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Validation of the S...
Validation of the Swedevox registry of continuous positive airway pressure, long-term mechanical ventilator and long-term oxygen therapy
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- Ekstrom, M. (author)
- Lund Univ, Fac Med, Dept Clin Sci Lund Resp Med & Allergol, Lund, Sweden.
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- Albrecht, D. (author)
- Sunderby Hosp, Dept Resp Med, Luleå, Sweden.
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- Andersson, S. (author)
- Hallands Hosp, Dept Med, Resp Unit, Halmstad, Sweden.
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- Grote, Ludger, 1964 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,Sahlgrens Univ Hosp, Sleep Disorders Ctr, Pulm Dept, Gothenburg, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Ctr Sleep & Wake Disorders, Inst Med, Gothenburg, Sweden.
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- Rundstrom, B. K. (author)
- Sahlgrens Univ Hosp, Sleep Disorders Ctr, Pulm Dept, Gothenburg, Sweden.
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- Palm, Andreas, 1971- (author)
- Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Lung- allergi- och sömnforskning
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- Theorell-Haglöw, Jenny (author)
- Uppsala universitet,Lung- allergi- och sömnforskning
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- Wahlberg, J. (author)
- Blekinge Hosp, Dept Med, SE-37185 Karlskrona, Sweden.
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- Midgren, B. (author)
- Lund Univ, Fac Med, Dept Clin Sci Lund Resp Med & Allergol, Lund, Sweden.
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Lund Univ, Fac Med, Dept Clin Sci Lund Resp Med & Allergol, Lund, Sweden Sunderby Hosp, Dept Resp Med, Luleå, Sweden. (creator_code:org_t)
- 2020-11-19
- 2021
- English.
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In: Erj Open Research. - : European Respiratory Society (ERS). - 2312-0541. ; 7:1
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https://doi.org/10.1...
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https://gup.ub.gu.se...
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Abstract
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- Background: The Swedish Registry of Respiratory Failure (Swedevox) collects nationwide data on patients starting continuous positive airway pressure (CPAP) treatment, long-term mechanical ventilator (LTMV) and long-term oxygen therapy (LTOT). We validated key information in Swedevox against source data from medical records. Methods: This was a retrospective validation study of patients starting CPAP (n=175), LTMV (n=177) or LTOT (n=175) across seven centres 2013-2017. Agreement with medical record data was analysed using differences in means (SD) and proportion (%) of a selection of clinically relevant variables. Variables of interest included for CPAP: apnoea-hypopnoea index (AHI), height, weight, body mass index (BMI) and Epworth Sleepiness Scale (ESS) score; for LTMV: date of blood gas, arterial carbon dioxide tension (P-aCO2) (breathing air), weight and diagnosis group; and for LTOT: blood gases breathing air and oxygen, spirometry and main diagnosis. Results: Data on CPAP and LTOT had very high validity across all evaluated variables (all <5% discrepancy). For LTMV, variability was higher against source information for P-aCO2 (>0.5 kPa in 25.9%), weight (>5 kg in 47.5%) and diagnosis group. Inconsistency was higher for patients starting LTMV acutely versus electively (P-aCO2 difference >0.5 kPa in 36% versus 21%, p<0.05, respectively). However, there were no signs of systematic bias (mean differences close to zero) across the evaluated variables. Conclusion: Validity of Swedevox data, compared with medical records, was very high for CPAP, LTMV and LTOT. The large sample size and lack of systematic differences support that Swedevox data are valid for healthcare quality assessment and research.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
Keyword
- obstructive sleep-apnea
- mortality
- disease
- Respiratory System
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Ekstrom, M.
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Albrecht, D.
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Andersson, S.
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Grote, Ludger, 1 ...
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Rundstrom, B. K.
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Palm, Andreas, 1 ...
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show more...
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Theorell-Haglöw, ...
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Wahlberg, J.
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Midgren, B.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Respiratory Medi ...
- Articles in the publication
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Erj Open Researc ...
- By the university
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University of Gothenburg
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Uppsala University