Publication:
Leveraging a cloud-based critical care registry for COVID-19 pandemic surveillance and research in Low- And middle-income countries

dc.contributor.authorC. R.I.T. Care Asiaen_US
dc.contributor.authorMadiha Hashmien_US
dc.contributor.authorAbi Beaneen_US
dc.contributor.authorSrinivas Murthyen_US
dc.contributor.authorArjen M. Dondorpen_US
dc.contributor.authorRashan Haniffaen_US
dc.contributor.otherMahidol Oxford Tropical Medicine Research Uniten_US
dc.contributor.otherZiauddin Universityen_US
dc.contributor.otherMahidol Universityen_US
dc.contributor.otherThe University of British Columbiaen_US
dc.contributor.otherPlease see acknowledgements section for list of collaboratorsen_US
dc.date.accessioned2020-12-28T06:17:36Z
dc.date.available2020-12-28T06:17:36Z
dc.date.issued2020-10-01en_US
dc.description.abstract© CRIT Care Asia, Madiha Hashmi, Abi Beane, Srinivas Murthy, Arjen M Dondorp, Rashan Haniffa. 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.en_US
dc.identifier.citationJMIR Public Health and Surveillance. Vol.6, No.4 (2020)en_US
dc.identifier.doi10.2196/21939en_US
dc.identifier.issn23692960en_US
dc.identifier.other2-s2.0-85097908907en_US
dc.identifier.urihttps://repository.li.mahidol.ac.th/handle/123456789/60589
dc.rightsMahidol Universityen_US
dc.rights.holderSCOPUSen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85097908907&origin=inwarden_US
dc.subjectMedicineen_US
dc.titleLeveraging a cloud-based critical care registry for COVID-19 pandemic surveillance and research in Low- And middle-income countriesen_US
dc.typeReviewen_US
dspace.entity.typePublication
mu.datasource.scopushttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85097908907&origin=inwarden_US

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