“Digitalization of health data is becoming a global phenomenon as computers, sensors and wireless technology become more prevalent. Observational studies have been shown to produce effect and risk estimates that correlate well with clinical trials. Big Data offers an opportunity for Brazil to build their own knowledge base from which to develop, continuously evaluate, and improve clinical practice guidelines specific to Brazilians. To avoid the pitfalls of making “big noise” out of Big Data, it is essential to transform the process of research to be more open, self-critical and collaborative.”
One of the main problems that we have in latin America to face differents challenges in the management of critically ill patients is the lack of information from other critical care units, which include those abroad. I think that the Brazilian ICU registry is a great initiative to broaden our knowledge of critical care medicine in our region. If we have enough data about our epidemiology and clinical practice in latin America, not only can we improve the quality of our clinical practice, but we are also able to evaluate the impact of new interventions. Besides the daily practice, the implications of this initiative in research is invaluable. Creating a network is the only way to have enough information to impact the critical care practice in latin America as well as worldwide.”
We should take your example and contribute to your registry. This should be seen as a tribute we owe to our patients and their family members. This is not only for benchmarking and quality improvement. Taking part to your registry will help us understand better how we are doing and how we – as ICU specialists – follow the actual standard of care. Besides comparing our results to those from others, only following the data to be collected help us understand how we perform and what we need to implement. I have also been impressed by your results on checklists and protocols that clearly show how this network can improve outcomes.
I was very excited to hear of the launch of the Brazilian ICU registry (www.utisbrasileiras.com), such registries are an essential tool to improve patient care and serve to increase the profile of intensive care as a specialty with the public and with politicians and funding agencies. Around the world registries such as ANZICS CORE and ICNARC in the UK have been essential in improving patient care, gaining political recognition for our specialty and providing data to enable world class research. I would encourage everyone in Brazilian ICUs to support this except initiative.