Automatic electronic reporting improved the completeness of AMI and stroke incident surveillance in Tianjin, China: a modeling study.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Author(s): Xiao H;Xiao H; Liu F; Liu F; Unger JM; Unger JM
  • Source:
    Population health metrics [Popul Health Metr] 2023 Feb 06; Vol. 21 (1), pp. 2. Date of Electronic Publication: 2023 Feb 06.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101178411 Publication Model: Electronic Cited Medium: Internet ISSN: 1478-7954 (Electronic) Linking ISSN: 14787954 NLM ISO Abbreviation: Popul Health Metr Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2003]-
    • Subject Terms:
    • Abstract:
      Background: AMI and stroke are the leading causes of premature mortality and hospitalizations in China. Incidence data at the population level for the two diseases is limited and the reliability and completeness of the existing incidence registry have not been investigated. We aim to assess if the completeness of case ascertainment of AMI and stroke incidence has improved since the implementation of electronic reporting and to estimate the incidence of AMI and stroke in Tianjin, China.
      Methods: We applied the DisMod II program to model the incidence of AMI and stroke from other epidemiological indicators. Inputs include mortality rates from Tianjin's mortality surveillance system, and the point prevalence, remission rates and relative risks taken from IHME's Global Burden of Disease studies. The completeness of AMI and stroke incidence reporting was assessed by comparing the sex and age-specific incidence rates derived from the incidence surveillance system with the modeled incidence rates.
      Results: The age and sex standardized modeled incidence per 100,000 person-year decreased (p < 0.0001) from 138 in 2007 to 119 in 2015 for AMI and increased (p < 0.0001) from 520 in 2007 to 534 in 2015 for stroke. The overall completeness of incidence report was 36% (95% CI 35-38%) for AMI and 54% (95% CI 53-55%) for stroke. The completeness was higher in men than in women for both AMI (42% vs 30%, p < 0.0001) and stroke (55% vs 53%, p < 0.0001) and was higher in residents aged 30-59 than those aged 60 or older for AMI (57% vs 38%, p < 0.0001). The completeness of reporting increased by 7.2 (95% CI 4.6-9.7) and 15.7 (95% CI 14.4-16.9) percentage points for AMI and stroke, respectively, from 2007 to 2015 among those aged 30 or above. The increases were observed in both men and women (p < 0.0001) and were more profound (p < 0.0001) among those aged between 30 and 59 and occurred primarily during the 2010 and 2015 period.
      Conclusions: Completeness of AMI and stroke incidence surveillance was low in Tianjin but has improved in recent years primarily owing to the incorporation of an automatic reporting component into the information systems of health facilities.
      (© 2023. The Author(s).)
    • References:
      Zhonghua Yu Fang Yi Xue Za Zhi. 2018 Dec 6;52(12):1300-1304. (PMID: 30522237)
      Bull World Health Organ. 2002;80(8):622-8. (PMID: 12219152)
      Lancet. 2019 Sep 28;394(10204):1145-1158. (PMID: 31248666)
      Health Econ. 2009 Jul;18 Suppl 2:S47-64. (PMID: 19551751)
      Zhonghua Xin Xue Guan Bing Za Zhi. 2017 Feb 24;45(2):154-159. (PMID: 28260323)
      Zhonghua Xin Xue Guan Bing Za Zhi. 2017 Nov 24;45(11):985-991. (PMID: 29166727)
      JAMA. 2004 Jun 2;291(21):2591-9. (PMID: 15173150)
      Int J Health Plann Manage. 2017 Jul;32(3):240-253. (PMID: 28612498)
      Eur Heart J Qual Care Clin Outcomes. 2019 Jan 1;5(1):63-71. (PMID: 29878087)
      Can J Cardiol. 2008 Aug;24(8):623-8. (PMID: 18685742)
      Circulation. 1992 Mar;85(3):1083-96. (PMID: 1537106)
      Eur J Epidemiol. 2005;20(10):827-32. (PMID: 16283472)
      Stroke. 2013 Jul;44(7):1796-802. (PMID: 23652268)
      J Am Coll Cardiol. 2006 Mar 21;47(6):1161-6. (PMID: 16545646)
      J Stroke Cerebrovasc Dis. 2017 Mar;26(3):509-517. (PMID: 28041900)
      Int J Infect Dis. 2011 Aug;15(8):e564-8. (PMID: 21683637)
      Int J Health Care Qual Assur. 2017 Apr 18;30(3):248-259. (PMID: 28350225)
      Public Health. 2016 Feb;131:11-9. (PMID: 26615461)
      Zhonghua Liu Xing Bing Xue Za Zhi. 2016 May;37(5):699-701. (PMID: 27188366)
      JAMA Neurol. 2019 Aug 01;76(8):962-968. (PMID: 31114842)
      BMC Public Health. 2007 Jul 24;7:174. (PMID: 17650341)
      Acta Med Scand Suppl. 1988;728:60-6. (PMID: 3202033)
      BMC Public Health. 2016 Nov 3;16(1):1135. (PMID: 27809823)
      Circulation. 2016 Mar 1;133(9):916-47. (PMID: 26811316)
      Popul Health Metr. 2003 Apr 14;1(1):4. (PMID: 12773212)
      Tob Control. 2020 Jan;29(1):61-67. (PMID: 30692165)
      Circulation. 2006 Nov 21;114(21):2217-25. (PMID: 17088464)
      Am Heart J. 2016 May;175:193-201.e3. (PMID: 27179740)
      Int J Equity Health. 2014 Jan 30;13:8. (PMID: 24476343)
      Open Heart. 2016 Mar 23;3(1):e000321. (PMID: 27042316)
      J Stroke Cerebrovasc Dis. 2018 Aug;27(8):2118-2123. (PMID: 29650381)
      Int J Stroke. 2009 Jun;4(3):169-74. (PMID: 19659816)
      Aging (Albany NY). 2018 Nov 28;10(11):3438-3449. (PMID: 30487317)
      Schizophr Res. 2008 Sep;104(1-3):246-54. (PMID: 18602251)
      Neuroepidemiology. 2015;45(3):230-6. (PMID: 26505985)
    • Contributed Indexing:
      Keywords: Acute myocardial infarction; DisMod; Incidence surveillance; Stroke
    • Publication Date:
      Date Created: 20230207 Date Completed: 20230208 Latest Revision: 20230226
    • Publication Date:
      20240628
    • Accession Number:
      PMC9901143
    • Accession Number:
      10.1186/s12963-023-00300-2
    • Accession Number:
      36747283