A Review of Perioperative Databases for Anesthesiology in China: Current Status, Applications, and Challenges
Main Article Content
Keywords
Perioperative period, Database, Anesthetic management, Artificial intelligence, Personalized medicine
Abstract
In recent years, advancements in medical technology, artificial intelligence (AI), and the advent of the big data era has led to the emergence of perioperative databases as crucial tools for enhancing clinical decision-making, optimizing perioperative management, and advancing clinical research. This review provides a systematic evaluation of the evolution of perioperative databases from a global perspective, with a particular emphasis on the current state of the field in China. By synthesizing extant literature, the study assesses technological advancements and clinical utility within anesthesia management while conducting a comparative analysis of domestic and international progress. The review further identifies problems and challenges in database construction, provides suggestions for future development directions, and serves as a reference for anesthesia departments and healthcare institutions to establish robust perioperative data platforms.
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References
2. Flick, R.P., Sprung, J., Harrison, T.E., et al. Perioperative cardiac arrests in children between 1988 and 2005 at a tertiary referral center: a study of 92,881 patients. Anesthesiology. 2007;106(2):226–237; quiz 413–414. https://doi.org/10.1097/00000542-200702000-00009.
3. Zhu, T. Perioperative Patient Information System. Doctoral Dissertation, Peking Union Medical College, Beijing, China; 1999. (in Chinese). Available online: https://med.wanfangdata.com.cn/Paper/Detail?id=DegreePaper_Y335707&dbid=WF_XW.
4. Abdullah, H.R., Lim, D.Y.Z., Ke, Y., et al. The SingHealth perioperative and anesthesia subject area registry (PASAR), a large-scale perioperative data mart and registry. Korean J Anesthesiol. 2024;77(1):58–65. https://doi.org/10.4097/kja.23580.
5. Zhang, H., Lian, W.M., Liu, X., et al. Design and implementation of the data platform for anesthesia and perioperative medicine. China Digital Med. 2020;15(10):40–43. (in Chinese). https://doi.org/10.3969/j.issn.1673-7571.2020.10.013.
6. Feng, Y., Zheng, R., Yu, G. Review of disease-specific databases in China. Shanghai Med Pharm J. 2024;45(9):10–13. (in Chinese).Available online: https://manu55.magtech.com.cn/shyy/EN/Y2024/V45/I9/10 (accessed on 27 December 2025).
7. Mao, Z.L., Liu, M.C., Xu, L.H., et al. Construction and thinking of perioperative anesthesia database in hospital. Chin J Health Inform Manag (CJHIM). 2020;17(3):362–365,375. (in Chinese). https://wsgl.cbpt.cnki.net/portal/journal/portal/client/paper/442738a8846c709e44891b486373d756.
8. Zhang, Y.M., Wu, Y.F., and Ye, Q., et al. Research on enhancing the translational value of breast cancer diagnosis and treatment by strengthening the quality control of disease-specific database. China Digital Med. 2024;19(1):76. (in Chinese).https://doi.org/10.3969/j.issn.1673-7571.2024.01.015.
9. Ding, Q.Q., Yang, X.J. Design and implementation of special disease data acquisition system based on natural language processing. Modern Comp. (in Chinese). Available online: https://qikan.cqvip.com/Qikan/Article/Detail?id=7112726235.
10. Zhang, Y.N., Dong, L., He, P. Exploration and Practice of Constructing a Structured Specialized Disease Database Based on NLP for Medical Records. Journal of Medical Informatics. 2024;45(9):82–86. https://doi.org/10.3969/j.issn.1673-6036.2024.09.013.
11. Fleuren LM, Dam TA, Tonutti M, et al. The Dutch Data Warehouse, a multicenter and full-admission electronic health records database for critically ill COVID-19 patients. Crit Care. 2021;25(1):304. https://doi.org/10.1186/s13054-021-03733-z.
12. Mao, Z., Feng, L., Lou, J., et al. Design and application of perioperative multi-center data center. Zhongguo Yi Liao Qi Xie Za Zhi. 2021;45(3):292–295. https://doi.org/10.3969/j.issn.1671-7104.2021.03.013.
13. Xu, T.Y., He, P., Xu, B. Construction and governance practice of multi-center special disease database for severe pneumonia epidemic prevention and control based on link-healthcare project. China Digital Med. 2022;17(9):32–36. (in Chinese). https://d.wanfangdata.com.cn/periodical/zgszyx202209007.
