Prospective Clinical Registry to Evaluate Clinical Outcomes of Hypertension Patients in a Multidisciplinary Clinic

  • Michelle Dornelles Santarem Instituto de Cardiologia do Rio Grande do Sul / Fundação Universitária de Cardiologia; Hospital de Clínicas de Porto Alegre/RS.
  • Patricia de Oliveira Dias Instituto de Cardiologia do Rio Grande do Sul / Fundação Universitária de Cardiologia
  • Suimara dos Santos Instituto de Cardiologia do Rio Grande do Sul / Fundação Universitária de Cardiologia; Hospital de Clínicas de Porto Alegre/RS.
  • Clarissa Garcia Rodrigues Instituto de Cardiologia do Rio Grande do Sul / Fundação Universitária de Cardiologia
  • Silvia Goldmeier nstituto de Cardiologia do Rio Grande do Sul / Fundação Universitária de Cardiologia
Keywords: software, hospital outpatient, hypertension, registry

Abstract

Introduction: clinical registries are necessary to define public policies for treatment and prevention, by providing highly accurate and interoperable data. Objective: to describe the implementation of a prospective, computerised, interoperable and multidisciplinary clinical registry to evaluate the clinical practice and outcomes of hypertensive patients. Methods: prospective observational study designed as a clinical registry carried out in a multidisciplinary hypertension clinic, in Brazil. A multi-professional team attends the patients. The database included patients with primary hypertension, above 18 years of age. Patients who had undergone surgery, a stroke, myocardial infarction, or renal failure were excluded. Variables were defined in accordance with national and international variables to allow interoperability. Results: the RE-HYPER registry was implemented by following the steps: (1) Data standardisation. The dataset included all applicable standardised data elements published by the American Heart Association / American College of Cardiology, and Brazilian national datasets standards; (2) Development of an initial data collection and clinical research workflow; (3) Development of electronic case reports (CRF) using REDCap (Research Electronic Data Capture) and in accordance with the HIPAA (Health Insurance Portability and Accountability Act) privacy rule; (4) Pilot testing and validation of the data collection and clinical research workflows and CRFs, and (5) Development of automated data quality report using REDCap. Discussion: Due to the magnitude of this disease in the world, this study becomes relevant to clinical practice. Conclusion:  The study showed reproducible standards and solutions that can be applied in the implementation of health records, allowing data integration between health and research services.


References

Navar-Boggan AM, Pencina MJ, Williams K, Sniderman AD, Peterson ED. Proportion of US adults affected by the 2014 hypertension guideline. JAMA 2014;311(14):1424-1429.

James PA, Oparil S, Carter BL, et al. 2014 Evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014; 311(5):507-520.

Linked Data. (2014). Connect distributed data across the web. Available at: http://linkeddata.org accessed 05 July 2014.

th Brazilian Guidelines on Hypertension. Arq Bras Cardiol 2016;107(3, Suppl 3):1-102.

Santos ZMSA, Frota MA, Cruz DM, Netherlands SDO. Adherence of the hypertensive client to the treatment: analysis with an interdisciplinary approach. Texto Contexto Enferm 2005;14(3):332-340.

Mendes EV. The care of chronic conditions in primary care: the imperative of consolidation of the Family Health Strategy. Brasília (DF): Organização Pan-Americana da Saúde (2012).

Brazilian Cardiovascular Registries. (2014). Available at: http://socios.cardiol.br/iep-hcor/registros.asp accessed 1 July 2014.

Vanderbilt University. (2017). Department of Biomedical Informatics Available at: https://medschool.vanderbilt.edu/dbmi/redcap accessed 6 January 2017.

Health Insurance Portability and Accountability Act (HIPAA). (2017). Available at: https://www.hipaa.com/ accessed 6 January 2017.

National Cardiovascular Data Registry. (2014). Available at: https://www.ncdr.com/webncdr/ accessed 1 July 2014.

Badia X, Roca-Cusachs A, Dalfó A, et al. MINICHAL Group. Validation of short form of the Spanish hypertension questionnaire (MINICHAL). Clin Ther 2002;24(12):2137-2154.

Cunha JA. Manual of the Portuguese version of the Beck Scales. São Paulo: Brazil: Casa do Psicólogo; 2001.

Lipp M. Lipp Adult Stress Inventory. Inventory Application Manual. São Paulo: Casa do Psicólogo; 2000.

Rodríguez SY, Spiendler, Carlotto MS, Barcinski M. Coping strategies used by psychologists: a gender analysis. Salud & Sociedad 2016;6(2):110-119.

Published
2017-04-03
How to Cite
Santarem, M., Dias, P., dos Santos, S., Rodrigues, C., & Goldmeier, S. (2017). Prospective Clinical Registry to Evaluate Clinical Outcomes of Hypertension Patients in a Multidisciplinary Clinic. Journal of the International Society for Telemedicine and EHealth, 5, (GKR);e47:(1-5). Retrieved from https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/271
Section
Global Telemedicine and eHealth Updates. Knowledge Resources. Vol. 10, 2017

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