The data set development for the National Spinal Cord Injury Registry of Iran (NSCIR-IR): progress toward improving the quality of care

Zahra Azadmanjir, Seyed Behzad Jazayeri, Roya Habibi Arejan, Zahra Ghodsi, Mahdi Sharif-Alhoseini, Ghazaleh Kheiri, Kazem Zendehdel, Mahdi Safdarian, Farideh Sadeghian, Zahra Khazaeipour, Khatereh Naghdi, Jalil Arab Kheradmand, Soheil Saadat, Habibollah Pirnejad, Mohammad Reza Fazel, Esmail Fakharian, Mahdi Mohammadzadeh, Mohsen Sadeghi-Naini, Houshang Saberi, Pegah DerakhshanHadis Sabour, Edward C Benzel, Gerard Oreilly, Vanessa Noonan, Alexander R Vaccaro, Seyed Hassan Emami-Razavi, Vafa Rahimi-Movaghar*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

13 Citations (Scopus)

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.

Original languageEnglish
Number of pages11
JournalSpinal cord series and cases
Volume6
Issue number1
DOIs
Publication statusPublished - 24 Mar 2020
Externally publishedYes

Bibliographical note

Funding;
NSCIR-IR has been financially supported by Deputy of
Research and Technology, Ministry of Health and Medical Education
(MOHME) of Iran.

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