Intensive care unit capacity in low-income countries: a systematic review.
Intensive care unit capacity in low-income countries: a systematic review.
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DOI：
10.1371/journal.pone.0116949
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Adhikari NK
中科院分区：
文献类型：
--
作者：
Murthy S;Leligdowicz A;Adhikari NK
获得重症监护是医疗保健系统的重要组成部分。在低收入国家，危重疾病的负担很大，但重症监护病房（ICU）为危重患者提供护理的能力尚不清楚。我们的目的是系统地回顾已发表的文献，以估计低收入国家当前 ICU 的容量。我们检索了 11 个数据库，纳入了 2004 年至 2014 年 8 月发表的任何设计的研究，其中包含 36 个低收入国家（根据世界银行标准定义；人口 8.5 亿）的 ICU 儿童和成人患者容量数据。新生儿、临时和军事 ICU 被排除在外。我们提取了有关 ICU 床位数量、机械通气容量以及医院信息的数据，包括转诊人群规模、公众可及性和资金来源。分析是描述性的。在 1,759 篇引用中，来自 15 个低收入国家的 43 项研究符合纳入标准。他们描述了 31 个城市的 36 个 ICU，其中 16 个城市人口超过 50 万，14 个是省会城市。年 ICU 入院率中位数为 401 人（IQR 234-711；24 个 ICU 有数据），ICU 规模中位数为 8 个床位（IQR 5-10；32 个 ICU 有数据）。成人和儿童 ICU 床位与医院床位的平均比例为 1.5%（SD 0.9%；15 家医院有数据）。尼泊尔和乌干达是唯一拥有国家 ICU 床位数据的国家，每百万人口分别拥有 16.7 张和 1.0 张 ICU 床位。无法获得其他国家的国家数据。低收入国家缺乏 ICU 床位，其中超过 50% 的国家缺乏有关 ICU 容量的公开数据。低收入国家的大多数 ICU 位于城市的大型转诊医院。需要一个 ICU 资源的中央数据库来评估国家内部和国家之间卫生系统的绩效，并可能有助于制定相关的卫生政策。
Access to critical care is a crucial component of healthcare systems. In low-income countries, the burden of critical illness is substantial, but the capacity to provide care for critically ill patients in intensive care units (ICUs) is unknown. Our aim was to systematically review the published literature to estimate the current ICU capacity in low-income countries. We searched 11 databases and included studies of any design, published 2004-August 2014, with data on ICU capacity for pediatric and adult patients in 36 low-income countries (as defined by World Bank criteria; population 850 million). Neonatal, temporary, and military ICUs were excluded. We extracted data on ICU bed numbers, capacity for mechanical ventilation, and information about the hospital, including referral population size, public accessibility, and the source of funding. Analyses were descriptive. Of 1,759 citations, 43 studies from 15 low-income countries met inclusion criteria. They described 36 individual ICUs in 31 cities, of which 16 had population greater than 500,000, and 14 were capital cities. The median annual ICU admission rate was 401 (IQR 234-711; 24 ICUs with data) and median ICU size was 8 beds (IQR 5-10; 32 ICUs with data). The mean ratio of adult and pediatric ICU beds to hospital beds was 1.5% (SD 0.9%; 15 hospitals with data). Nepal and Uganda, the only countries with national ICU bed data, had 16.7 and 1.0 ICU beds per million population, respectively. National data from other countries were not available. Low-income countries lack ICU beds, and more than 50% of these countries lack any published data on ICU capacity. Most ICUs in low-income countries are located in large referral hospitals in cities. A central database of ICU resources is required to evaluate health system performance, both within and between countries, and may help to develop related health policy.
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影响因子：
--
作者：
Bissonnette L;Bergeron MG
通讯作者：
Bergeron MG
DOI：
10.1056/nejmoa1411100
发表时间：
2014-10-16
期刊：
The New England journal of medicine
影响因子：
--
作者：
WHO Ebola Response Team;Aylward B;Barboza P;Bawo L;Bertherat E;Bilivogui P;Blake I;Brennan R;Briand S;Chakauya JM;Chitala K;Conteh RM;Cori A;Croisier A;Dangou JM;Diallo B;Donnelly CA;Dye C;Eckmanns T;Ferguson NM;Formenty P;Fuhrer C;Fukuda K;Garske T;Gasasira A;Gbanyan S;Graaff P;Heleze E;Jambai A;Jombart T;Kasolo F;Kadiobo AM;Keita S;Kertesz D;Koné M;Lane C;Markoff J;Massaquoi M;Mills H;Mulba JM;Musa E;Myhre J;Nasidi A;Nilles E;Nouvellet P;Nshimirimana D;Nuttall I;Nyenswah T;Olu O;Pendergast S;Perea W;Polonsky J;Riley S;Ronveaux O;Sakoba K;Santhana Gopala Krishnan R;Senga M;Shuaib F;Van Kerkhove MD;Vaz R;Wijekoon Kannangarage N;Yoti Z
通讯作者：
Yoti Z
影响因子：
2.8
作者：
Baker T;Lugazia E;Eriksen J;Mwafongo V;Irestedt L;Konrad D
通讯作者：
Konrad D
影响因子：
38.9
作者：
Austin, Shamly;Murthy, Srinivas;Wunsch, Hannah;Adhikari, Neill K. J.;Karir, Veena;Rowan, Kathryn;Jacob, Shevin T.;Salluh, Jorge;Bozza, Fernando A.;Du, Bin;An, Youzhong;Lee, Bruce;Wu, Felicia;Yen-Lan Nguyen;Oppong, Chris;Venkataraman, Ramesh;Velayutham, Vimalraj;Duenas, Carmelo;Angus, Derek C.
通讯作者：
Angus, Derek C.
影响因子：
168.9
作者：
Lozano, Rafael;Naghavi, Mohsen;Murray, Christopher J. L.
通讯作者：
Murray, Christopher J. L.