ArticleJournal of critical care2020
A national survey of critical care services in hospitals accredited for training in a lower-middle income country: Pakistan.
Article in Journal of critical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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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.
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Who cites it
16 citing papers in PubMed.
- Are we training enough critical care specialists for Pakistan's future needs?Journal of the Intensive Care Society · 2026Article
- Effectiveness of an educational intervention on intensive care nurses' knowledge and practice of endotracheal suctioning: a single-group pretest-posttest study.BMC nursing · 2026Article
- Evaluating Modified Early Warning Score Compliance to Minimize Unnecessary Intensive Care Unit Admissions: A Descriptive Cross-Sectional Needs Assessment at a University Teaching Tertiary Care Centre to Inform Quality Improvement Implementation.Journal of evaluation in clinical practice · 2026Article
- Analysis of spinal muscular atrophy patients from the spinal muscular atrophy and muscular dystrophy registry of Pakistan.Journal of neuromuscular diseases · 2025Article
- Peer-to-peer tele-consultative services for critical care, Afghanistan, Kenya, Pakistan, United Republic of Tanzania.Bulletin of the World Health Organization · 2025Article
- Universal health coverage in Pakistan: exploring the landscape of the health system, health seeking behaviours, and utilization of health services.The Lancet regional health. Southeast Asia · 2024Review
- A study of critically ill obstetric patients admitted to intensive care unit of a tertiary care hospital.Pakistan journal of medical sciences · 2024Article
- Infection control practices in public sector hospitals of Punjab: a critical analysis.BMJ open quality · 2024Article
- Review of sepsis in Pakistan: how far have we come?IJID regions · 2024Review
- Article
- Disparities in adult critical care resources across Pakistan: findings from a national survey and assessment using a novel scoring system.Critical care (London, England) · 2022Article
- Prognostication using SpOJournal of critical care · 2022Article
- Preparedness of Public Hospitals for the Coronavirus (COVID-19) Pandemic in Lahore District, Pakistan.Cureus · 2022Article
- Observational
- Leveraging a Cloud-Based Critical Care Registry for COVID-19 Pandemic Surveillance and Research in Low- and Middle-Income Countries.JMIR public health and surveillance · 2020Article
- Current stage of the intensive care unit structure in Argentina: results from the Sociedad Argentina de Terapia Intensiva self-assessment survey of intensive care units.Revista Brasileira de terapia intensivaObservational
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
purposeTo describe the extent and variation of critical care services in Pakistan. MATERIALS AND
methodsA cross-sectional survey was conducted in all intensive care units (ICUs) recognised for postgraduate training to determine administration, infrastructure, equipment, staffing, and training.
resultsThere were 151 hospitals recognised for training, providing 2166 ICU beds and 1473 ventilators. Regional distribution of ICU beds per 100,000 population ranged from 1.0 in Sindh to none in Gilgit Baltistan (median 0.7). A senior clinician trained in critical care was available in 19 (12.1%) of units. One-to-one nurse-to-bed ratio during the day was available in 84 (53.5%) of units, dropping to 75 (47.8%) at night. Availability of 1:1 nursing also varied between provinces, ranging from 56.5% in Punjab compared to 0% in Azad Jamu Kashmir. Similarly, there was disparity in the availability of ventilators between provinces. All ICUs had basic infrastructure (electricity, running water, piped oxygen) and basic equipment (electronic monitoring and infusion pumps).
conclusionPakistan, a lower middle-income country, has an established network of critical care facilities with access to basic equipment, but inequalities in its distribution. Investment in critical care training for doctors and nurses is needed.
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Registered trials
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