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Chapter Thirty Nine - Data Banks and Registries

from Imaging

Published online by Cambridge University Press:  13 December 2022

Louis R. Caplan  and
Aishwarya Aggarwal
Louis R. Caplan
Affiliation:
Beth Israel Deaconess Medical Centre
Aishwarya Aggarwal
Affiliation:
John F. Kennedy Medical Center
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Summary

During the middle years of the twentieth century, clinicians advanced their knowledge of clinical phenomenology by personally studying and describing small groups of patients. In 1935, Charles Aring and Houston Meritt studied a group of patients coming to necropsy at the Boston City Hospital to clarify the differential diagnosis between brain hemorrhages and infarcts [1]. Dalsgaard-Nielsen analyzed the relationship between clinical and postmortem diagnosis in all autopsied cases of “cerebral apoplexy” seen in the neurology department of the Frederiksberg hospital in Denmark from 1940 through 1953. He discussed the clinical characteristics that might allow differentiation between hemorrhage and thromboembolism [2]. The excellent filing and record systems at the Mayo Clinic in Rochester, Minnesota, facilitated analyses by Jack Whisnant and Leonard Kurland and their colleagues of the characteristics of stroke patients in Olmstead County, Minnesota, during several epochs (1945–1954 and 1954–1969) [3]. These studies were all retrospective and selected specified data items to analyze. The data collection depended on information already collected in the hospital records.

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Chapter
Information
Stories of Stroke
Key Individuals and the Evolution of Ideas
 , pp. 370 - 373
Publisher: Cambridge University Press
Print publication year: 2022

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References

Notes and References

Aring, CD, Merritt, HH. Differential diagnosis between cerebral hemorrhage and cerebral thrombosis. Archives of Internal Medicine 1935;56:435–456. This study is the topic of Chapter 25.CrossRefGoogle Scholar
Dalsgaard-Nielsen, T. Survey of 1000 cases of apoplexia cerebri. Acta Psychiatrica Neurologica Scandinavica 1955;30:169–185.CrossRefGoogle ScholarPubMed
Whisnant, JP, Fitzgibbons, JP, Kurland, LT, Sayre, GP. Natural history of stroke in Rochester, Minnesota, 1945 through 1954. Stroke 1971;2:11–22.Google ScholarGoogle Scholar
Mohr, J, Caplan, L, Melski, J, Duncan, G, Goldstein, R, Kistler, J, Pessin, M, Bleich, H. The Harvard Cooperative Stroke Registry: A prospective registry. Neurology 1978;28:754–762. This registry and the role of Caplan is discussed in Chapter 30.CrossRefGoogle ScholarPubMed
Kunitz, S, Gross, CR, Heyman, A, Kase, CS, Mohr, JP, Price, TR, Wolf, PA. The pilot Stroke Data Bank: Definition, design, and data. Stroke 1984;15:740–746.CrossRefGoogle ScholarPubMed
Foulkes, MA, Wolf, PA, Price, TR, Mohr, JP, Hier, DB. The Stroke Data Bank: Design, methods, and baseline characteristics. Stroke 1988;19:547–554.Google Scholar
Examples of International Stroke Registries include Australia: Chambers, BR, Donnan, GA, Bladin, PF. Patterns of stroke: An analysis of the first 700 consecutive admissions to the Austin Hospital Stroke Unit. Australia and New Zealand Journal of Medicine 1983;13:57–64.Google ScholarGoogle ScholarGoogle ScholarGoogle ScholarGoogle Scholar
Caplan, LR, Hier, DB, D’Cruz, I. Cerebral embolism in the Michael Reese Stroke Registry. Stroke 1983;14:530–536.Google Scholar
Researchers in Cincinnati were leaders in epidemiological studies of stroke patients. Their research focused on brain and subarachnoid hemorrhage and on differences between frequencies in Black and white patients. Broderick, J, Brott, T, Tomsick, T, Huster, G, Miller, R. The risk of subarachnoid and intracerebral hemorrhages in blacks as compared with whites. The New England Journal of Medicine 1992;326:733–736.Google ScholarGoogle ScholarGoogle ScholarGoogle Scholar
Caplan, LR, Wityk, RJ, Glass, TA, Tapia, J, Pazdera, L, Chang, HM, Teal, P, Dashe, JF, Chaves, CJ, Breen, JC, Vemmos, K, Amarenco, P, Tettenborn, B, Leary, M, Estol, C, Dewitt, LD, Pessin, MS. New England Medical Center Posterior Circulation Registry. Annals of Neurology 2004;56:389–398.Google Scholar
The Northern Manhattan Study (NOMASS) provided important epidemiological information among various racial groups in New York City. Sacco, RL, Boden-Albala, B, Abel, G, Lin, IF, Elkind, M, Hauser, WA, Paik, MC, Shea, S. Race-ethnic disparities in the impact of stroke risk factors: The northern Manhattan stroke study. Stroke 2001;32:1725–1731.Google ScholarGoogle ScholarGoogle ScholarGoogle ScholarGoogle ScholarGoogle Scholar

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