ArticleJournal of global health2021
Oxygen delivery systems for adults in Sub-Saharan Africa: A scoping review.
Article in Journal of global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Design and maintenance of medical oxygen concentrators in Sub-Saharan Africa: a systematic review.BMC health services research · 2025Pooled it
- Pooled it
- Early weaning from oxygen therapy in African children with severe pneumonia.BMC medicine · 2025Trial
- Knowledge of oxygen therapy among healthcare professionals in non-intubated patients: a cross-sectional study in Somalia.BMC medical education · 2026Article
- Medical gases and long-term oxygen therapy: reducing the chronic obstructive pulmonary disease burden in aging populations in Sub-Saharan Africa.Medical gas research · 2026Review
- Review
- High-flow nasal oxygen is the reference treatment in acute hypoxemic respiratory failure: Con.Journal of intensive medicine · 2025Review
- The Epidemiology and Impact of Hypoxemia in Sub-Saharan Africa: Prevalence, Practices, and Outcomes.Annals of the American Thoracic Society · 2025Article
- Building medical oxygen systems in a resource-limited setting: the case of Cameroon.Journal of global health · 2025Article
- Successful awake intubation using AirtraqBMC anesthesiology · 2025Article
- An exploration of healthcare professionals' knowledge and perceived barriers about acute oxygen therapy: a survey in a tertiary care hospital, Sudan.BMC medical education · 2024Article
- A predictive score for early in-patient tuberculosis mortality: A case-control study.Journal of clinical tuberculosis and other mycobacterial diseases · 2024Article
- Functional availability of medical oxygen for the management of hypoxaemia in Cameroon: A nationwide facility-based cross-sectional survey.Journal of global health · 2024Article
- The performance of 11 fingertip pulse oximeters during hypoxemia in healthy human participants with varied, quantified skin pigment.EBioMedicine · 2024Article
- Prevalence and phenotypic trajectories of hypoxaemia among hospitalised adults in Kenya: a single-centre, prospective cohort study.BMJ open · 2023Article
- Pulse oximetry: why oxygen saturation is still not a part of standard pediatric guidelines in low-and-middle-income countries (LMICs).Pneumonia (Nathan Qld.) · 2023Review
- Necessity Is the Mother of All Invention, But Not All Inventions Completely Address the Necessity.Respiratory care · 2023Article
- Strategies to Promote Health System Strengthening and Global Health Security at the Subnational Level in a World Changed by COVID-19.Global health, science and practice · 2022Article
- Implementation of a COVID-19 screening tool in a southern Nigerian tertiary health facility.PLOS global public health · 2022Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundRespiratory diseases are the leading cause of death and disability worldwide. Oxygen is an essential medicine used to treat hypoxemia from respiratory diseases. However, the availability and utilization of oxygen delivery systems for adults in sub-Saharan Africa is not well-described. We aim to identify and describe existing data around oxygen availability and provision for adults in sub-Saharan Africa, determine knowledge or research gaps, and make recommendations for future research and capacity building.
methodsWe systematically searched four databases for articles on April 22, 2020, for variations of keywords related to oxygen with a focus on countries in sub-Saharan Africa. Inclusion criteria were studies that included adults and addressed hypoxemia assessment or outcome, oxygen delivery mechanisms, oxygen availability, oxygen provision infrastructure, and oxygen therapy and outcomes.
results35 studies representing 22 countries met inclusion criteria. Availability of oxygen delivery systems ranged from 42%-94% between facilities, with wide variability in the consistency of availability. There was also wide reported prevalence of hypoxemia, with most studies focusing on specific populations. In facilities where oxygen is available, health care workers are ill-equipped to identify adult patients with hypoxemia, provide oxygen to those who need it, and titrate or discontinue oxygen appropriately. Oxygen concentrators were shown to be the most cost-effective delivery system in areas where power is readily available.
conclusionsThere is a substantial need for building capacity for oxygen delivery throughout sub-Saharan Africa. Addressing this critical issue will require innovation and a multi-faceted approach of developing infrastructure, better equipping facilities, and health care worker training.
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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.