Evidence map›Paper›PMID 34425864›Full record

ArticleCritical care (London, England)2021

The Dutch Data Warehouse, a multicenter and full-admission electronic health records database for critically ill COVID-19 patients.

Lucas M Fleuren, Tariq A Dam, Michele Tonutti, Daan P de Bruin, Robbert C A Lalisang, Diederik Gommers, Olaf L Cremer, Rob J Bosman, Sander Rigter, Evert-Jan Wils and 47 more

Abstract readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
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  7. Algor-ethics: charting the ethical path for AI in critical care.Journal of clinical monitoring and computing · 2024
    Article
  8. Article
  9. Article
  10. Which decisions affect cohort distribution in COVID-19 data analytics?AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024
    Article
  11. Clinical Data Warehousing: A Scoping Review.Journal of the Society for Clinical Data Management · 2024
    Article
  12. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

57 authors.

Lucas M FleurenLaboratory for Critical Care Computational Intelligence, Department of Intensive Care Medicine, Amsterdam Medical Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands. l.fleuren@amsterdamumc.nl.ORCID 0000-0002-4056-1692
Tariq A DamLaboratory for Critical Care Computational Intelligence, Department of Intensive Care Medicine, Amsterdam Medical Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
Michele TonuttiPacmed, Amsterdam, The Netherlands.
Daan P de BruinPacmed, Amsterdam, The Netherlands.
Robbert C A LalisangPacmed, Amsterdam, The Netherlands.
Diederik GommersDepartment of Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.
Olaf L CremerIntensive Care, UMC Utrecht, Utrecht, The Netherlands.
Rob J BosmanICU, OLVG, Amsterdam, The Netherlands.
Sander RigterDepartment of Anesthesiology and Intensive Care, St. Antonius Hospital, Nieuwegein, The Netherlands.
Evert-Jan WilsDepartment of Intensive Care, Franciscus Gasthuis & Vlietland, Rotterdam, The Netherlands.
Tim FrenzelDepartment of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Dave A DongelmansDepartment of Intensive Care Medicine, Amsterdam UMC, Amsterdam, The Netherlands.
Remko de JongIntensive Care, Bovenij Ziekenhuis, Amsterdam, The Netherlands.
Marco PetersIntensive Care, Canisius Wilhelmina Ziekenhuis, Nijmegen, The Netherlands.
Marlijn J A KampsIntensive Care, Catharina Ziekenhuis Eindhoven, Eindhoven, The Netherlands.
Dharmanand RamnarainDepartment of Intensive Care, ETZ Tilburg, Tilburg, The Netherlands.
Ralph NowitzkyIntensive Care, HagaZiekenhuis, Den Haag, The Netherlands.
Fleur G C A NooteboomIntensive Care, Laurentius Ziekenhuis, Roermond, The Netherlands.
Wouter de RuijterDepartment of Intensive Care Medicine, Northwest Clinics, Alkmaar, The Netherlands.
Louise C Urlings-StropIntensive Care, Reinier de Graaf Gasthuis, Delft, The Netherlands.
Ellen G M SmitIntensive Care, Spaarne Gasthuis, Haarlem en Hoofddorp, The Netherlands.
D Jannet Mehagnoul-SchipperIntensive Care, VieCuri Medisch Centrum, Venlo, The Netherlands.
Tom DormansIntensive Care, Zuyderland MC, Heerlen, The Netherlands.
Cornelis P C de JagerDepartment of Intensive Care, Jeroen Bosch Ziekenhuis, Den Bosch, The Netherlands.
Stefaan H A HendriksIntensive Care, Albert Schweitzerziekenhuis, Dordrecht, The Netherlands.
Sefanja AchterbergICU, Haaglanden Medisch Centrum, Den Haag, The Netherlands.
Evelien OostdijkICU, Maasstad Ziekenhuis Rotterdam, Rotterdam, The Netherlands.
Auke C ReidingaICU, SEH, BWC, Martiniziekenhuis, Groningen, The Netherlands.
Barbara Festen-SpanjerIntensive Care, Ziekenhuis Gelderse Vallei, Ede, The Netherlands.
Gert B BrunnekreefDepartment of Intensive Care, Ziekenhuisgroep Twente, Almelo, The Netherlands.
Alexander D CornetDepartment of Intensive Care, Medisch Spectrum Twente, Enschede, The Netherlands.
Walter van den TempelDepartment of Intensive Care, Ikazia Ziekenhuis Rotterdam, Rotterdam, The Netherlands.
Age D BoelensAnesthesiology, Antonius Ziekenhuis Sneek, Sneek, The Netherlands.
Peter KoetsierIntensive Care, Medisch Centrum Leeuwarden, Leeuwarden, The Netherlands.
Judith LensICU, ICU, IJsselland Ziekenhuis, Capelle aan den IJssel, The Netherlands.
Harald J FaberICU, WZA, Assen, The Netherlands.
A KarakusDepartment of Intensive Care, Diakonessenhuis Hospital, Utrecht, The Netherlands.
Robert EntjesDepartment of Intensive Care, Admiraal De Ruyter Ziekenhuis, Goes, The Netherlands.
Paul de JongDepartment of Anesthesia and Intensive Care, Slingeland Ziekenhuis, Doetinchem, The Netherlands.
Thijs C D RettigDepartment of Intensive Care, Amphia Ziekenhuis, Breda, The Netherlands.
Sesmu ArbousDepartment of Intensive Care, LUMC, Leiden, The Netherlands.
Sebastiaan J J VonkPacmed, Amsterdam, The Netherlands.
Mattia FornasaPacmed, Amsterdam, The Netherlands.
Tomas MachadoPacmed, Amsterdam, The Netherlands.
Taco HouwertPacmed, Amsterdam, The Netherlands.
Hidde HovenkampPacmed, Amsterdam, The Netherlands.
Roberto Noorduijn-LondonoPacmed, Amsterdam, The Netherlands.
Davide QuintarelliPacmed, Amsterdam, The Netherlands.
Martijn G ScholtemeijerPacmed, Amsterdam, The Netherlands.
Aletta A de BeerPacmed, Amsterdam, The Netherlands.
Giovanni CinaPacmed, Amsterdam, The Netherlands.
Martijn BeudelDepartment of Neurology, Amsterdam UMC, Universiteit van Amsterdam, Amsterdam, The Netherlands.
Willem E HerterPacmed, Amsterdam, The Netherlands.
Armand R J GirbesLaboratory for Critical Care Computational Intelligence, Department of Intensive Care Medicine, Amsterdam Medical Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
Mark HoogendoornQuantitative Data Analytics Group, Department of Computer Science, Faculty of Science, Vrjie Universiteit, Amsterdam, The Netherlands.
Patrick J ThoralLaboratory for Critical Care Computational Intelligence, Department of Intensive Care Medicine, Amsterdam Medical Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
Paul W G ElbersLaboratory for Critical Care Computational Intelligence, Department of Intensive Care Medicine, Amsterdam Medical Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.

