Minimum dataset standard for cohort study of high-risk population of stroke based on regional big data platform: a consensus
National Center for Chronic, Non-communicable Disease Control, Prevention, Chinese Center for Disease Control, Prevention; China National Clinical Research Center for Neurological Diseases; National Center for Healthcare Quality Management in Neurological Diseases; Cerebrovascular Disease Big Data, Information Standardization Branch of Chinese Stroke Association
Abstract:A large cohort study of high-risk population of stroke based on the real world is of great significance for stroke prevention and control. However, the data element structures, variable definitions and scopes of regional big data platforms are inconsistent, which will be an obstacle for data sharing, summary, and analysis among different regions. In this study, we formed an expert consensus on a unified minimum dataset standard for the cohort study of high-risk population of stroke, considering the categories and definitions of risk factors of stroke, and the existing database of the regional big data platforms. The consensus shall provide a reference for the comparison, integration, and sharing of real world data within and between regions, and play an important role in the cohort study on risk factors of stroke, as well as the implementation and evaluation of prevention and control measures.
中国疾病预防控制中心慢性非传染性疾病预防控制中心, 国家神经系统疾病临床医学研究中心, 国家神经系统疾病医疗质量控制中心, 中国卒中学会脑血管病大数据与信息标准化分会. 基于区域大数据平台的卒中高危人群队列研究最小数据集标准专家共识[J]. 预防医学, 2021, 33(12): 1189-1198.
National Center for Chronic, Non-communicable Disease Control, Prevention, Chinese Center for Disease Control, Prevention; China National Clinical Research Center for Neurological Diseases; National Center for Healthcare Quality Management in Neurological Diseases; Cerebrovascular Disease Big Data, Information Standardization Branch of Chinese Stroke Association. Minimum dataset standard for cohort study of high-risk population of stroke based on regional big data platform: a consensus. Preventive Medicine, 2021, 33(12): 1189-1198.
[1] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国脑血管病一级预防指南2019[J].中华神经科杂志,2019,52(9):684-700. [2] 吴周志,徐承中,徐勇,等.健康医疗大数据下疾病监测报告模式的变革——宜昌市健康管理大数据分析中心建设的启示[J].疾病监测,2019,34(1):10-14. [3] 李辉,张良,李思萱,等.基于全民健康信息平台的宁波市慢性病智能直报模式建设[J].首都公共卫生,2019,13(3):114-117. [4] 叶荔姗,赵飞,陈坚,等.基于智能电子健康档案平台的大数据应用研究与实践[J].中国卫生信息管理杂志,2019,16(6):672-676. [5] 中国疾病预防控制中心.中国慢性病及其危险因素监测报告2013[M].北京:军事医学科学出版社,2015. [6] 中华医学会神经病学分会.2016版中国脑血管病诊治指南与共识[M].北京:人民卫生出版社,2016. [7] 中国心血管病预防指南(2017)写作组,中华心血管病杂志编辑委员会.中国心血管病预防指南(2017)[J]. 中华心血管病杂志,2018,46(1):10-25. [8] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2017年版)[J]. 中国实用内科杂志,2018,38(4):292-344. [9] 中国成人血脂异常防治指南修订联合委员会.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,31(10):937-953. [10] BAI Y,WANG Y L,SHANTSILA A,et al.The global burden of atrial fibrillation and stroke:a systematic review of the clinical epidemiology of atrial fibrillation in Asia[J].Chest,2017,152(4):810-820. [11] O'DONNELL M J,CHIN S L,RANGARAJAN S,et al.Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries(INTERSTROKE):a case-control study[J].Lancet,2016,388(10046):761-775. [12] ANDERSEN K K,OLSEN T S.Married,unmarried,divorced,and widowed and the risk of stroke[J].Acta Neurol Scand,2018,138(1):41-46. [13] BRAGG F,LI L M,YANG L,et al.Risks and population burden of cardiovascular diseases associated with diabetes in China:a prospective study of 0.5 million adults[J].PLoS Med,2016,13(7):1-17. [14] COOMBES E,JONES A P,HILLSDON M.The relationship of physical activity and overweight to objectively measured green space accessibility and use[J]. Soc Sci Med,2010,70(6):816-822. [15] DU H,LI L,BENNETT D,et al.Fresh fruit consumption and major cardiovascular disease in China[J].New Engl J Med,2016,374(14):1332-1343. [16] GAN Y,WU J,LI L Q,et al.Association of smoking with risk of stroke in middle-aged and older Chinese:evidence from the China National Stroke Prevention