Evidence map›Paper›PMID 30741504›Full record

ReviewAnnals of global health2019

Global Critical Care: Moving Forward in Resource-Limited Settings.

Janet V Diaz, Elisabeth D Riviello, Alfred Papali, Neill K J Adhikari, Juliana C Ferreira

Abstract readReview
In one paragraph

Review in Annals of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Guideline
  2. Pooled it
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  16. Tackling disease-related malnutrition in resource-limited settings: An international position paper based on expert consensus.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Janet V DiazCalifornia Pacific Medical Center, San Francisco, CA, US.
Elisabeth D RivielloDivision of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center.
Alfred PapaliAtrium Health, Charlotte, NC.
Neill K J AdhikariDepartment of Critical Care Medicine, Sunnybrook Health Sciences Centre.
Juliana C FerreiraDivisao de Pneumologia, Instituto do Coracao, Hospital das Clinicas da Faculdade de Medicina HCFMUSP.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Caring for critically ill patients is challenging in resource-limited settings, where the burden of disease and mortality from potentially treatable illnesses is higher than in resource-rich areas. Barriers to delivering quality critical care in these settings include lack of epidemiologic data and context-specific evidence for medical decision-making, deficiencies in health systems organization and resources, and institutional obstacles to implementation of life-saving interventions. Potential solutions include the development of common definitions for intensive care unit (ICU), intensivist, and intensive care to create a universal ICU organization framework; development of educational programs for capacity building of health care professionals working in resource-limited settings; global prioritization of epidemiologic and clinical research in resource-limited settings to conduct timely and ethical studies in response to emerging threats; adaptation of international guidelines to promote implementation of evidence-based care; and strengthening of health systems that integrates these interventions. This manuscript reviews the field of global critical care, barriers to safe high-quality care, and potential solutions to existing challenges. We also suggest a roadmap for improving the treatment of critically ill patients in resource-limited settings.

Indexed as

Capacity BuildingCritical CareEvidence-Based MedicineHealth ResourcesIntensive Care UnitsBiomedical ResearchCritical IllnessDelivery of Health CareGlobal HealthHealth Care RationingHealth PersonnelHumansImplementation SciencePractice Guidelines as Topic

Identifiers

PMID30741504
PMCPMC7052346

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.