Journal article
Leveraging a cloud-based critical care registry for COVID-19 pandemic surveillance and research in low- and middle-income countries
- Abstract:
- The COVID-19 pandemic has revealed limitations in real-time surveillance needed for responsive health care action in low- and middle-income countries (LMICs). The Pakistan Registry for Intensive CarE (PRICE) was adapted to enable International Severe Acute Respiratory and emerging Infections Consortium (ISARIC)–compliant real-time reporting of severe acute respiratory infection (SARI). The cloud-based common data model and standardized nomenclature of the registry platform ensure interoperability of data and reporting between regional and global stakeholders. Inbuilt analytics enable stakeholders to visualize individual and aggregate epidemiological, clinical, and operational data in real time. The PRICE system operates in 5 of 7 administrative regions of Pakistan. The same platform supports acute and critical care registries in eleven countries in South Asia and sub-Saharan Africa. ISARIC-compliant SARI reporting was successfully implemented by leveraging the existing PRICE infrastructure in all 49 member intensive care units (ICUs), enabling clinicians, operational leads, and established stakeholders with responsibilities for coordinating the pandemic response to access real-time information on suspected and confirmed COVID-19 cases (N=592 as of May 2020) via secure registry portals. ICU occupancy rates, use of ICU resources, mechanical ventilation, renal replacement therapy, and ICU outcomes were reported through registry dashboards. This information has facilitated coordination of critical care resources, health care worker training, and discussions on treatment strategies. The PRICE network is now being recruited to international multicenter clinical trials regarding COVID-19 management, leveraging the registry platform. Systematic and standardized reporting of SARI is feasible in LMICs. Existing registry platforms can be adapted for pandemic research, surveillance, and resource planning.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, 370.0KB, Terms of use)
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- Publisher copy:
- 10.2196/21939
Authors
- Publisher:
- JMIR Publications
- Journal:
- JMIR Public Health and Surveillance More from this journal
- Volume:
- 6
- Issue:
- 4
- Article number:
- e21939
- Publication date:
- 2020-11-23
- Acceptance date:
- 2020-10-20
- DOI:
- EISSN:
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2369-2960
- Language:
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English
- Keywords:
- Pubs id:
-
1139973
- Local pid:
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pubs:1139973
- Deposit date:
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2020-11-09
Terms of use
- Copyright holder:
- CRIT Care Asia et al.
- Copyright date:
- 2020
- Rights statement:
- © CRIT Care Asia, Madiha Hashmi, Abi Beane, Srinivas Murthy, Arjen M Dondorp, Rashan Haniffa. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 23.11.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Public Health and Surveillance, is properly cited. The complete bibliographic information, a link to the original publication on http://publichealth.jmir.org, as well as this copyright and license information must be included.
- Licence:
- CC Attribution (CC BY)
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