Project[J/OL].Medicine(Baltimore),2018,97(47)[2021-11-13]. https://pubmed.ncbi.nlm.nih.gov/30461631.DOI:10.1097/MD.0000000000013260. [17] IRIBARREN C,DARBINIAN J,KLATSKY A L,et al.Cohort study of exposure to environmental tobacco smoke and risk of first ischemic stroke and transient ischemic attack[J].Neuroepidemiology,2004,23(1/2):38-44. [18] JOSHIPURA K J,ASCHERIO A,MANSON J E,et al.Fruit and vegetable intake in relation to risk of ischemic stroke[J].JAMA,1999,282(13):1233-1239. [19] LEE K K,MILLER M R,SHAH A S V.Air pollution and stroke[J].J Stroke,2018,20(1):2-11. [20] LIU S,LI Y,ZENG X,et al.Burden of Cardiovascular diseases in China,1990-2016:findings from the 2016 Global Burden of Disease Study[J].JAMA Cardiol,2019,4(4):342-352. [21] LV J,YU C,GUO Y,et al.Adherence to healthy lifestyle and cardiovascular diseases in the Chinese population[J].J Am Coll Cardiol,2017,69(9):1116-1125. [22] MCHUTCHISON C A,BACKHOUSE E V,CVORO V,et al.Education,socioeconomic status,and intelligence in childhood and stroke risk in later life:a meta-analysis[J].Epidemiology,2017,28(4):608-618. [23] MENTE A,O'DONNELL M,RANGARAJAN S,et al.Urinary sodium excretion,blood pressure,cardiovascular disease,and mortality:a community-level prospective epidemiological cohort study[J].Lancet,2018,392(10146):496-506. [24] PETERS S A E,HUXLEY R R,WOODWARD M.Diabetes as a risk factor for stroke in women compared with men:a systematic review and meta-analysis of 64 cohorts,including 775 385 individuals and 12 539 strokes[J].Lancet,2014,383(9933):1973-1980. [25] PORTER A K,RODRIGUEZ D A,FRIZZELLE B G,et al.The association between neighborhood environments and physical activity from pregnancy to postpartum:a prospective cohort study[J].J Urban Health,2019,96(5):703-719. [26] RICCI C,WOOD A,MULLER D,et al.Alcohol intake in relation to non-fatal and fatal coronary heart disease and stroke:EPIC-CVD case-cohort study[J/OL].BMJ,2018,361[2021-11-13].https://pubmed.ncbi.nlm.nih.gov/29844013.DOI:10.1136/bmj.k934. [27] RODRIGUEZ C J,SOLIMAN E Z,ALONSO A,et al.Atrial fibrillation incidence and risk factors in relation to race-ethnicity and the population attributable fraction of atrial fibrillation risk factors:the Multi-Ethnic Study of Atherosclerosis[J].Ann Epidemiol,2015,25(2):71-76,76.e1. [28] STRATH S J,KAMINSKY L A,AINSWORTH B E,et al.Guide to the assessment of physical activity:clinical and research applications:a scientific statement from the American Heart Association[J].Circulation,2013,128(20):2259-2279. [29] STRAZZULLO P,D'ELIA L,CAIRELLA G,et al.Excess body weight and incidence of stroke:meta-analysis of prospective studies with 2 million participants[J].Stroke,2010,41(5):e418-e426. [30] SUN L,CLARKE R,BENNETT D,et al.Causal associations of blood lipids with risk of ischemic stroke and intracerebral hemorrhage in Chinese adults[J].Nat Med,2019,25(4):569-574. [31] TIAN T,JIN G,YU C,et al.Family history and stroke risk in China:evidence from a large cohort study[J]. J Stroke,2017,19(2):188-195. [32] VIRANI S S,ALONSO A,APARICIO H J,et al.Heart disease and stroke statistics-2021 update:a report from the American Heart Association[J].Circulation,2021,143(8):e254-e743. [33] WANG S,SHEN B,WU M,et al.Effects of socioeconomic status on risk of ischemic stroke:a case-control study in the Guangzhou population[J].BMC Public Health,2019,19(1)[2021-11-13]. https://doi.org/10.1186/s12889-019-6998-4. [34] WHELTON P K,CAREY R M,ARONOW W S,et al.2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention,detection,evaluation,and management of high blood pressure in adults:executive summary:a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[J].Hypertension,2018,71(6):1269-1324. [35] WOOD A M,KAPTOGE S,BUTTERWORTH A S,et al.Risk thresholds for alcohol consumption:combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies[J].Lancet,2018,391(10129):1513-1523. [36] WU S,WU B,LIU M,et al.Stroke in China:advances and challenges in epidemiology,prevention,and management[J].Lancet Neurol,2019,18(4):394-405. [37] 李子孝,王春娟,王伊龙,等.卒中临床诊疗和疾病管理核心数据元及定义专家共识[J].中国卒中杂志,2020,15(4):416-434.