What question did this study set out to answer?

To characterize the breadth of critical care interventions, service delivery models, and clinical providers across health care systems in low- and lower-middle-income countries.

November 30, 2023Journal of Global HealthOpen Access

Critical care delivery across health care systems in low-income and low-middle-income country settings: A systematic review

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Authors

EBEmily S. Bartlett ALAndrew George Lim SKSean M Kivlehan

Discussion

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Overview

Systematic review reveals that half of critical care in low- and middle-income countries occurs outside intensive care units, highlighting widespread reliance on general wards and nonspecialists.

Key Points

To characterize the breadth of critical care interventions, service delivery models, and clinical providers across health care systems in low- and lower-middle-income countries.
Conducted a systematic review of English-language studies across multiple databases examining critical care interventions or services in low- and lower-middle-income countries published between January 1, 2008, and January 1, 2020 (PROSPERO CRD42019146802).
Included 1620 studies evaluating human subjects across diverse demographic groups, clinical care settings, and health provider cadres.
Critical care delivery took place in-hospital in 94% of studies and out-of-hospital in 6.2%, with 49% of care provided outside of a designated intensive care unit.
Study populations comprised pediatric patients (45%), adults (43%), infants (23%), geriatric patients (8.9%), and maternal patients (4.2%).
Specialist physicians delivered care in 60% of included studies, followed by general physicians (40%), specialist physician trainees (22%), pharmacists (16%), advanced nursing or midlevel practitioners (8.9%), ambulance providers (3.3%), and respiratory therapists (3.1%).

Cite This Study

Bartlett et al. (2023) studied this question.

synapsesocial.com/papers/6a8288f6576c5bd0156cfe01 https://doi.org/10.7189/jogh.13.04141

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November 30, 2023Journal of Global HealthOpen Access

Critical care delivery across health care systems in low-income and low-middle-income country settings: A systematic review

View Full Paper

Ask AI

Bookmark

Authors

EBEmily S. Bartlett ALAndrew George Lim SKSean M Kivlehan

Discussion

Member takes

Overview

Systematic review reveals that half of critical care in low- and middle-income countries occurs outside intensive care units, highlighting widespread reliance on general wards and nonspecialists.

Key Points

To characterize the breadth of critical care interventions, service delivery models, and clinical providers across health care systems in low- and lower-middle-income countries.
Conducted a systematic review of English-language studies across multiple databases examining critical care interventions or services in low- and lower-middle-income countries published between January 1, 2008, and January 1, 2020 (PROSPERO CRD42019146802).
Included 1620 studies evaluating human subjects across diverse demographic groups, clinical care settings, and health provider cadres.
Critical care delivery took place in-hospital in 94% of studies and out-of-hospital in 6.2%, with 49% of care provided outside of a designated intensive care unit.
Study populations comprised pediatric patients (45%), adults (43%), infants (23%), geriatric patients (8.9%), and maternal patients (4.2%).
Specialist physicians delivered care in 60% of included studies, followed by general physicians (40%), specialist physician trainees (22%), pharmacists (16%), advanced nursing or midlevel practitioners (8.9%), ambulance providers (3.3%), and respiratory therapists (3.1%).

Cite This Study

Bartlett et al. (2023) studied this question.

synapsesocial.com/papers/6a8288f6576c5bd0156cfe01 https://doi.org/10.7189/jogh.13.04141

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