmed: 29691834
Neuroepidemiology. 2010;34(4):214-21
pubmed: 20197705
Stroke. 2020 Apr;51(4):1111-1119
pubmed: 32114928
Neurology. 2014 Jan 28;82(4):340-50
pubmed: 24363134
J Clin Epidemiol. 2002 Jun;55(6):602-7
pubmed: 12063102
Brain Behav. 2018 Oct;8(10):e01113
pubmed: 30240164
Stroke. 2003 Feb;34(2):379-86
pubmed: 12574546
BMJ. 2019 May 22;365:l1778
pubmed: 31122927
Clin Epidemiol. 2018 Aug 07;10:941-948
pubmed: 30123006
World Health Organ Tech Rep Ser. 1971;469:1-57
pubmed: 4998212
Pharmacoepidemiol Drug Saf. 2016 Nov;25(11):1253-1262
pubmed: 27384945
J Thromb Haemost. 2020 Feb;18(2):318-327
pubmed: 31609047
Am Heart J. 2019 Jun;212:144-151
pubmed: 31004917
Clin Epidemiol. 2015 Nov 17;7:449-90
pubmed: 26604824
Eur Stroke J. 2020 Mar;5(1):26-35
pubmed: 32232167
Cerebrovasc Dis Extra. 2016;6(2):40-9
pubmed: 27522404
J Neurol. 2009 Feb;256(2):198-202
pubmed: 19271106
BMJ. 2017 Feb 10;356:j510
pubmed: 28188243
Scand J Public Health. 2017 Aug;45(6):630-636
pubmed: 28701076
Brain. 2013 Feb;136(Pt 2):658-64
pubmed: 23378220
J Biomed Inform. 2019 Jul;95:103208
pubmed: 31078660
PLoS One. 2015 Oct 06;10(10):e0140197
pubmed: 26439627
Stroke. 2002 Mar;33(3):769-74
pubmed: 11872902
Neuroepidemiology. 2018;50(3-4):174-182
pubmed: 29621789
Stroke. 2019 Dec;50(12):3494-3502
pubmed: 31623547
BMJ. 2000 Jan 15;320(7228):141-5
pubmed: 10634731
Thromb Res. 2020 Jul;191:1-8
pubmed: 32339765
BMJ. 2016 Jun 16;353:i3189
pubmed: 27312796
Qual Assur Health Care. 1993 Dec;5(4):315-8
pubmed: 8018889
Neurology. 2014 Nov 25;83(22):2013-22
pubmed: 25378670
Pharmacoepidemiol Drug Saf. 2013 Feb;22(2):176-82
pubmed: 23229888
Neurology. 2013 Aug 6;81(6):566-74
pubmed: 23843464