Objective: To describe the Epimed Monitor Database®, a Brazilian intensive care unit quality
improvement database. Methods: We described the Epimed Monitor® Database, including
its structure and core data. We presented aggregated informative data from intensive care
unit admissions from 2010 to 2016 using descriptive statistics. We also described the
expansion and growth of the database along with the geographical distribution of
participating units in Brazil. Results: The core data from the database includes demographic …

We congratulate the Epimed collaborators (1) 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,(2)
directly overseen by the Ministry of Health and Information and Communications Technology
Agency (ICTA), in partnership with other national and overseas collaborators, including the …