Data quality assessment in the SWEDEHEART registry: Insights from serial audits on completeness and accuracy
Authors' conclusion
The SWEDEHEART registry is a highly complete and accurate source of patient characteristics and processes of care
Study context
- Population
- Sites reporting to the Swedish quality registry for cardiac disease (SWEDEHEART); data audited against electronic medical records>200,000 data points controlled
- Participants
- 72 / 30 / 75
- Exposure
- SWEDEHEART-ACS vs SWEDEHEART-PCI vs SWEDEHEART-CR
- SWEDEHEART-ACSn = 72
- SWEDEHEART-PCIn = 30
- SWEDEHEART-CRn = 75
- Outcome
- Data completeness and accuracy vs electronic medical records
- Follow-up
- 2017 to 2018 audit
Methodological detailsserial audits, national registry, Audited against electronic medical records by 4 controllers, centrally coordinated by a project leader, 2011 audit: 13/71 (18.3%) acute coronary syndromes (ACS)-admitting hospitals and 8/28 (28.6%) catheterization labs audited; 2017 to 2018: all sites (100.0%)
- Serial audits
- National registry
- Audited against electronic medical records by 4 controllers, centrally coordinated by a project leader
- 2011 audit: 13/71 (18.3%) ACS-admitting hospitals and 8/28 (28.6%) catheterization labs audited; 2017 to 2018: all sites (100.0%)
Main finding
As reported in the abstract
Data completeness and accuracy
| Group | Completeness | Accuracy |
|---|---|---|
| SWEDEHEART-ACS | 99.1% | 97.5% |
| SWEDEHEART-PCI | 99.2% | 98.4% |
| SWEDEHEART-CR | 94.5% | 95.8% |
Completeness
SWEDEHEART-ACS99.1%
SWEDEHEART-PCI99.2%
SWEDEHEART-CR94.5%
Accuracy
SWEDEHEART-ACS97.5%
SWEDEHEART-PCI98.4%
SWEDEHEART-CR95.8%
Observational data: associations, not effects.
Further findings
Accuracy across all 4 audits (2011 to 2018)
- Accuracy >95.0% for all subregistries at all 4 audits
- P for trend < 0.0001
Most often incomplete or inconsistent data
- Time points, self-reported data, and data reliant on complex definitions
Original publication
Data quality assessment in the SWEDEHEART registry: Insights from serial audits on completeness and accuracy. Am Heart J. Published 1 May 2025. doi:10. 1016/ j. ahj. 2025. 04. 028
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