Abstract
Recently, big data analyses have became popular worldwide as AHA/ACC Get With The Guideline program stroke, which registered over 2 million patients. We conducted a study of the effectiveness of comprehensive stroke care capacities on stroke mortality in a nationwide study, J-ASPECT based on the electric claim data from drug prescription group, DPC system, which is the similar to American DRG system.
We made a nationwide electrical database for neurosurgeons in Japan, based on the claim data from DPC system taken from Japan Neurosurgical Society registered hospitals. The registration process was automatic with no additional workload for busy physicians. The database included diagnosis, all prescribed drugs and procedures during hospitalization, short-term outcomes, complications and medical costs.
We successfully registered the “real world” practices of Japanese neurosurgeons nationwide. We report our analyses for acute stroke care and future directions for this database.
