Evidence map›Paper›PMID 34462281›Full record

ArticleBMJ open2021

Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review.

Andrew George Lim, Sean Kivlehan, Lia Ilona Losonczy, Srinivas Murthy, Enrico Dippenaar, Richard Lowsby, Marc Li Chuan L C Yang, Michael S Jaung, P Andrew Stephens, Nicole Benzoni and 17 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
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

27 authors.

Andrew George LimSection of Critical Care Medicine, Virginia Mason Medical Center, Seattle, Washington, USA andrewglim@gmail.com.ORCID 0000-0002-3374-7659
Sean KivlehanDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-4857-4316
Lia Ilona LosonczyDepartment of Emergency Medicine, Department of Anaesthesia & Critical Care Medicine, The George Washington University Medical Center, Washington, District of Columbia, USA.
Srinivas MurthyDepartment of Paediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
Enrico DippenaarEmergency Medicine Research Group, Anglia Ruskin University, Chelmsford, Essex, UK.
Richard LowsbyDepartment of Critical Care Medicine, Department of Emergency Medicine, Mid Cheshire Hospitals NHS Foundation Trust, Cheshire, Cheshire, UK.
Marc Li Chuan L C YangAccident and Emergency Medicine, The Chinese University of Hong Kong Faculty of Medicine, Hong Kong, Hong Kong.ORCID 0000-0002-0829-5339
Michael S JaungDepartment of Emergency Medicine, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-6722-4557
P Andrew StephensDepartment of Emergency Medicine, Intensive Care & Resuscitation, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Nicole BenzoniDivision of Pulmonary & Critical Care Medicine, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA.
Nana SefaDepartment of Emergency Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Emily Suzanne BartlettDepartment of Emergency Medicine, University of Washington, Seattle, Washington, USA.
Brandon Alexander ChaffayDepartment of Emergency Medicine, The George Washington University Hospital, Washington, District of Columbia, USA.
Naeha HaridasaThe George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.
Bernadett Pua VelascoDepartment of Emergency Medicine, East Avenue Medical Center, Quezon City, National Capital Region, Philippines.
Sojung YiDepartment of Emergency Medicine, University of California San Francisco, San Francisco, California, USA.
Caitlin A ContagDepartment of Medicine, Stanford University, Palo Alto, California, USA.
Amir Lotfy RashedDepartment of Emergency Medicine, Jacobi Medical Center, Bronx, New York, USA.
Patrick McCarvilleDepartment of Emergency Medicine, The George Washington University Hospital, Washington, District of Columbia, USA.
Paul D SonenthalDivision of Pulmonary & Critical Care Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Nebiyu ShukurDepartment of Emergency Medicine, The George Washington University Hospital, Washington, District of Columbia, USA.
Abdelouahab BellouDepartment of Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Carl MickmanDepartment of Emergency Medicine, Mount Sinai Hospital, New York, New York, USA.
Adhiti Ghatak-RoyEmergency Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.
Allison FerreiraDepartment of Emergency Medicine, University of California Los Angeles, Los Angeles, California, USA.
Neill Kj Adhikari *Department of Critical Care Medicine, Sunnybrook Health Sciences Centre and University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-4038-5382
Teri Reynolds *World Health Organization, Geneva, GE, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionCritical care in low-income and low-middle income countries (LLMICs) is an underdeveloped component of the healthcare system. Given the increasing growth in demand for critical care services in LLMICs, understanding the current capacity to provide critical care is imperative to inform policy on service expansion. Thus, our aim is to describe the provision of critical care in LLMICs with respect to patients, providers, location of care and services and interventions delivered. METHODS AND ANALYSIS: We will search PubMed/MEDLINE, Web of Science and EMBASE for full-text original research articles available in English describing critical care services that specify the location of service delivery and describe patients and interventions. We will restrict our review to populations from LLMICs (using 2016 World Bank classifications) and published from 1 January 2008 to 1 January 2020. Two-reviewer agreement will be required for both title/abstract and full text review stages, and rate of agreement will be calculated for each stage. We will extract data regarding the location of critical care service delivery, the training of the healthcare professionals providing services, and the illnesses treated according to classification by the WHO Universal Health Coverage Compendium. ETHICS AND DISSEMINATION: Reviewed and exempted by the Stanford University Office for Human Subjects Research and IRB on 20 May 2020. The results of this review will be disseminated through scholarly publication and presentation at regional and international conferences. This review is designed to inform broader WHO, International Federation for Emergency Medicine and partner efforts to strengthen critical care globally. PROSPERO REGISTRATION NUMBER: CRD42019146802.

Indexed as

Delivery of Health CareDeveloping CountriesCritical CareHumansPovertyReview Literature as Topicaccident & emergency medicineadult intensive & critical careinternational health servicesneonatal intensive & critical careorganisation of health servicespaediatric intensive & critical care

Identifiers

PMID34462281
PMCPMC8407204

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.