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The CRAC cohort model: A computerized low cost registry of interventional cardiology with daily update and long-term

G Rangé1, S Chassaing2, P Marcollet3

  • 1Cardiology department, les hôpitaux de Chartres, BP 30407, 28018, Chartres, France.

Revue D'Epidemiologie Et De Sante Publique
|April 25, 2018
PubMed

Insights

A new computerized interventional cardiology registry offers a reliable and cost-effective method for collecting high-quality coronary patient data. This system ensures comprehensive data capture for improved patient care and prognosis assessment.

Area of Science:

  • Cardiology
  • Health Informatics
  • Clinical Data Management

Background:

  • Rigorous clinical practice assessment is crucial for improving interventional cardiology (IC) prognosis.
  • Prospective registries can enhance assessment but are often costly with variable data quality.
  • The CRAC registry, integrated with existing software, was established in the French Centre Val-de-Loire region in 2014.

Purpose of the Study:

  • To evaluate the reliability and cost-effectiveness of a computerized IC registry.
  • To prospectively and systematically collect high-quality data for all consecutive coronary patients undergoing procedures.
  • To establish a model for a national interventional cardiology database.

Main Methods:

  • Quality assessment of the CRAC registry across five IC CathLabs in the CVL region (2014).
  • Evaluation of data quality through procedure exhaustivity, completeness, and consistency checks.
  • Estimation of the operating cost per procedure, including data collection and quality control.

Main Results:

  • The CRAC registry demonstrated high data quality: 98.2% procedure completeness and 99.6% data completeness.
  • Data consistency was achieved at 89%, with a low operating cost of €14.70 per procedure.
  • The registry successfully captured pre-admission STEMI data and one-year follow-up information.

Conclusions:

  • The integrated computerized IC registry provides an exhaustive, reliable, and cost-effective database for coronary patients.
  • This model facilitates the development of a national IC database, France PCI, for coronary patients by 2020.
  • The CRAC registry serves as a scalable solution for improving interventional cardiology data management nationwide.
Abstract

Keywords:
Computerized databaseCoronarograhieCostCoûtInterventional cardiology databasePCIRegistre automatiséRegistre de cardiologie interventionnelle

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