Evidence map›Paper›PMID 31194795›Full record

ArticlePloS one2019

Critical care capacity in Haiti: A nationwide cross-sectional survey.

Lia I Losonczy, Sean L Barnes, Shiping Liu, Sarah R Williams, Michael T McCurdy, Vivienne Lemos, Jerry Chandler, L Nathalie Colas, Marc E Augustin, Alfred Papali and 1 more

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Article
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  5. Observational
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  16. Antibiotics and antimicrobial resistance in the COVID-19 era: Perspective from resource-limited settings.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
  17. Capacity of intensive care units in Ghana.Journal of critical care · 2021
    Observational
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Lia I LosonczyDivision of Pulmonary & Critical Care Medicine, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Sean L BarnesDepartment of Decision, Operations & Information Technologies, Robert H. Smith School of Business, University of Maryland, College Park, Maryland, United States of America.
Shiping LiuDepartment of Mathematics, University of Maryland, College Park, Maryland, United States of America.
Sarah R WilliamsDivision of Pulmonary & Critical Care Medicine, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Michael T McCurdyDivision of Pulmonary & Critical Care Medicine, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
Vivienne LemosTaddle Creek Family Health Team, Toronto, Ontario, Canada.
Jerry ChandlerProtection Civile Haiti, Port-au-Prince, Haiti.ORCID 0000-0002-1452-9293
L Nathalie ColasDepartment of Internal Medicine, St. Luke Hospital, Port-au-Prince, Haiti.
Marc E AugustinDepartment of Internal Medicine, St. Luke Hospital, Port-au-Prince, Haiti.
Alfred PapaliDivision of Pulmonary & Critical Care Medicine, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.ORCID 0000-0001-6884-6465
Research and Education consortium for Acute Care in Haiti (REACH) Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCritical illness affects health systems globally, but low- and middle-income countries (LMICs) bear a disproportionate burden. Due to a paucity of data, the capacity to care for critically ill patients in LMICs is largely unknown. Haiti has the lowest health indices in the Western Hemisphere. In this study, we report results of the first known nationwide survey of critical care capacity in Haiti.

designNationwide, cross-sectional survey of Haitian hospitals in 2017-2018.

settingHaiti. SUBJECTS: All Haitian health facilities with at least six hospital beds.

interventionsElectronic- and paper-based survey.

resultsOf 51 health facilities identified, 39 (76.5%) from all ten Haitian administrative departments completed the survey, reporting 124 reported ICU beds nationally. Of facilities without an ICU, 20 (83.3%) care for critically ill patients in the emergency department. There is capacity to ventilate 62 patients nationally within ICUs and six patients outside of the ICU. One-third of facilities with ICUs report formal critical care training for their physicians. Only five facilities met criteria for a Level 1 ICU as defined by the World Federation of Societies of Intensive and Critical Care Medicine. Self-identified barriers to providing more effective critical care services include lack of physical space for critically ill patients, lack of equipment, and few formally trained physicians and nurses.

conclusionsDespite a high demand for critical care services in Haiti, current capacity remains insufficient to meet need. A significant amount of critical care in Haiti is provided outside of the ICU, highlighting the important overlap between emergency and critical care medicine in LMICs. Many ICUs in Haiti lack basic components for critical care delivery. Streamlining critical care services through protocol development, education, and training may improve important clinical outcomes.

Indexed as

AdolescentChildChild, PreschoolCritical CareCritical IllnessCross-Sectional StudiesEmergency Service, HospitalEquipment and Supplies, HospitalFemaleGlobal HealthHaitiHealth FacilitiesHospitalsHumansInfantInfant, Newborn

Identifiers

PMID31194795
PMCPMC6565360

What OpenQuestion holds

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LicenceCC BY
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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.