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Published on: November 22, 2019
Lessons learned from big data (APRICOT, NECTARINE, PeDI)
Nicola Disma1, Walid Habre2, Francis Veyckemans3
1Unit for Research in Anaesthesia, IRCCS Istituto Giannina Gaslini, Genova, Italy.
Insights
Big data in pediatric anesthesia enhances patient safety by identifying rare events and informing clinical guidelines. These large-scale analyses also help establish normative data and encourage data collection for improved anesthesia care.
Area of Science:
- Pediatric Anesthesiology
- Health Informatics
- Clinical Research
Background:
- Big data analytics offers unprecedented opportunities to evaluate patient outcomes in pediatric anesthesia.
- Analysis of large datasets can identify rare critical events and their underlying causes, improving patient safety.
- Establishing normative data for physiological parameters, such as blood pressure, across diverse pediatric populations is crucial.
Purpose of the Study:
- To highlight the significance of big data in pediatric anesthesia for evaluating morbidity and mortality.
- To demonstrate how big data facilitates the identification of rare critical events and informs clinical guidelines and education.
- To emphasize the role of big data in establishing normative physiological data and encouraging departmental data collection and benchmarking.
Main Methods:
- Utilizing large-scale datasets from pediatric anesthesia cases.
- Analyzing data to identify trends, rare events, and correlations with patient outcomes.
- Examining specific parameters like blood pressure under anesthesia across varied age and weight groups.
Main Results:
- Big data enables comprehensive evaluation of anesthesia-related morbidity and mortality in children.
- Identification of rare critical events and their causes is significantly enhanced.
- The potential for establishing population-specific normative data is demonstrated, using blood pressure as an example.
Conclusions:
- Big data in pediatric anesthesia is essential for improving patient safety, education, and clinical practice.
- It drives the need for standardized data collection, benchmarking, and collaborative research networks.
- The expansion of big data initiatives to low- and middle-income countries is crucial for global advancements in pediatric anesthesia.
Abstract:
Big data in paediatric anaesthesia allows the evaluation of morbidity and mortality of anaesthesia in a large population, but also the identification of rare critical events and of their causes. This is a major step to focus education and design clinical guidelines. Moreover, they can help trying to determine normative data in a population with a wide range of ages and body weights. The example of blood pressure under anaesthesia will be detailed. Big data studies should encourage every department of anaesthesia to collect its own data and to benchmark its performance by comparison with published data. The data collection processes are also an opportunity to build collaborative research networks and help researchers to complete multicentric studies. Up to recently, big data studies were only performed in well developed countries. Fortunately, big data collections have started in some low and middle income countries and truly international studies are ongoing.
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