Validity of diagnoses, treatment dates, and rating scales in the Swedish national quality register for electroconvulsive therapy
Validity of diagnoses, treatment dates, and rating scales in the Swedish national quality register for electroconvulsive therapy
复制标题
DOI：
10.1080/08039488.2021.1939416
复制
发表时间：
2021-07-29
影响因子：
1.8
通讯作者：
Nordenskjold, Axel
中科院分区：
文献类型：
--
作者：
Ahmad, Irma;Sandberg, Matilda;Nordenskjold, Axel
瑞典国家电休克治疗质量登记册（Q-ECT）包含瑞典接受电休克治疗（ECT）患者的数据。目的本研究通过调查Q-ECT数据与患者记录之间的一致程度，确定Q-ECT中诊断、治疗日期和评定量表的有效性。材料与方法2016年1月至2017年12月，随机抽取Q-ECT治疗系列200例。要求治疗医院提供相应的患者记录。使用（i）严格和（ii）宽松的评估方法，比较Q-ECT和患者记录之间的指示性诊断、首次和末次ECT治疗日期以及评定量表的数据。如果Q-ECT和患者记录之间属于同一诊断组，或日期差异小于1周，或临床总体印象量表（CGI- S）评分差异仅1分，或蒙哥马利埃氏抑郁量表评分差异不超过3分，则使用自由方法评估每个变量是否一致。结果共收到病历179份。严格的评估方法表明，符合89%或更高的所有研究变量。自由方法显示符合率为95%或更高。结论我们得出结论，在Q-ECT的研究变量的数据具有较高的效度。然而，有限的使用一些评级量表使结果不确定。可以采取措施进一步提高数据质量。
Background The Swedish national quality register for electroconvulsive therapy (Q-ECT) contains data on patients receiving treatment with electroconvulsive therapy (ECT) in Sweden. Aim This study determined the validity of diagnoses, treatment dates, and rating scales in the Q-ECT by investigating the degree of accordance between data from the Q-ECT and patient records. Materials and methods From January 2016 to December 2017, 200 treatment series were randomly selected from the Q-ECT. The corresponding patient records were requested from the treating hospitals. Data on the indicative diagnosis, dates for the first and the last ECT session, and rating scales were compared between the Q-ECT and patient records using (i) a strict and (ii) a liberal method of assessment. Using the liberal method, each variable was assessed as accordant if it belonged to the same diagnosis group, or if the dates differed by less than 1 week, or ratings differed by only 1 point on the Clinical Global Impression Scale (CGI- S), or no more than 3 points on the Montgomery angstrom sberg Depression Rating Scale between the Q-ECT and the patient record. Results A total of 179 patient records were received. The strict method of assessment showed an accordance of 89% or higher for all studied variables. The liberal method showed an accordance of 95% or higher. Conclusions We conclude that data on the studied variables in the Q-ECT have high validity. However, limited use of some rating scales makes the results uncertain. Measures can be taken to further improve the data quality.