Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review
Introduction Critical care in low-income and low-middle income countries (LLMICs) is an underdeveloped component of the healthcare system. Given the increasing growth in demand for critical care services in LLMICs, understanding the current capacity to provide critical care is imperative to inform p...
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BMJ Publishing Group
2021-08-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/8/e048423.full |
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| author | Srinivas Murthy Teri Reynolds Richard Lowsby Neill KJ Adhikari Andrew George Lim Lia Ilona Losonczy Michael S Jaung Sojung Yi Sean Kivlehan Enrico Dippenaar Marc Li Chuan L C Yang P Andrew Stephens Nicole Benzoni Nana Sefa Emily Suzanne Bartlett Brandon Alexander Chaffay Naeha Haridasa Bernadett Pua Velasco Caitlin A Contag Amir Lotfy Rashed Patrick McCarville Paul D Sonenthal Nebiyu Shukur Abdelouahab Bellou Carl Mickman Adhiti Ghatak-Roy Allison Ferreira |
| author_facet | Srinivas Murthy Teri Reynolds Richard Lowsby Neill KJ Adhikari Andrew George Lim Lia Ilona Losonczy Michael S Jaung Sojung Yi Sean Kivlehan Enrico Dippenaar Marc Li Chuan L C Yang P Andrew Stephens Nicole Benzoni Nana Sefa Emily Suzanne Bartlett Brandon Alexander Chaffay Naeha Haridasa Bernadett Pua Velasco Caitlin A Contag Amir Lotfy Rashed Patrick McCarville Paul D Sonenthal Nebiyu Shukur Abdelouahab Bellou Carl Mickman Adhiti Ghatak-Roy Allison Ferreira |
| author_sort | Srinivas Murthy |
| collection | DOAJ |
| description | Introduction Critical care in low-income and low-middle income countries (LLMICs) is an underdeveloped component of the healthcare system. Given the increasing growth in demand for critical care services in LLMICs, understanding the current capacity to provide critical care is imperative to inform policy on service expansion. Thus, our aim is to describe the provision of critical care in LLMICs with respect to patients, providers, location of care and services and interventions delivered.Methods and analysis We will search PubMed/MEDLINE, Web of Science and EMBASE for full-text original research articles available in English describing critical care services that specify the location of service delivery and describe patients and interventions. We will restrict our review to populations from LLMICs (using 2016 World Bank classifications) and published from 1 January 2008 to 1 January 2020. Two-reviewer agreement will be required for both title/abstract and full text review stages, and rate of agreement will be calculated for each stage. We will extract data regarding the location of critical care service delivery, the training of the healthcare professionals providing services, and the illnesses treated according to classification by the WHO Universal Health Coverage Compendium.Ethics and dissemination Reviewed and exempted by the Stanford University Office for Human Subjects Research and IRB on 20 May 2020. The results of this review will be disseminated through scholarly publication and presentation at regional and international conferences. This review is designed to inform broader WHO, International Federation for Emergency Medicine and partner efforts to strengthen critical care globally.PROSPERO registration number CRD42019146802. |
| format | Article |
| id | doaj-art-6fc3fe0b1bcf4f57af4dbb622c62cb1a |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-6fc3fe0b1bcf4f57af4dbb622c62cb1a2024-12-09T06:25:12ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2020-048423Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic reviewSrinivas Murthy0Teri Reynolds1Richard Lowsby2Neill KJ Adhikari3Andrew George Lim4Lia Ilona Losonczy5Michael S Jaung6Sojung Yi7Sean Kivlehan8Enrico Dippenaar9Marc Li Chuan L C Yang10P Andrew Stephens11Nicole Benzoni12Nana Sefa13Emily Suzanne Bartlett14Brandon Alexander Chaffay15Naeha Haridasa16Bernadett Pua Velasco17Caitlin A Contag18Amir Lotfy Rashed19Patrick McCarville20Paul D Sonenthal21Nebiyu Shukur22Abdelouahab Bellou23Carl Mickman24Adhiti Ghatak-Roy25Allison Ferreira26Faculty of Medicine, BC Children’s Hospital, University of British Columbia, Vancouver, British Columbia, CanadaIntegrated Health Services, World Health Organization, Geneva, SwitzerlandDepartment of Critical Care Medicine, Department of Emergency Medicine, Mid Cheshire Hospitals NHS Foundation Trust, Cheshire, Cheshire, UKInterdepartmental Division of Critical Care Medicine and Institute of Health Policy, Managament, and Evaluation, University of Toronto, Toronto, Ontario, CanadaSection of Critical Care Medicine, Virginia Mason Medical Center, Seattle, Washington, USADepartment of Emergency Medicine, Department of Anaesthesia & Critical Care Medicine, The George Washington University Medical Center, Washington, District of Columbia, USADepartment of Emergency