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Ventilation strategies for patients on intensive care

Dataset
Version: 1.0.0
Mechanical and non-invasive ventilation, tracheostomy. Ventilator settings, tidal volumes and pressures. ECMO, inotropes, other organ support, medications, investigations and serial physiology. The preceding care journey and outcomes

Summary

Citation:
Ventilation strategies for patients on intensive care

Documentation

Description:
Ventilatory strategies and outcomes for patients acutely admitted to hospital Dataset 14.0 Version 1.0 15.2.2021 Background. Acute respiratory failure is commonly encountered in the emergency department (ED). Early treatment can have positive effects on long-term outcome. Non-invasive ventilation is commonly used for patients with respiratory failure during acute exacerbations of chronic obstructive lung disease and congestive heart failure. For other patients, including neuromuscular dysfunction, mechanical ventilation may be needed. For refractory hypoxemia, new rescue therapies have emerged to help improve the oxygenation, and in some cases mortality. This dataset summarises the demography, admitting complaint, serial physiology, treatments and ventilatory strategies in patients admitted with hypoxaemia. Management options and rescue therapies including extracorporeal membrane oxygenation are included. PIONEER geography The West Midlands (WM) has a population of 5.9 million & includes a diverse ethnic & socio-economic mix. There is a higher than average percentage of minority ethnic groups. WM has a large number of elderly residents but is the youngest population in the UK. Each day >100,000 people are treated in hospital, see their GP or are cared for by the NHS. EHR. University Hospitals Birmingham NHS Foundation Trust (UHB) is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & 100 ITU beds. ITU capacity increased to 250 beds during the COVID pandemic. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”. The electronic record captures ventilatory parameters. Scope: All hospitalised patients with hypoxaemia requiring ventilatory support from 2000 onwards. The dataset includes highly granular patient demographics & co-morbidities taken from ICD-10 & SNOMED-CT codes. Serial, structured data pertaining to care process (timings, staff grades, specialty review, wards), severity, ventilatory requirements, acuity, all physiology readings (pulse, blood pressure, respiratory rate, oxygen saturations), all blood results, microbiology, all prescribed & administered treatments (fluids, antibiotics, inotropes, vasopressors, organ support), all outcomes. Available supplementary data: Synthetic data. Post discharge care contacts. Available supplementary support: Analytics, Model build, validation & refinement; A.I.; Data partner support for ETL (extract, transform & load) process, Clinical expertise, Patient & end-user access, Purchaser access, Regulatory requirements, Data-driven trials, “fast screen” services.
Is Part Of:
NOT APPLICABLE

Coverage

Spatial:
United Kingdom, England, West Midlands
Typical Age Range:
10-110
Follow Up:
OTHER
Physical Sample Availability:
NOT AVAILABLE
Pathway:
The West Midlands (WM) has a population of 5.9million & includes a diverse ethnic, socio-economic mix. There is a higher than average percentage of minority ethnic groups with Birmingham having a population which is >40% non-white. WM has a large number of elderly residents but Birmingham is one of the youngest cities in the UK. There is social deprivation and Birmingham’s population suffers with particularly high rates of illness; including cerebrovascular Disease, physical inactivity, obesity, smoking, hypertension, ischaemic heart disease & diabetes. There are also high levels of rare diseases, especially immunometabolic conditions. The patients included in this dataset are representative of this diverse population and also include a wide age-range. University Hospitals Birmingham NHS Foundation Trust (UHB) is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & 100 ITU beds. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”. The UHB ITU is divided into areas of speciality, including general ITU, but also liver, cardiothoracic and neurological designated units, which focus on patients with these specific organ-support issues. This dataset focuses on those patients who required a higher level of medical support and/or ventilatory support for any reason or purpose. It includes all ventilator settings, oxygen support and all organ support treatments. It assesses infections associated with ITU, all routine and specialist tests, all investigations, treatments and results. It can be supplemented with data preceding and after the acute event, to understand risks of susceptibility and long-term outcomes. Although primarily secondary care, this dataset can be supplemented with ambulance and primary care data on request. PIONEER can also offer synthetic data, images and access to a secure Trusted Research Environment for analytics and AI. PIONEER can assist with analytics, model build, validation & refinement; A.I.; Data partner support for ETL (extract, transform & load) process, Clinical expertise, Patient & end-user access, Purchaser access, Regulatory requirements, Data-driven trials, “fast screen” services.

Provenance

Origin

Purposes:
CARE
Sources:
EPR
Collection Situations:
  • ACCIDENT AND EMERGENCY
  • IN-PATIENTS

Temporal

Accrual Periodicity:
QUARTERLY
Distribution Release Date:
2021-01-11
Start Date:
2015-06-04
End Date:
2020-11-17
Time Lag:
VARIABLE

Accessibility

Access

Access Service:
Trusted Research Environments (TRE) are built using Microsoft Azure services and hosted in the UK to provide research teams a safe, secure and agile environment which allows users to quickly analyse, interpret and form an enriched view of primary care information through a range of integrated datasets. Health data collated from multiple sources is ingested into a secure data lake which will then allow subsets of data to be made available to research teams on approval of a data request. Once approved a customer specific TRE is made available with a standard set of leading analytical tools from Microsoft including Azure Databricks, Azure Machine Learning, Azure SQL and Azure Synapse (for large-scale data warehouses). Specific tools can be provided at an additional cost over the standard platform data access charge and the PIONEER team will work with you to determine your exact needs. Access to the TRE is managed using the latest virtual desktop technology to provide a safe and secure end-user experience. By utilising leading edge design PIONEER are able to create TREs rapidly to enable us to service any customer requirement.
Access Request Cost:
www.pioneerdatahub.co.uk/data/data-services-costs/
Delivery Lead Time:
LESS 1 WEEK
Jurisdictions:
GB-GBN
Data Controller:
University Hospitals Birmingham NHS Foundation Trust
Data Processor:
NOT APPLICABLE

Usage

Data Use Limitations:
GENERAL RESEARCH USE
Data Use Requirements:
PROJECT SPECIFIC RESTRICTIONS
Resource Creators:
  • This publication uses data from PIONEER
  • an ethically approved database and analytical environment (East Midlands Derby Research Ethics 20/EM/0158)

Format and Standards

Vocabulary Encoding Schemes:
  • ICD10
  • OPCS4
  • SNOMED CT
Conforms To:
LOCAL
Languages:
en
Formats:
SQL

Observations

Statistical Population
Population Description
Population Size
Measured Property
Observation Date
Events
33,208 admissions ranging from 04-06-2015 until 17-11-2020
33,208
Count
2021-01-11