To: The Epimed Monitor ICU Database®: a cloud-based national registry for adult
            intensive care unit patients in Brazil

Silva, Ambepitjwaduge Pubudu de; Beane, Abi; Sigera, Ponsuge Chathurani; Athapattu, Priyantha Lakmini; Rathnayake, Shriyananda; Jayasinghe, Kosala Saroj Amarasiri; Keizer, Nicolette F. de; Dondorp, Arjen M.

doi:10.5935/0103-507x.20180031

Cited by 7 publications

(8 citation statements)

References 4 publications

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“…Well-established examples exist in the UK (Intensive Care National Audit and Research Centre-ICNARC) 2 , Australia/New Zealand (ANZICS Centre for Outcomes and Resource Evaluation-CORE) 3 ) and Sweden (Swedish Intensive care Registry-SIR) 4 . Recently, registries have expanded to middle-income countries including Brazil 5 and Southeast Asia, where the Network for Improving Critical Care Systems and Training (NICST-https://nicst.com/) has collaboratively developed registries in Sri Lanka (approximately 100 ICUs) and in Pakistan (nearly 20 ICUs) 6,7 .…”

Section: Introductionmentioning

confidence: 99%

Implementing an intensive care registry in India: preliminary results of the case-mix program and an opportunity for quality improvement and research

Adhikari

Arali

Attanayake³

et al. 2020

Wellcome Open Res

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Background: The epidemiology of critical illness in India is distinct from high-income countries. However, limited data exist on resource availability, staffing patterns, case-mix and outcomes from critical illness. Critical care registries, by enabling a continual evaluation of service provision, epidemiology, resource availability and quality, can bridge these gaps in information. In January 2019, we established the Indian Registry of IntenSive care to map capacity and describe case-mix and outcomes. In this report, we describe the implementation process, preliminary results, opportunities for improvement, challenges and future directions. Methods: All adult and paediatric ICUs in India were eligible to join if they committed to entering data for ICU admissions. Data are collected by a designated representative through the electronic data collection platform of the registry. IRIS hosts data on a secure cloud-based server and access to the data is restricted to designated personnel and is protected with standard firewall and a valid secure socket layer (SSL) certificate. Each participating ICU owns and has access to its own data. All participating units have access to de-identified network-wide aggregate data which enables benchmarking and comparison. Results: The registry currently includes 14 adult and 1 paediatric ICU in the network (232 adult ICU beds and 9 paediatric ICU beds). There have been 8721 patient encounters with a mean age of 56.9 (SD 18.9); 61.4% of patients were male and admissions to participating ICUs were predominantly unplanned (87.5%). At admission, most patients (61.5%) received antibiotics, 17.3% needed vasopressors, and 23.7% were mechanically ventilated. Mortality for the entire cohort was 9%. Data availability for demographics, clinical parameters, and indicators of admission severity was greater than 95%. Conclusions: IRIS represents a successful model for the continual evaluation of critical illness epidemiology in India and provides a framework for the deployment of multi-centre quality improvement and context-relevant clinical research.

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Section: Introductionmentioning

confidence: 99%

Implementing an intensive care registry in India: preliminary results of the case-mix program and an opportunity for quality improvement and research

Adhikari

Arali

Attanayake³

et al. 2020

Wellcome Open Res

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“…3 In South Asia, a region encompassing eight countries and a population of 1.87 billion (24.6% of the world's population), only Sri Lanka has a national intensive care registry. 4,5…”

Section: Intensive Care Registriesmentioning

confidence: 99%

“…3 In South Asia, a region encompassing eight countries and a population of 1.87 billion (24.6% of the world's population), only Sri Lanka has a national intensive care registry. 4,5 Investment in registries remains limited with ambiguity and concern over cost, sustainability and feasibility. Experiences from HICs have demonstrated that registries can be difficult to implement; requiring specialist and expensive information technology.…”

mentioning

confidence: 99%

Pakistan Registry of Intensive CarE (PRICE): Expanding a lower middle-income, clinician-designed critical care registry in South Asia

Hashmi

Beane

Taqi³

et al. 2018

Journal of the Intensive Care Society

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Introduction In resource-limited settings – with inequalities in access to and outcomes for trauma, surgical and critical care – intensive care registries are uncommon. Aim The Pakistan Society of Critical Care Medicine, Intensive Care Society (UK) and the Network for Improving Critical Care Systems and Training (NICST) aim to implement a clinician-led real-time national intensive care registry in Pakistan: the Pakistan Registry of Intensive CarE (PRICE). Method This was adapted from a successful clinician co-designed national registry in Sri Lanka; ICU information has been linked to real-time dashboards, providing clinicians and administrators individual patient and service delivery activity respectively. Output Commenced in August 2017, five ICU’s (three administrative regions – 104 beds) were recruited and have reported over 1100 critical care admissions to PRICE. Impact and future PRICE is being rolled out nationally in Pakistan and will provide continuous granular healthcare information necessary to empower clinicians to drive setting-specific priorities for service improvement and research.

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“…We greatly appreciate the comments from Haniffa et al ( 1 ) as well as we are grateful for sharing with the Revista Brasileira de Terapia Intensiva readers their experiences with the Sri-Lanka National Registry. They also describe several strengths and challenges in implementing national-level quality improvement initiatives in low-middle income countries.…”

mentioning

confidence: 93%

Reply to: The Epimed Monitor ICU Database®: a cloud-based national registry for adult intensive care unit patients in Brazil

Zampieri¹,

Soares²

2018

Revista Brasileira De Terapia Intensiva

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To: The Epimed Monitor ICU Database®: a cloud-based national registry for adult intensive care unit patients in Brazil

Cited by 7 publications

References 4 publications

Implementing an intensive care registry in India: preliminary results of the case-mix program and an opportunity for quality improvement and research

Implementing an intensive care registry in India: preliminary results of the case-mix program and an opportunity for quality improvement and research

Pakistan Registry of Intensive CarE (PRICE): Expanding a lower middle-income, clinician-designed critical care registry in South Asia

Reply to: The Epimed Monitor ICU Database®: a cloud-based national registry for adult intensive care unit patients in Brazil

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