Medicine, Baylor College of Medicine, Houston, Texas, USADepartment of Emergency Medicine, University of California San Francisco, San Francisco, California, USADepartment of Emergency Medicine, Brigham and Women`s Hospital, Boston, Massachusetts, USAEmergency Medicine Research Group, Anglia Ruskin University, Chelmsford, Essex, UKAccident and Emergency Medicine, The Chinese University of Hong Kong Faculty of Medicine, Hong Kong, Hong KongDepartment of Emergency Medicine, Intensive Care & Resuscitation, Cleveland Clinic Foundation, Cleveland, Ohio, USADivision of Pulmonary & Critical Care Medicine, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USADepartment of Emergency Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USADepartment of Emergency Medicine, University of Washington, Seattle, Washington, USADepartment of Emergency Medicine, The George Washington University Hospital, Washington, District of Columbia, USAThe George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USADepartment of Emergency Medicine, East Avenue Medical Center, Quezon City, National Capital Region, PhilippinesDepartment of Medicine, Stanford University, Palo Alto, California, USADepartment of Emergency Medicine, Jacobi Medical Center, Bronx, New York, USADepartment of Emergency Medicine, The George Washington University Hospital, Washington, District of Columbia, USADivision of Pulmonary & Critical Care Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USADepartment of Emergency Medicine, The George Washington University Hospital, Washington, District of Columbia, USADepartment of Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USADepartment of Emergency Medicine, Mount Sinai Hospital, New York, New York, USAEmergency Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USADepartment of Emergency Medicine, University of California Los Angeles, Los Angeles, California, USAIntroduction Critical care in low-income and low-middle income countries (LLMICs) is an underdeveloped component of the healthcare system. Given the increasing growth in demand for critical care services in LLMICs, understanding the current capacity to provide critical care is imperative to inform policy on service expansion. Thus, our aim is to describe the provision of critical care in LLMICs with respect to patients, providers, location of care and services and interventions delivered.Methods and analysis We will search PubMed/MEDLINE, Web of Science and EMBASE for full-text original research articles available in English describing critical care services that specify the location of service delivery and describe patients and interventions. We will restrict our review to populations from LLMICs (using 2016 World Bank classifications) and published from 1 January 2008 to 1 January 2020. Two-reviewer agreement will be required for both title/abstract and full text review stages, and rate of agreement will be calculated for each stage. We will extract data regarding the location of critical care service delivery, the training of the healthcare professionals providing services, and the illnesses treated according to classification by the WHO Universal Health Coverage Compendium.Ethics and dissemination Reviewed and exempted by the Stanford University Office for Human Subjects Research and IRB on 20 May 2020. The results of this review will be disseminated through scholarly publication and presentation at regional and international conferences. This review is designed to inform broader WHO, International Federation for Emergency Medicine and partner efforts to strengthen critical care globally.PROSPERO registration number CRD42019146802.https://bmjopen.bmj.com/content/11/8/e048423.full |
| spellingShingle | Srinivas Murthy Teri Reynolds Richard Lowsby Neill KJ Adhikari Andrew George Lim Lia Ilona Losonczy Michael S Jaung Sojung Yi Sean Kivlehan Enrico Dippenaar Marc Li Chuan L C Yang P Andrew Stephens Nicole Benzoni Nana Sefa Emily Suzanne Bartlett Brandon Alexander Chaffay Naeha Haridasa Bernadett Pua Velasco Caitlin A Contag Amir Lotfy Rashed Patrick McCarville Paul D Sonenthal Nebiyu Shukur Abdelouahab Bellou Carl Mickman Adhiti Ghatak-Roy Allison Ferreira Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review BMJ Open |
| title | Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review |
| title_full | Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review |
| title_fullStr | Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review |
| title_full_unstemmed | Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review |
| title_short | Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review |
| title_sort | critical care service delivery across healthcare systems in low income and low middle income countries protocol for a systematic review |
| url | https://bmjopen.bmj.com/content/11/8/e048423.full |
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