Funding

ZonMw 10430012010003
6 · The paper itself

Abstract

backgroundThe Coronavirus disease 2019 (COVID-19) pandemic has underlined the urgent need for reliable, multicenter, and full-admission intensive care data to advance our understanding of the course of the disease and investigate potential treatment strategies. In this study, we present the Dutch Data Warehouse (DDW), the first multicenter electronic health record (EHR) database with full-admission data from critically ill COVID-19 patients.

methodsA nation-wide data sharing collaboration was launched at the beginning of the pandemic in March 2020. All hospitals in the Netherlands were asked to participate and share pseudonymized EHR data from adult critically ill COVID-19 patients. Data included patient demographics, clinical observations, administered medication, laboratory determinations, and data from vital sign monitors and life support devices. Data sharing agreements were signed with participating hospitals before any data transfers took place. Data were extracted from the local EHRs with prespecified queries and combined into a staging dataset through an extract-transform-load (ETL) pipeline. In the consecutive processing pipeline, data were mapped to a common concept vocabulary and enriched with derived concepts. Data validation was a continuous process throughout the project. All participating hospitals have access to the DDW. Within legal and ethical boundaries, data are available to clinicians and researchers.

resultsOut of the 81 intensive care units in the Netherlands, 66 participated in the collaboration, 47 have signed the data sharing agreement, and 35 have shared their data. Data from 25 hospitals have passed through the ETL and processing pipeline. Currently, 3464 patients are included in the DDW, both from wave 1 and wave 2 in the Netherlands. More than 200 million clinical data points are available. Overall ICU mortality was 24.4%. Respiratory and hemodynamic parameters were most frequently measured throughout a patient's stay. For each patient, all administered medication and their daily fluid balance were available. Missing data are reported for each descriptive.

conclusionsIn this study, we show that EHR data from critically ill COVID-19 patients may be lawfully collected and can be combined into a data warehouse. These initiatives are indispensable to advance medical data science in the field of intensive care medicine.

Indexed as

COVID-19Critical CareCritical IllnessData WarehousingElectronic Health RecordsHospitalizationHumansIntensive Care UnitsNetherlandsBig dataCOVID-19DatabaseData sharing

Identifiers

PMID34425864
PMCPMC8381710

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