Successful linking of the Society of Thoracic Surgeons Database to Social Security data to examine the accuracy of Society of Thoracic Surgeons mortality data
Successful linking of the Society of Thoracic Surgeons Database to Social Security data to examine the accuracy of Society of Thoracic Surgeons mortality data
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DOI：
10.1016/j.jtcvs.2012.11.094
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发表时间：
2013-04-01
影响因子：
6
通讯作者：
Grover, Frederick L.
中科院分区：
文献类型：
--
作者：
Jacobs, Jeffrey P.;O'Brien, Sean M.;Grover, Frederick L.
目的：胸外科医师协会成人心脏手术数据库已与社会保障死亡主文件链接，以验证“生命状态”并评估长期手术结局。本研究的目的是探索胸外科医师协会成人心脏手术数据库与社会保障死亡主文件链接的实际应用，包括使用社会保障死亡主文件检查胸外科医师协会30天死亡率数据的准确性。方法：2008年1月1日，胸外科医师协会成人心脏手术数据库开始在其新版本2.61中收集社会安全号码。本研究包括2008年1月1日至2010年12月31日（含）期间所有胸外科医师协会成人心脏手术数据库记录的社会安全号码未缺失的手术。为了匹配胸外科医生学会成人心脏手术数据库和社会保障死亡主文件之间的记录，我们使用了一个组合的概率和确定性匹配规则与报告的高灵敏度和近乎完美的specificity.Results：在2008年1月1日至2010年12月31日，胸外科医生学会成人心脏手术数据库收集了870,406操作的数据。社会安全号码可用于541 953次手术，不可用于328 453次手术。根据胸外科医师学会成人心脏手术数据库，30天死亡率为17，757/541，953 = 3.3%。与社会保障死亡总档案的联系确定了16，565例疑似30天死亡病例（3.1%）。其中，14，983例在胸外科医师协会数据库中记录为30天死亡（相对灵敏度= 90.4%）。相对灵敏度为98.8%（12，863/13，014）出院前发生的疑似30天死亡，59.7%（2120/3551）发生在出院后30天内的疑似死亡病例。与社会保障死亡总档案的联系证实了描述“手术后30天内死亡率”的数据的准确性成人心脏手术数据库中。胸外科医师协会和社会保障死亡主文件链接显示，在出院前发生的30天死亡的捕获是高度准确的，并且这些院内死亡占所有30天死亡的大多数（79% [13，014/16，565]）。对出院后其余30天死亡病例的收集不太完整，需要改进。继续努力鼓励胸外科医生协会数据库的参与者向数据库提交社会安全号码，从而提高对30天生命状况的准确确定。胸外科医生协会和社会保障死亡主文件链接可以促进不断完善死亡率报告。（《胸血管外科杂志》2013;145：976-83）
Objectives: The Society of Thoracic Surgeons Adult Cardiac Surgery Database has been linked to the Social Security Death Master File to verify "life status" and evaluate long-term surgical outcomes. The objective of this study is explore practical applications of the linkage of the Society of Thoracic Surgeons Adult Cardiac Surgery Database to Social Securtiy Death Master File, including the use of the Social Securtiy Death Master File to examine the accuracy of the Society of Thoracic Surgeons 30-day mortality data.Methods: On January 1, 2008, the Society of Thoracic Surgeons Adult Cardiac Surgery Database began collecting Social Security numbers in its new version 2.61. This study includes all Society of Thoracic Surgeons Adult Cardiac Surgery Database records for operations with nonmissing Social Security numbers between January 1, 2008, and December 31, 2010, inclusive. To match records between the Society of Thoracic Surgeons Adult Cardiac Surgery Database and the Social Security Death Master File, we used a combined probabilistic and deterministic matching rule with reported high sensitivity and nearly perfect specificity.Results: Between January 1, 2008, and December 31, 2010, the Society of Thoracic Surgeons Adult Cardiac Surgery Database collected data for 870,406 operations. Social Security numbers were available for 541,953 operations and unavailable for 328,453 operations. According to the Society of Thoracic Surgeons Adult Cardiac Surgery Database, the 30-day mortality rate was 17,757/541,953 = 3.3%. Linkage to the Social Security Death Master File identified 16,565 cases of suspected 30-day deaths (3.1%). Of these, 14,983 were recorded as 30-day deaths in the Society of Thoracic Surgeons database (relative sensitivity = 90.4%). Relative sensitivity was 98.8% (12,863/13,014) for suspected 30-day deaths occurring before discharge and 59.7% (2120/3551) for suspected 30-day deaths occurring after discharge.Conclusions: Linkage to the Social Security Death Master File confirms the accuracy of data describing "mortality within 30 days of surgery" in the Society of Thoracic Surgeons Adult Cardiac Surgery Database. The Society of Thoracic Surgeons and Social Security Death Master File link reveals that capture of 30-day deaths occurring before discharge is highly accurate, and that these in-hospital deaths represent the majority (79% [13,014/16,565]) of all 30-day deaths. Capture of the remaining 30-day deaths occurring after discharge is less complete and needs improvement. Efforts continue to encourage Society of Thoracic Surgeons Database participants to submit Social Security numbers to the Database, thereby enhancing accurate determination of 30-day life status. The Society of Thoracic Surgeons and Social Security Death Master File linkage can facilitate ongoing refinement of mortality reporting. (J Thorac Cardiovasc Surg 2013;145:976-83)