Evidence map›Paper›PMID 41535403›Full record

ArticlePediatric research2026

From fragmentation to integration: the implementation of Kuwait's nationwide pediatric intensive care units registry.

Abdulrahman Aldaithan, Hashim Al-Hashimi, Fajer Altammar, Ahmad Almosawi, Osama Alhindi, Ahmed Ibrahim, Salman Alshammari, Abdulla Alfraij

Abstract read
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In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Abdulrahman AldaithanPediatric intensive care unit, Pediatrics Division, Ahmadi Hospital, Kuwait Oil Company (KOC), Al Ahmadi Area, Kuwait. dr.a.aldaithan@gmail.com.
Hashim Al-HashimiPediatric Intensive Care Unit, Pediatric Department, Al Farwaniya Hospital, Ministry of Health, Sabah Al Nasser, Kuwait.
Fajer AltammarPediatric Intensive Care Unit, Pediatric Department, Jahra Hospital, Ministry of Health, Al-Jahra, Kuwait.
Ahmad AlmosawiPediatric Intensive Care Unit, Pediatric Department, Mubarak Alkabeer Hospital, Ministry of Health, Al Jabriyah, Kuwait.
Osama AlhindiPediatric Intensive Care Unit, Pediatric Department, Al-Sabah Hospital, Ministry of Health, Sabah Health Region, Kuwait.
Ahmed IbrahimPediatric Intensive Care Unit, Pediatric Department, Jaber Al-Ahmad Al-Sabah Hospital, Ministry of Health, Al-Zahra, Kuwait.
Salman AlshammariPediatric Intensive Care Unit, Pediatric Department, Women and Children's Hospital, Ministry of Health, Hadiyah, Kuwait.
Abdulla AlfraijPediatric intensive care unit, Pediatrics Division, Ahmadi Hospital, Kuwait Oil Company (KOC), Al Ahmadi Area, Kuwait.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe lack of centralized pediatric critical care data in Kuwait has limited benchmarking, outcome evaluation, and resource planning. This study describes the development and implementation of Kuwait's first nationwide PICU registry and evaluates its feasibility and early utility.

methodsA centralized registry was implemented across seven governmental PICUs serving over 870,000 children. Demographics, diagnoses, interventions, outcomes, and infection data were retrospectively collected at discharge by site coordinators. Data were entered into a secure, encrypted platform using de-identified records and role-based access, with centralized validation performed every tercile.

resultsDuring the implementation phase, 2086 of 2364 admissions were captured. Registry accuracy compared with manual admission logs was 88.2%, demonstrating feasibility and data reliability. Inter-hospital variability in clinical practices and resource utilization was identified. The registry also enabled early detection of infection trends and supported proactive staffing and equipment planning.

conclusionKuwait's national PICU registry is feasible, reliable, and operationally effective. It addresses critical data gaps, enhances transparency, supports evidence-based decision-making, and provides a foundation for national quality improvement and future benchmarking initiatives. IMPACT: Demonstrates feasibility, reliability, and operational effectiveness of a national PICU registry in real-world pediatric critical care. Enables early detection of infection trends and supports strategic planning for staffing and equipment. Presents one of the first national PICU registry models in the Middle East, addressing fragmented data systems. Offers practical strategies for standardization, data validation, and inter-hospital coordination, supported by physician champions and stakeholder engagement. Bridges critical data gaps, strengthens quality monitoring and benchmarking, and provides a scalable framework for broader pediatric specialties and international research.

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.