Evidence map›Paper›PMID 35840824›Full record

ReviewNeurocritical care2022

Providing Neurocritical Care in Resource-Limited Settings: Challenges and Opportunities.

Morgan L Prust, Amir Mbonde, Clio Rubinos, Gentle S Shrestha, Morenikeji Komolafe, Deanna Saylor, Halinder S Mangat

Abstract readReview
PubMed Publisher
In one paragraph

Review in Neurocritical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
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  3. Review
  4. Review
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  7. Article
  8. Observational
  9. Article
  10. Article
  11. Review
  12. Neuroimaging and neuromonitoring access in Mexico, where to focus?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  13. Review
  14. Article
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  18. Review
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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

7 authors at 7 institutions in 5 countries.

Morgan L Prust *Department of Neurology, Division of Neurocritical Care and Emergency Neurology, Yale School of Medicine, PO Box 208018, New Haven, CT, CT 06520-8018, USA. morgan.prust@yale.edu.ORCID http://orcid.org/0000-0002-1380-3422
Amir Mbonde *Mayo Clinic, Scottsdale, AZ, USA.
Clio RubinosUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Gentle S ShresthaTribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Morenikeji KomolafeObafemi Awolowo University, Ife-Ife, Nigeria.
Deanna SaylorJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Halinder S MangatUniversity of Kansas Medical Center, Kansas City, KS, USA.
Johns Hopkins University · USMbarara University of Science and Technology · UGObafemi Awolowo University · NGTribhuvan University Teaching Hospital · NPUniversity of Kansas Medical Center · USUniversity of North Carolina at Chapel Hill · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute neurologic illnesses (ANI) contribute significantly to the global burden of disease and cause disproportionate death and disability in low-income and middle-income countries (LMICs) where neurocritical care resources and expertise are limited. Shifting epidemiologic trends in recent decades have increased the worldwide burden of noncommunicable diseases, including cerebrovascular disease and traumatic brain injury, which coexist in many LMICs with a persistently high burden of central nervous system infections such as tuberculosis, neurocysticercosis, and HIV-related opportunistic infections and complications. In the face of this heavy disease burden, many resource-limited countries lack the infrastructure to provide adequate care for patients with ANI. Major gaps exist between wealthy and poor countries in access to essential resources such as intensive care unit beds, neuroimaging, clinical laboratories, neurosurgical capacity, and medications for managing complex neurologic emergencies. Moreover, many resource-limited countries face critical shortages in health care workers trained to manage neurologic emergencies, with subspecialized neurocritical care expertise largely absent outside of high-income countries. Numerous opportunities exist to overcome these challenges through capacity-building efforts that improve outcomes for patients with ANI in resource-limited countries. These include research on needs and best practices for ANI management in LMICs, developing systems for effective triage, education and training to expand the neurology workforce, and supporting increased collaboration and data sharing among LMIC health care workers and systems. The success of these efforts in curbing the disproportionate and rising impact of ANI in LMICs will depend on the coordinated engagement of the global neurocritical care community.

Indexed as

Developing CountriesNeurologyEmergenciesHealth PersonnelHumansWorkforceCapacity-buildingGlobal healthGlobal neurologyResource-limited health care delivery

Identifiers

PMID35840824
OpenAlexW4285587260

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.