Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2019 Aug;20(3):190-195.
doi: 10.1177/1751143718814126. Epub 2018 Nov 14.

Pakistan Registry of Intensive CarE (PRICE): Expanding a lower middle-income, clinician-designed critical care registry in South Asia

M Hashmi  1   2 , A Beane  3   4   5   6 , A Taqi  7 , M I Memon  8 , P Athapattu  9 , Z Khan  10 , A M Dondorp  6 , R Haniffa  4   5   6
Affiliations
Editorial

Pakistan Registry of Intensive CarE (PRICE): Expanding a lower middle-income, clinician-designed critical care registry in South Asia

M Hashmi et al. J Intensive Care Soc. 2019 Aug.

Abstract

Introduction: In resource-limited settings - with inequalities in access to and outcomes for trauma, surgical and critical care - intensive care registries are uncommon.

Aim: The Pakistan Society of Critical Care Medicine, Intensive Care Society (UK) and the Network for Improving Critical Care Systems and Training (NICST) aim to implement a clinician-led real-time national intensive care registry in Pakistan: the Pakistan Registry of Intensive CarE (PRICE).

Method: This was adapted from a successful clinician co-designed national registry in Sri Lanka; ICU information has been linked to real-time dashboards, providing clinicians and administrators individual patient and service delivery activity respectively.

Output: Commenced in August 2017, five ICU's (three administrative regions - 104 beds) were recruited and have reported over 1100 critical care admissions to PRICE.

Impact and future: PRICE is being rolled out nationally in Pakistan and will provide continuous granular healthcare information necessary to empower clinicians to drive setting-specific priorities for service improvement and research.

Keywords: Intensive care; health system strengthening; intensive care registries; low and middle income countries.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
ICU centres recruited to PRICE August 2017 to January 2018. (1) Pakistan Institute of Medical Sciences, Islamabad. (2) National Hospital and Medical Centre, Lahore. (3) Jinnah Hospital, Lahore. (4) National Institute of Cardiovascular Diseases, Karachi. (5) Civil Hospital Karachi.
Figure 2.
Figure 2.
Cumulative admission episodes to PRICE, August 2017 to January 2018.
Figure 3.
Figure 3.
PRICE – clinician co-designed real-time dashboards.
See this image and copyright information in PMC

References

    1. Harrison DA, Brady AR, Rowan K. Case mix, outcome and length of stay for admissions to adult, general critical care units in England, Wales and Northern Ireland: the Intensive Care National Audit & Research Centre Case Mix Programme Database. Crit Care 2004; 8: R99. - PMC - PubMed
    1. van de Klundert N, Holman R, Dongelmans DA, et al. Data resource profile: the Dutch National Intensive Care Evaluation (NICE) registry of admissions to adult intensive care units. Int J Epidemiol 2015; 44: 1850–1850h. - PubMed
    1. Haniffa R, Lubell Y, Cooper BS, et al. Impact of a structured ICU training programme in resource-limited settings in Asia. PLoS ONE 2017; 12: e0173483. - PMC - PubMed
    1. Haniffa R, De Silva AP, Beane A, et al. To: The Epimed Monitor ICU Database®: a cloud-based national registry for adult intensive care unit patients in BrazilPara: Epimed Monitor ICU Database®. Rev Bras Ter Intensiva 2018; 30: 251–252. - PMC - PubMed
    1. Beane A, Athapattu PL, Dondorp AM, et al. Commentary: challenges and priorities for pediatric critical care clinician–researchers in low- and middle-income countries. Front Pediatr 2018; 6: 38. - PMC - PubMed

Publication types