ReviewIntensive care medicine2023
A health systems approach to critical care delivery in low-resource settings: a narrative review.
Review in Intensive care medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Point prevalence of evidence-based antimicrobial use among hospitalized patients in sub-Saharan Africa: a systematic review and meta-analysis.Scientific reports · 2024Pooled it
- Interventions for improving critical care in low- and middle-income countries: a systematic review.Intensive care medicine · 2024Pooled it
- Cross-Sectional Survey of Critical Care Provision in Ministry of Health Hospitals in Zambia.Nursing in critical care · 2026Article
- A scoping review of global approaches to education in adult critical care retrieval.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Nursing workload in Latvian intensive care units: a 3-month observation.BMC nursing · 2026Article
- Critical care capacity in Africa: postpandemic ICU capacity, service readiness and patient profiles across public and private hospitals in Ethiopia.BMJ global health · 2026Article
- When Intensive Care is Perceived as a Place of Death: Family Decision Delay, Trust, and Financial Barriers to Timely Acceptance of ICU Admission in Somalia.Risk management and healthcare policy · 2026Article
- Drivers of improved prognosis in pediatric sepsis in China: policy support and collaborative actions.Frontiers in pediatrics · 2026Article
- Large language models in emergency and critical care medicine: a comprehensive review of applications, challenges, and future directions.Burns & trauma · 2026Review
- The Effect of Situational Leadership on Healthcare Service Quality Through Crisis Management and Resources Availability: The Moderating Role of Leader Experience.Risk management and healthcare policy · 2026Article
- Article
- Profile of cases and factors associated with poor outcomes among patients admitted to the intensive care unit at a regional referral hospital in Bhutan: an observational study.BMC health services research · 2025Observational
- Proportion of cardiac arrest survival and "Do Not Attempt Resuscitation" among patients admitted to the Intensive Care Unit at a regional referral hospital in Bhutan: a cross-sectional study.Resuscitation plus · 2025Article
- Lessons learned from the promotion of Essential Emergency and Critical Care in Tanzania - a qualitative study.BMJ open · 2025Article
- Nurse-led evidence-based protocolized weaning for invasive mechanical ventilation patients in the ICU: a hybrid type 1 effectiveness-implementation study.BMC pulmonary medicine · 2025Article
- Optimizing pediatric emergency triage in low-resource settings: evidence-based strategies, task-shifting, and technological innovations.International journal of emergency medicine · 2025Review
- Mortality of trauma patients in conflict-affected region: a retrospective observational study of ICU admissions and surgical management.BMC surgery · 2025Observational
- Factors associated with mortality in surgical patients admitted to a low-resource mixed intensive care unit: a cross-sectional study.BMC surgery · 2025Article
- Correspondence on "Management of adult sepsis in resource-limited settings: global expert consensus statements using a Delphi method".Intensive care medicine · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors.
Funding
Abstract
There is a high burden of critical illness in low-income countries (LICs), adding pressure to already strained health systems. Over the next decade, the need for critical care is expected to grow due to ageing populations with increasing medical complexity; limited access to primary care; climate change; natural disasters; and conflict. In 2019, the 72nd World Health Assembly emphasised that an essential part of universal health coverage is improved access to effective emergency and critical care and to "ensure the timely and effective delivery of life-saving health care services to those in need". In this narrative review, we examine critical care capacity building in LICs from a health systems perspective. We conducted a systematic literature search, using the World Heath Organisation (WHO) health systems framework to structure findings within six core components or "building blocks": (1) service delivery; (2) health workforce; (3) health information systems; (4) access to essential medicines and equipment; (5) financing; and (6) leadership and governance. We provide recommendations using this framework, derived from the literature identified in our review. These recommendations are useful for policy makers, health service researchers and healthcare workers to inform critical care capacity building in low-resource settings.
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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.