To: The Epimed Monitor ICU Database®: a cloud-based national registry for adult intensive care unit patients in Brazil - Critical Care Science (CCS)

To: The Epimed Monitor ICU Database^®: a cloud-based national registry for adult intensive care unit patients in Brazil |

To the Editor

We congratulate the Epimed collaborators⁽⁾ on their impressive results from a privately owned registry in Brazil, an upper-middle income country. In addition to the examples from high income countries cited by the authors, Sri Lanka - a lower-middle-income country in South Asia - has implemented a national cloud-based intensive care unit (ICU) registry,⁽⁾ directly overseen by the Ministry of Health and Information and Communications Technology Agency (ICTA), in partnership with other national and overseas collaborators, including the Dutch National Intensive Care Evaluation (NICE) foundation. Founded in 2012, the cloud-based critical care unit registry, as part of a codesigned agile mobile data platform, the so called Network for Improving Critical Care Systems and Training (NICST; www.nicst.com), encompasses almost the entire network of state ICUs island-wide and includes pediatric, neonatal and specialized units.

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