ReviewBMJ global health2019
Clinical emergency care research in low-income and middle-income countries: opportunities and challenges.
Review in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06075108 (P-KIDs CARE), which is not on this map. Cited by 25 papers, 1 of them a synthesis 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.
P-KIDs CARE: An Intervention to Address Health Systems Delays to Care for Injured Children in Tanzania
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Critical care delivery across health care systems in low-income and low-middle-income country settings: A systematic review.Journal of global health · 2023Pooled it
- Quality improvement in emergency units in low resource settings: a qualitative assessment for understanding challenges and delivering solutions.BMJ open quality · 2026Article
- Predicting Outcomes of Traumatic Brain Injury Using Machine Learning Models Among Patients at Kilimanjaro Christian Medical Centre, Tanzania: A Registry-Based Cohort Study.Health science reports · 2026Article
- Overcoming barriers to medical countermeasures: Strengthening global biosecurity.Human vaccines & immunotherapeutics · 2025Review
- Implementing the WHO's Emergency Care Systems toolkit: a qualitative study for facilitators and barriers.Emergency medicine journal : EMJ · 2025Article
- Barriers and facilitators to providing facility-based emergency care in Addis Ababa, Ethiopia: A mixed methods study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- The Implementation of a Perioperative Registry in a Resource-Limited Setting: A Feasibility, Fidelity, and Acceptance Study.Medical research archives · 2025Article
- Triage systems in low-resource emergency care settings.Bulletin of the World Health Organization · 2025Article
- Are we ready? Emergency unit capacity at selected district level hospitals in Lusaka Province, Zambia: Barriers and facilitators for improving trauma care: a mixed methods approach.PLOS global public health · 2025Article
- Triage processes in primary, secondary, and tertiary health care facilities in the Kathmandu Valley, Nepal: a mixed-methods study.BMC emergency medicine · 2024Article
- Article
- Challenges and Strategies in Pediatric Critical Care: Insights From Low-Resource Settings.Global pediatric health · 2024Review
- Pediatric chronic kidney disease mortality in Brazil-A time trend analysis.PLOS global public health · 2024Article
- Epidemiology and clinical characteristics of adult patients presenting to a low resource, tertiary care emergency department in Pakistan: Challenges & Outcomes.Pakistan journal of medical sciences · 2024Article
- [Indicators to measure the performance of emergency trauma care].Revista medica del Instituto Mexicano del Seguro Social · 2023Review
- Investigating the Secondary Use of Clinical Research Data: Protocol for a Mixed Methods Study.JMIR research protocols · 2023Article
- Clinical Outcomes Following the Implementation of a Novel One-Year Training Program in Emergency Medicine in Karachi, Pakistan.Annals of global health · 2023Article
- The Status of Facility Based Emergency Care in Public Hospitals of Ethiopia Using WHO Assessment Tool.Ethiopian journal of health sciences · 2022Article
- Navigating ethical challenges of conducting randomized clinical trials on COVID-19.Philosophy, ethics, and humanities in medicine : PEHM · 2022Article
- Portrait of the Emergency Department at Orotta National Referral and Teaching Hospital in Asmara, Eritrea: A Prospective Observational Study.Open access emergency medicine : OAEM · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
11 authors at 8 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Disease processes that frequently require emergency care constitute approximately 50% of the total disease burden in low-income and middle-income countries (LMICs). Many LMICs continue to deal with emergencies caused by communicable disease states such as pneumonia, diarrhoea, malaria and meningitis, while also experiencing a marked increase in non-communicable diseases, such as cardiovascular diseases, diabetes mellitus and trauma. For many of these states, emergency care interventions have been developed through research in high-income countries (HICs) and advances in care have been achieved. However, in LMICs, clinical research, especially interventional trials, in emergency care are rare. Furthermore, there exists minimal research on the emergency management of diseases, which are rarely encountered in HICs but impact the majority of LMIC populations. This paper explores challenges in conducting clinical research in patients with emergency conditions in LMICs, identifies examples of successful clinical research and highlights the system, individual and study design characteristics that made such research possible in LMICs. Derived from the available literature, a focused list of high impact research considerations are put forth.
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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.