Evidence map›Paper›PMID 36670506›Full record

ReviewCritical care (London, England)2023

Global critical care: a call to action.

Ana Maria Crawford, Ananya Abate Shiferaw, Papytcho Ntambwe, Alexei Ortiz Milan, Karima Khalid, Rodrigo Rubio, Francoise Nizeyimana, Fredy Ariza, Alhassan Datti Mohammed, Tim Baker and 2 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06051526 (The African Critical Illness Outcomes Study), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–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.

NCT06051526 completednot on this map

The African Critical Illness Outcomes Study

TypeobservationalSponsorUniversity of Cape TownRan2023 to 2024Enrolled20,159ConditionsCritical Illness, Mortality
3 · Its place in the literature

Who cites it

35 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Observational
  17. Article
  18. Article
  19. Observational
  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

12 authors.

Ana Maria CrawfordAnesthesiology and Critical Care, Stanford University, 300 Pasteur Drive, Stanford, CA, USA. anacrawford@stanford.edu.
Ananya Abate ShiferawCollege of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Papytcho NtambweAnaesthesia and Critical Care, Livingstone University Teaching Hospital, Livingstone, Zambia.
Alexei Ortiz MilanCritical Care Medicine Physician, Sir Ketumile Masire Teaching Hospital, Notwane and Mabutho Road, Plot 4775, Private Bag UB 001, Gaborone, Botswana.
Karima KhalidMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Rodrigo RubioDepartamento de Anestesia, Hospital ABC, Vasco de Quiroga 154, Cuajimalpa, 05348, Ciudad de Mexico, Mexico.
Francoise NizeyimanaConsultant Anesthesiology and Critical Care, Head of Department CHUK, Kigali, Rwanda.
Fredy ArizaAnesthesia and Perioperative Medicine, Fundación Valle del Lili, ICESI/UNIVALLE Universities, Cali, Colombia.
Alhassan Datti MohammedDepartment of Anaesthesiology and Intensive Care, Bayero University, Aminu Kano Teaching Hospital, Kano, Nigeria.
Tim BakerMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Paulin Ruhato BangutiAnesthesiology and Critical Care, University of Rwanda, Kigali, Rwanda.
Farai MadzimbamutoAnaesthesiology and Critical Care, University of Botswana School of Medicine, Notwane and Mabutho Road, Plot 4775, Private Bag UB 001, Gaborone, Botswana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Critical care is underprioritized. A global call to action is needed to increase equitable access to care and the quality of care provided to critically ill patients. Current challenges to effective critical care in resource-constrained settings are many. Estimates of the burden of critical illness are extrapolated from common etiologies, but the true burden remains ill-defined. Measuring the burden of critical illness is epidemiologically challenging but is thought to be increasing. Resources, infrastructure, and training are inadequate. Millions die unnecessarily due to critical illness. Solutions start with the implementation of first-step, patient care fundamentals known as Essential Emergency and Critical Care. Such essential care stands to decrease critical-illness mortality, augment pandemic preparedness, decrease postoperative mortality, and decrease the need for advanced level care. The entire healthcare workforce must be trained in these fundamentals. Additionally, physician and nurse specialists trained in critical care are needed and must be retained as leaders of critical care initiatives, researchers, and teachers. Context-specific research is mandatory to ensure care is appropriate for the patient populations served, not just duplicated from high-resourced settings. Governments must increase healthcare spending and invest in capacity to treat critically ill patients. Advocacy at all levels is needed to achieve universal health coverage for critically ill patients.

Indexed as

Critical CareCritical IllnessCost of IllnessDelivery of Health CareHealth PersonnelHumansPhysiciansBurden of illnessCritical careCritical illnessGlobal healthICU

Identifiers

PMID36670506
PMCPMC9854162

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.