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The Perinatal Database of the Netherlands
P M Elferink-Stinkens1, O J Van Hemel, R Brand
1Department of Obstetrics and Gynaecology, Reinier de Graafgasthuis, Delft, The Netherlands.
Summary
The Perinatal Database of the Netherlands (LVR) has improved data quality since its 1982 inception. Linking LVR data with the Neonatal Database (LNR) could enhance first-week mortality accuracy.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Health Informatics
Background:
- Established in 1982, the Perinatal Database of the Netherlands (LVR) operates on a voluntary basis for secondary care obstetric departments.
- Initial participation was 70%, now approaching 100%, highlighting its widespread adoption in Dutch obstetric care.
Observation:
- An assessment of data reliability revealed a decrease in various error frequencies over the LVR's existence.
- An exception to the error reduction was observed in the complete registration of first-week mortality.
Findings:
- The overall quality of data within the LVR has demonstrably improved over time.
- Linking LVR data with the Neonatal Database of the Netherlands (Landelijk Neonatale Registratie, LNR) is proposed to improve first-week mortality data accuracy.
Implications:
- Enhancing data reliability for first-week mortality requires linking LVR and LNR datasets for comprehensive 28-day infant outcome tracking.
- Implementing additional data input checks and improving data accessibility for gynecologists can further boost recording motivation and data quality.