Evidence map›Paper›PMID 40777167›Full record

ReviewLancet regional health. Americas2025

Strengthening healthcare system resilience: a comprehensive framework for tropical cyclone preparedness and response.

Attila J Hertelendy, Caleb Dresser, Sophia Gorgens, Arabella P Hertelendy, Paul D Biddinger, Gregory Ciottone

Abstract readReview
In one paragraph

Review in Lancet regional health. Americas, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

6 authors.

Attila J HertelendyDepartment of Information Systems and Business Analytics, College of Business, Florida International University, Miami, FL, USA.
Caleb DresserDisaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Sophia GorgensDisaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Arabella P HertelendyCollege of Public Health and Health Science, University of Florida, Gainesville, FL, USA.
Paul D BiddingerCenter for Disaster Medicine, Mass General Brigham, Boston, MA, USA.
Gregory CiottoneDisaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review examines healthcare system resilience to tropical cyclones through complementary frameworks of temporal phases (Before-During-After) and geographic contexts (Inside-Outside Impact Zone). The paper highlights how climate change is intensifying cyclone threats while demographic transitions create increasingly vulnerable patient populations dependent on continuous healthcare. Despite decreasing immediate mortality from cyclones, research reveals concerning increases in delayed morbidity and mortality due to disrupted healthcare access. Seven critical dimensions of healthcare resilience are identified: maintaining continuity of care for vulnerable populations, transitioning from reactive response to proactive resilience, strategic resource prioritization, adapting to climate change, integrating efforts across phases and zones, ensuring health equity, and addressing research gaps. A tiered approach to strengthening resilience is proposed, from immediate low-resource actions to long-term structural investments. The review emphasizes that healthcare systems must transform from reactive disaster response to proactive resilience strategies to protect vulnerable populations in an increasingly turbulent future climate.

Indexed as

FloodingFrameworkHealth systems resilienceHospital disaster preparednessHurricane preparednessTropical cyclone

Identifiers

PMID40777167
PMCPMC12329278

What OpenQuestion holds

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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.