ReviewFrontiers in pediatrics2018
Pediatric Critical Care in Resource-Limited Settings-Overview and Lessons Learned.
Review in Frontiers in pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.
- The magnitude of pediatric mortality and determinant factors in intensive care units in a low-resource country, Ethiopia: a systematic review and meta-analysis.Frontiers in medicine · 2023Pooled it
- Is Undernutrition Associated With Deterioration of Outcomes in the Pediatric Intensive Care Unit (PICU): Systematic and Meta-Analysis Review.Frontiers in pediatrics · 2022Pooled it
- Paediatric Critical Care Implementation in Lower-Resource Settings: Application of Community-Based Group Model Building.Research square · 2026Article
- From Survival to Recovery: 25 Years of Paediatric Critical Care Transformation in Israel.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
- Cost-effectiveness of the IMPALA monitoring system for hospitalised children in low-resource settings: a pragmatic before-and-after study.BMJ paediatrics open · 2026Article
- Overcoming barriers to pediatric intensive care in low-resource settings: an institutional experience from Northeast India.Health policy and planning · 2026Article
- Healthcare professionals' views on training, standards, and resources for extracorporeal membrane oxygenation: a cross-sectional survey.Croatian medical journal · 2026Article
- Pediatric assessment and early resuscitation capacity building: Multi-country implementation of the StART Training-of-Trainers Model in Rwanda, Uganda, and Nigeria.PLOS global public health · 2026Article
- Twenty-Five Years of the Indian Academy of Pediatrics-Intensive Care Chapter: Transforming Pediatric Critical Care in India.Indian pediatrics · 2026Article
- Article
- Adopting a Comprehensive Approach to Improve Nutritional Status among Critically Ill Children in Low-Resource Settings: A Narrative Review.International journal of preventive medicine · 2026Review
- Task-shifting and system readiness: a narrative review of strategies for pediatric emergency care in low-resource settings.International journal of emergency medicine · 2025Review
- Implementation of a partnership involving parents in the care of critically ill children: an integrative review.Acute and critical care · 2025Article
- Comparison of accuracy of pediatric index of mortality-3 (PIM-3) and pediatric index of mortality-2 (PIM-2) scores in predicting outcome of children admitted to pediatric ICU of a tertiary care hospital.Pakistan journal of medical sciences · 2025Article
- Nursing Management in Pediatric Intensive Care in South Asia.Children (Basel, Switzerland) · 2025Review
- Promising Vaccine Formulations for Emerging Infectious Diseases.International journal of molecular sciences · 2025Review
- Article
- Article
- Resource Allocation in the Pediatric Intensive Care Unit in Rwanda.Annals of global health · 2025Article
- Hemoadsorption in critically ill neonatal and pediatric patients: a retrospective cohort study from a Latin American tertiary center.Frontiers in medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pediatric critical care is an important component of reducing morbidity and mortality globally. Currently, pediatric critical care in low middle-income countries (LMICs) remains in its infancy in most hospitals. The majority of hospitals lack designated intensive care units, healthcare staff trained to care for critically ill children, adequate numbers of staff, and rapid access to necessary medications, supplies and equipment. In addition, most LMICs lack pediatric critical care training programs for healthcare providers or certification procedures to accredit healthcare providers working in their pediatric intensive care units (PICU) and high dependency areas. PICU can improve the quality of pediatric care in general and, if properly organized, can effectively treat the severe complications of high burden diseases, such as diarrhea, severe malaria, and respiratory distress using low-cost interventions. Setting up a PICU in a LMIC setting requires planning, specific resources, and most importantly investment in the nursing and permanent medical staff. A thoughtful approach to developing pediatric critical care services in LMICs starts with fundamental building blocks: training healthcare professionals in skills and knowledge, selecting resource appropriate effective equipment, and having supportive leadership to provide an enabling environment for appropriate care. If these fundamentals can be built on in a sustainable manner, an appropriate critical care service will be established with the potential to significantly decrease pediatric morbidity and mortality in the context of public health goals as we reach toward the sustainable development goals.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.