Coronary disease & ACS

Data quality assessment in the SWEDEHEART registry: Insights from serial audits on completeness and accuracy

Am Heart JPublished Registry data quality audit study

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
GroupCompletenessAccuracy
SWEDEHEART-ACS99.1%97.5%
SWEDEHEART-PCI99.2%98.4%
SWEDEHEART-CR94.5%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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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