Evidence map›Paper›PMID 33099204›Full record

Observational studyJournal of critical care2021

Capacity of intensive care units in Ghana.

Moses Siaw-Frimpong, Sunkaru Touray, Nana Sefa

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 2% of its field
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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Hepato-pancreato-biliary surgery in West Africa: a timely capacity assessment.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2024
    Article
  7. Article
  8. Interest Groups and COVID-19 in Africa (2019-2022).Advances in experimental medicine and biology · 2024
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Investigation of possible preventable causes of COVID-19 deaths in the Kampala Metropolitan Area, Uganda, 2020-2021.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
  16. Article
  17. Leveraging COVID-19 pandemic response for improved health system financing: Lessons from Ghana.The International journal of health planning and management · 2022
    Article
  18. Article
  19. Article
  20. 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

3 authors at 3 institutions in 2 countries.

Moses Siaw-FrimpongAnaesthesia and Intensive Care, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Sunkaru TourayDepartment of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Nana SefaDivision of Emergency Critical Care, Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA. Electronic address: nanas@umich.edu.
Komfo Anokye Teaching Hospital · GHUniversity of Michigan–Ann Arbor · USUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo document the equipment, resource and bed capacity of Intensive Care Units (ICUs) in the Republic of Ghana. MATERIALS AND

methodsCross-sectional observational study of all operating ICUs in Ghana. Sixteen operating ICUs in 9 hospitals were identified and surveyed (13 adult and 3 pediatric ICUs).

resultsThere were a total of 113 adult and 36 pediatric ICU beds for a population of 30 million, (0.5 ICU beds per 100,000 people). The median number of staffed ICU beds and ventilators were 5 (IQR 4-6), and 4 (IQR 3-5) respectively. There were 2 pediatric and 6 adult intensivists practicing in the country. About half of the ICUs (56%) were staffed solely by non-intensivist providers. While there is adequate nursing support and availability of essential critical care medications, the current financing model for critical care delivery creates a significant barrier for most patients.

conclusionGhana has a significant shortage of critical care beds that are inequitably distributed across the country and a shortfall of intensivists to staff ICUs. A holistic approach that focuses on the key bottlenecks to quality improvement would be required to improve the capacity and quality of critical care delivery.

Indexed as

Critical CareIntensive Care UnitsAdultChildCross-Sectional StudiesGhanaHospital Bed CapacityHumansIntensive Care Units, PediatricVentilators, MechanicalAfricaCritical careGlobal critical careGlobal healthICU capacityIntensive care

Identifiers

PMID33099204
PMCPMC7560159
OpenAlexW3092928686

What OpenQuestion holds

Textmetadata
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.