使用Trinetx电子健康记录数据库创建新型心脏骤停注册表的方法
Ryan Huebinger1, Ryan A Coute2, Larissa Myaskovsky3
1Department of Emergency Medicine, University of New Mexico, Albuquerque, NM, United States.
Resuscitation plus
|October 27, 2025
概括
本研究展示了如何使用Trinetx数据建立一个大型的现实世界数据库,用于医院外心脏骤停 (OHCA) 停顿后的护理. 该注册表包含了大量的临床信息,使得OHCA管理的新研究成为可能.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
背景情况:
- 停心后的护理对于医院外心脏骤停 (OHCA) 的生存至关重要.
- 现有的OHCA数据库缺乏全面的逮捕后护理数据.
- 需要一个多中心注册表来捕捉现实世界的逮捕后护理.
研究的目的:
- 描述创建一个多中心,现实世界的逮捕后护理研究注册表的方法.
- 为了使用Trinetx数据库组装此注册表.
- 评估OHCA逮捕后护理研究的可行性和数据丰富性.
主要方法:
- 查询了Trinetx数据库 (2000-2025) 的医院外心脏骤停 (OHCAs).
- 根据遭遇数据,确定了幸存到住院的患者.
- 通过使用住院后遭遇和死亡日期信息来确定出院的生存率.
主要成果:
- 从222,868个OHCAs中确定了88,753名幸存到入院的患者.
- 该队列的平均年龄为65岁,男性为60.3%,白人为59.8%.
- 离院生存率为48.5%,可获得超过1.8亿个临床数据点.
结论:
- Trinetx数据库有助于创建一个强大的多中心OHCA逮捕后护理登记.
- 这个注册表为高级研究提供了大量的临床变量.
- 允许对优化逮捕后护理策略进行新的调查.
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