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Narrative Review06-04-2025
Brazilian Research in Intensive Care Network (BRICNet): shaping the landscape of critical care research in Brazil and beyond
Critical Care Science. 2025;37:e20250284
Abstract
Narrative ReviewBrazilian Research in Intensive Care Network (BRICNet): shaping the landscape of critical care research in Brazil and beyond
Critical Care Science. 2025;37:e20250284
DOI 10.62675/2965-2774.20250284
Views105ABSTRACT
Critical illnesses such as sepsis and acute respiratory distress syndrome lead to millions of deaths globally, with a higher burden in low- and middle-income countries. Conducting multicentric clinical studies is essential to help minimize the burden of critical illnesses, particularly in areas where their impact is greater. However, conducting large-scale multicentric studies is challenging, and most large multicentric studies in critical care are from high-income countries, which limits their relevance in other contexts. This highlights the need for collaborative research networks in low- and middle-income countries to better address local needs. The Brazilian Research in Intensive Care Network (BRICNet) was created by a group of intensivists and researchers in 2007 and is dedicated to being the leading organization in Brazil for conducting collaborative clinical research to improve care for critically ill patients. BRICNet focuses on investigator-initiated and collaborative studies relevant to global intensive care, with a special emphasis on Brazilian context. Its mission includes advancing research methodology, scientific writing, and conducting large-scale multicenter studies to fill knowledge gaps in critical care. Since its creation, the network has published 71 articles, including 15 randomized controlled trials and 14 observational studies, many of them in collaboration with major Brazilian institutions and international networks. This review aims to critically assess the achievements of BRICNet, highlighting its high-impact publications, international partnerships, and capacity building, which have significantly contributed to the field of intensive care. Looking ahead, we also identify barriers and solutions for sustainable growth.
Keywords:Brazilcritical carecritical illnessDeveloping countriesGlobal healthResearch designSustainable growthSee more -
Special Article06-24-2022
Statistical analysis of a cluster-randomized clinical trial on adult general intensive care units in Brazil: TELE-critical care verSus usual Care On ICU PErformance (TELESCOPE) trial
Revista Brasileira de Terapia Intensiva. 2022;34(1):87-95
Abstract
Special ArticleStatistical analysis of a cluster-randomized clinical trial on adult general intensive care units in Brazil: TELE-critical care verSus usual Care On ICU PErformance (TELESCOPE) trial
Revista Brasileira de Terapia Intensiva. 2022;34(1):87-95
DOI 10.5935/0103-507x.20220003-en
Views122ABSTRACT
Objective:
The TELE-critical Care verSus usual Care On ICU PErformance (TELESCOPE) trial aims to assess whether a complex telemedicine intervention in intensive care units, which focuses on daily multidisciplinary rounds performed by remote intensivists, will reduce intensive care unit length of stay compared to usual care.
Methods:
The TELESCOPE trial is a national, multicenter, controlled, open label, cluster randomized trial. The study tests the effectiveness of daily multidisciplinary rounds conducted by an intensivist through telemedicine in Brazilian intensive care units. The protocol was approved by the local Research Ethics Committee of the coordinating study center and by the local Research Ethics Committee from each of the 30 intensive care units, following Brazilian legislation. The trial is registered with ClinicalTrials. gov (NCT03920501). The primary outcome is intensive care unit length of stay, which will be analyzed accounting for the baseline period and cluster structure of the data and adjusted by prespecified covariates. Secondary exploratory outcomes included intensive care unit performance classification, in-hospital mortality, incidence of nosocomial infections, ventilator-free days at 28 days, rate of patients receiving oral or enteral feeding, rate of patients under light sedation or alert and calm, and rate of patients under normoxemia.
Conclusion:
According to the trial’s best practice, we report our statistical analysis prior to locking the database and beginning analyses. We anticipate that this reporting practice will prevent analysis bias and improve the interpretation of the reported results.
Keywords:Brazilcritical careData interpretation, statisticalHospital mortalityintensive care unitsLength of stayPatient care teamResearch designTelemedicineSee more