Coronary disease & ACS

Generalizability of an Electronic Health Record (EHR)-network dataset to the United States for cardiovascular disease conditions: Comparison of Cerner real world data with the national inpatient sample

Am Heart JPublished Retrospective cohort study

Authors' conclusion

On aggregate, characteristics of hospitalizations for MI, CHF, and stroke using EHR data from one nationwide EHR-derived database, CRWD, appears similar to characteristics of hospitalizations in the nationally representative NIS.

Study context

Population
Adults (≥18 years) hospitalised with myocardial infarction (MI), congestive heart failure (CHF) or stroke, 2017–201853 health systems analysed
Exposure
Cerner RealWorldData (CRWD) vs National Inpatient Sample (NIS)
Outcome
Representativeness of CRWD vs NIS: demographics, comorbidities, procedures, length of stay, in-hospital mortality, hospital type
Methodological detailscomparison of EHR-network data with a national administrative sample
  • Comparison of EHR-network data with a national administrative sample

Main finding

As reported in the abstract

Hospitalisation characteristics, CRWD vs NIS
GroupMI hospitalisationsCHF hospitalisationsStroke hospitalisations
CRWD116,956188,10793,968
NIS2,245,3004,310,7451,333,480

MI hospitalisations

CRWD116,956
NIS2,245,300

CHF hospitalisations

CRWD188,107
NIS4,310,745

Stroke hospitalisations

CRWD93,968
NIS1,333,480

Observational data: associations, not effects.

Original publication

Generalizability of an EHR-network dataset to the United States for cardiovascular disease conditions: Comparison of Cerner real world data with the national inpatient sample. Am Heart J. Published 15 May 2023. doi:10.1016/j.ahj.2023.05.009

Summarised from the published abstract; every number is checked against it

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