TY - JOUR
T1 - Towards robust real-time surveillance of severe acute respiratory infections
T2 - Exploring the potential of an existing national intensive care unit registry
AU - van Straten, Christine G J I
AU - Gaspersz, Jordy
AU - de Keizer, Nicolette F
AU - van Werkhoven, Cornelis H
AU - van Gageldonk-Lafeber, Arianne B
AU - de Lange, Dylan W
AU - Dongelmans, Dave A
AU - Bakhshi-Raiez, Ferishta
AU - van Asten, Liselotte
N1 - Publisher Copyright:
© 2025 The Authors
PY - 2025/6/10
Y1 - 2025/6/10
N2 - OBJECTIVES: Although many countries lack Severe Acute Respiratory Infections (SARI) surveillance, establishing such systems is crucial for pandemic preparedness. Adjusting existing registries designed for other purposes may be viable. We investigated the potential of the Dutch National Intensive Care Evaluation (NICE) registry, originally designed to monitor intensive care unit (ICU) care quality, for near real-time SARI surveillance by determining data timeliness.STUDY DESIGN: A descriptive study was performed with retrospective ICU admissions (2012-2019).METHODS: The lag time between SARI admissions and their data upload was determined. Incident SARI cases, SARI proportion relative to all medical admissions, and SARI patient mortality were examined at various lag times and compared to the complete data.RESULTS: ICUs uploaded data at varying intervals. The Spearman correlation coefficient between the complete and incomplete ICU incident cases increased the most between 2 and 6 weeks of lag time and increased further with longer lag time. Data uploaded within two weeks fluctuated, with no uploaded data in 13 % of the weeks.CONCLUSION: The current uploading delays render the NICE registry unsuitable for near real-time SARI surveillance. Investing in timely and preferably automated data exchange mechanisms can enhance existing registry purposes. This may benefit other countries as well.
AB - OBJECTIVES: Although many countries lack Severe Acute Respiratory Infections (SARI) surveillance, establishing such systems is crucial for pandemic preparedness. Adjusting existing registries designed for other purposes may be viable. We investigated the potential of the Dutch National Intensive Care Evaluation (NICE) registry, originally designed to monitor intensive care unit (ICU) care quality, for near real-time SARI surveillance by determining data timeliness.STUDY DESIGN: A descriptive study was performed with retrospective ICU admissions (2012-2019).METHODS: The lag time between SARI admissions and their data upload was determined. Incident SARI cases, SARI proportion relative to all medical admissions, and SARI patient mortality were examined at various lag times and compared to the complete data.RESULTS: ICUs uploaded data at varying intervals. The Spearman correlation coefficient between the complete and incomplete ICU incident cases increased the most between 2 and 6 weeks of lag time and increased further with longer lag time. Data uploaded within two weeks fluctuated, with no uploaded data in 13 % of the weeks.CONCLUSION: The current uploading delays render the NICE registry unsuitable for near real-time SARI surveillance. Investing in timely and preferably automated data exchange mechanisms can enhance existing registry purposes. This may benefit other countries as well.
KW - Influenza
KW - Intensive care
KW - Pandemic preparedness
KW - Pneumonia
KW - Registry
KW - SARI
KW - Surveillance
U2 - 10.1016/j.annepidem.2025.06.005
DO - 10.1016/j.annepidem.2025.06.005
M3 - Article
C2 - 40506002
SN - 1047-2797
VL - 108
SP - 47
EP - 55
JO - Annals of epidemiology
JF - Annals of epidemiology
ER -