Surveillance and ascertainment of cardiovascular events: The Cardiovascular Health Study

Surveillance and ascertainment of cardiovascular events: The Cardiovascular Health Study
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DOI:
10.1016/1047-2797(94)00093-9
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发表时间:
1995-01-01
影响因子:
5.6
通讯作者:
Theroux, Sharene
Theroux, Sharene
中科院分区:
医学3区
文献类型:
--
作者:
Ives, Diane G.;Fitzpatrick, Annette L.;Theroux, Sharene

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虽然之前的前瞻性多中心研究已经进行了心血管疾病监测,但很少详细介绍与事件确定和数据收集相关的技术。心血管健康研究 (CHS) 是一项针对老年人冠心病和中风的人群研究。本文总结了 CHS 事件协议,并描述了住院和非住院事件的监测和确定方法、医疗记录和其他支持文件的使用、现场中心级别的组织问题以及通过裁决过程对事件进行分类。我们提供有关发病率和死亡率、裁定事件的分类以及事件小组委员会的分类与医疗记录诊断代码之间的一致性的数据。 CHS 技术是完整确定、调查和记录老年群体事件的成功模型。
While previous prospective multicenter studies have conducted cardiovascular disease surveillance, few have detailed the techniques relating to the ascertainment of and data collection for events. The Cardiovascular Health Study (CHS) is a population-based study of coronary heart disease and stroke in older adults. This article summarizes the CHS events protocol and describes the methods of surveillance and ascertainment of hospitalized and non-hospitalized events, the use of medical records and other support documents, organizational issues at the field center level, and the classification of events through an adjudication process. We present data on incidence and mortality, the classification of adjudicated events, and the agreement between classification by the Events Subcommittee and the medical records diagnostic codes. The CHS techniques are a successful model for complete ascertainment, investigation, and documentation of events in an older cohort.