Evidence map›Paper›PMID 41057864›Full record

ReviewConflict and health2025

Research and conflict: mapping research trends and gaps in Ukrainian Emergency Medical Services- a scoping review.

Rafael Castro-Delgado, Manisha Panta Bhandari, Radha Subedi Acharya

Abstract readReview
In one paragraph

Review in Conflict and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

3 authors.

Rafael Castro-DelgadoDepartment of Medicine, University of Oviedo, Oviedo, Spain. castrorafael@uniovi.es.
Manisha Panta BhandariDepartment of Medicine, University of Oviedo, Oviedo, Spain.
Radha Subedi AcharyaDepartment of Medicine, University of Oviedo, Oviedo, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionConflict´s impact on research has seldom been analyzed, while research activities may improve population health and health service provision in conflicts. Efficient functioning of Emergency Medical Services (EMS) is essential for providing regular emergency care and addressing the healthcare needs arising from the ongoing conflict in Ukraine. However, research on the development, challenges, and opportunities of EMS system are limited. The objective of this review was to document the research trends, identify how conflict has shaped research production, and knowledge gaps related to EMS in Ukraine from 2002 to 2024.

methodsA systematic literature search was conducted on January 26, 2025, on PubMed, Scopus, and Web of Science, following the PRISMA-ScR guidelines. The review included peer-reviewed studies, commentaries, case studies, reports, and policy documents focusing on EMS in Ukraine. Data extraction and analysis were performed using Microsoft Excel (Version 2501) and Jupyter Notebook(running on Jupyter Server 2.15.0) with visualization using Sankey plots and heatmaps.

resultsOf the 1,010 initially identified articles, 62 met the inclusion criteria. Research topics have evolved significantly, with Disease-Specific Care in conflict emerging as an extensively studied area (n = 8) post-2022. Quality of Care (n = 12) and Hospital Care (n = 7) were prominent focus areas. Profound impact on EMS research activity was noted in the 2022 invasion in comparison to the 2014 conflict, causing widespread service disruptions (n = 15) and a positive impact on the evolution of EMS training (n = 11). Key research gaps included lack of data, standardized protocols, and resource limitations within the emergency management system.

conclusionsThis review highlights the evolving field of EMS research in Ukraine, emphasizing the growing focus on specialized care in conflict environments. The findings underscore both the resilience of Ukraine's EMS system and the need to establish standardized data collection systems, develop cost-effective resource management strategies, improve coordination among key stakeholders, and explore innovative technologies to enhance EMS operations in crisis situations.

Indexed as

ConflictEmergency Medical Services (EMS)HealthcareKnowledge gapsResearch trendsUkraine

Identifiers

PMID41057864
PMCPMC12505633

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.