14. Feng, L., Liu, Y., Li, P., et al. Association between cerebrovascular disease and perioperative neurocognitive disorders: a retrospective cohort study. Int J Surg. 2024;110(1):353–360. https://doi.org/10.1097/JS9.0000000000000842.
15. Zhao, B.C., Lei, S.H., Zhuang, P.P., et al. Preoperative N-terminal pro-B-type natriuretic peptide and high-sensitivity cardiac troponin T and outcomes after major noncardiac surgery: a prospective cohort study. Anesthesiology. 2024;141(3):475–488. https://doi.org/10.1097/ALN.0000000000005073.
16. Zhuo, X.Y., Lei, S.H., Sun, L., et al. Preoperative risk prediction models for acute kidney injury after noncardiac surgery: an independent external validation cohort study. Br J Anaesth. 2024;133(3):508–518. https://doi.org/10.1016/j.bja.2024.02.018.
17. Li, P.Y., Gao, S.L., Wang, Y.Q., et al. Utilising intraoperative respiratory dynamic features for developing and validating an explainable machine learning model for postoperative pulmonary complications. Br J Anaesth. 2024;132(6):1315–1326. https://doi.org/10.1016/j.bja.2024.02.025.
18. Lamer, A., Moussa, M.D., Marcilly, R., et al. Development and usage of an anesthesia data warehouse: lessons learnt from a 10-year project. J Clin Monit Comput. 2023;37(2):461–472. https://doi.org/10.1007/s10877-022-00898-y.
19. Deeb, W., Rossi, P.J., Porta, M., et al. The international deep brain stimulation registry and database for Gilles de la Tourette syndrome: how does it work? Front Neurosci. 2016;10:170. https://doi.org/10.3389/fnins.2016.00170.
20. Wanderer, J.P., Lasko, T.A., Coco, J.R., et al. Visualization of aggregate perioperative data improves anesthesia case planning: a randomized, cross-over trial. J Clin Anesth. 2021;68:110114. https://doi.org/10.1016/j.jclinane.2020.110114.
21. Pache, B., Martin, D., Addor, V., et al. Swiss validation of the enhanced recovery after surgery (ERAS) database. World J Surg. 2021;45(4):940–945. https://doi.org/10.1007/s00268-020-05926-z.
22. Liang, J., Zhang, Z., Fan, L., et al. A comparison of the development of medical informatics in China and that in western countries from 2008 to 2018: a bibliometric analysis of official journal publications. J Healthcare Eng. 2020;2020(1):8822311. https://doi.org/10.1155/2020/8822311.
23. Wang, Y.G., Li, P., Long, S.Z., et al. Current situation and considerations on the construction of the clinical specialized disease database. J Med Inform. 2024;45(3):65–69. (in Chinese). https://doi.org/10.3969/j.issn.1673-6036.2024.03.011.
24. Hei, Z.Q., Chen, B.C., Liu, Z.F., et al. Construction and application of perioperative database of special diseases in anesthesiology department. China Digital Med. 2021;16(1):13–16, 22. https://doi.org/10.3969/j.issn.1673-7571.2021.01.003.
25. Braun, T., van Beekhuizen, H.J., Morlando, M., et al. Developing a database for multicenter evaluation of placenta accreta spectrum. Acta Obstetr Gynecol Scand (AOGS). 2021;100(S1):7–11. https://doi.org/10.1111/aogs.14085.
26. Yuan, L., Cao, J., Wang, D., et al. Regional disparities and influencing factors of high quality medical resources distribution in China. Int J Equity Health. 2023;22(1):8.. https://doi.org/10.1186/s12939-023-01825-6.
27. Dong, E., Sun, X., Xu, T., et al. Measuring the inequalities in healthcare resource in facility and workforce: a longitudinal study in China. Front Public Health. 2023;11: 1074417. https://doi.org/10.3389/fpubh.2023.1074417.
28. Rong, W.W., Wang, G., Zhu, Q.L. Discussion on value of medical records-structured specialized disease database based on artificial intelligence in clinical research. J Shanghai Jiaotong Univ (Med Sci). 2020;40(7):995–1000. (in Chinese). https://doi.org/10.3969/j.issn.1674-8115.2020.07.022.
29. Feng, S., Liu, S., Zhu, C., et al. National rare diseases registry system of China and related cohort studies: vision and roadmap. Hum Gene Ther. 2018;29(2):128–135. https://doi.org/10.1089/hum.2017.215.
30. Mišić, V.V., Gabel, E., Hofer, I., et al. Machine learning prediction of postoperative emergency department hospital readmission. Anesthesiology. 2020;132(5):968–980. https://doi.org/10.1097/ALN.0000000000003140.
