Care providers primarily access and document data in an information management system called eCareManager and additionally have access to the other information systems present in the hospital. Philips Healthcare, a major vendor of ICU equipment and services, provides a teleICU service known as the eICU program. TeleICUs allow caregivers from remote locations to monitor treatments for patients, alert local providers to sudden deterioration, and supplement care plans. Challenges of archiving these data include integration of disparate information systems and building a comprehensive system to handle all types of data 4.Ī telehealth ICU, or teleICU, is a centralized model of care where remote providers monitor ICU patients continuously, providing both structured consultations and reactive alerts 5. Close observation of ICU patients is facilitated by bedside monitors which continuously stream huge quantities of data, but relatively small portions of these data are archived for clinical documentation 3.
Patients in ICUs are monitored closely to detect physiologic changes associated with deteriorating illness that might require reassessment of the treatment regimen as appropriate. Since then, the field of critical care has grown, and continues to evolve as demographics shift toward older and chronically sicker populations 2. Critical care as a subspecialty of medicine began during a polio epidemic in which large number of patients required mechanical ventilation for many weeks 1. Intensive care units (ICUs) provide care for severely-ill patients who require invasive life-saving treatment. The freely available nature of the data will support a number of applications including the development of machine learning algorithms, decision support tools, and clinical research. Data are publicly available after registration, including completion of a training course in research with human subjects and signing of a data use agreement mandating responsible handling of the data and adhering to the principle of collaborative research.
The database is deidentified, and includes vital sign measurements, care plan documentation, severity of illness measures, diagnosis information, treatment information, and more. Here we describe the eICU Collaborative Research Database, a multi-center intensive care unit (ICU)database with high granularity data for over 200,000 admissions to ICUs monitored by eICU Programs across the United States. Philips Healthcare has developed a telehealth system, the eICU Program, which leverages these data to support management of critically ill patients. As a result of this monitoring, large amounts of data are routinely collected for these patients. Critical care patients are monitored closely through the course of their illness.
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