重症监护病房注册表的特点 - - 全球注册中心重症监护病房数据库 (GRID) 调查的结果
Luigi Pisani1,2, Paola Di Lecce1, Cornelius Sendagire3
1Section of Anesthesiology and Intensive Care Medicine, Department of Precision-Regenerative Medicine and Jonic Area, University of Bari "Aldo Moro" - Bari, Italy.
Critical care science
|February 4, 2026
概括
全球重症监护病房注册表显示数据收集和研究活动的差异很大. 协调核心数据集可以提高质量,并在重症监护病房中促进更多的干预研究.
科学领域:
- 关键护理医学 关键护理医学
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 在全球范围内,重症监护室 (ICU) 登记旨在通过基准测试来提高护理质量.
- 全球目前的ICU注册实践存在显著的异质性.
- 需要对这些注册表进行全面的映射.
研究的目的:
- 绘制国际ICU注册表的核心数据集,额外变量和研究活动的地图.
- 识别注册表方法论中的趋同和分歧领域.
- 为开发ICU注册表的潜在共享核心数据集提供信息.
主要方法:
- 一个横截面调查分发给国家ICU注册表的线索.
- 该调查收集了关于注册表特征,覆盖范围,核心数据集,附加模块和研究的数据.
- 数据是在2023年10月至2024年6月期间收集的.
主要成果:
- 34/42个国家注册表作出回应 (81%的回应率),覆盖了3337个ICU,南美代表性强.
- 医学系统化命名法,临床术语 (SNOMED CT) 和定制分类是常见的. 除了一个注册表外,所有注册表都使用了疾病严重性得分,SOFA得分使用了88%.
- 器官支持 (机械呼吸,血管压缩剂,置换疗法) 经常被记录. 超过一半的注册表有质量改善举措. 观察性研究发生在46%,干预性研究发生在22%.
结论:
- 在35个国家的3000多个ICU使用ICU注册表.
- 尽管编码,风险模型和数据存在差异,但存在融合,这表明共享核心数据集的基础.
- 扩大基于ICU注册的研究,特别是干预性研究,有很大的潜力.
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