Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review

Lim, Andrew G. and Kivlehan, Sean and Losonczy, Lia I. and Murthy, Srinivas and Dippenaar, Enrico and Lowsby, Richard and Yang, Marc Li Chuan L. C. and Jaung, Michael S. and Stephens, P. Andrew and Benzoni, Nicole and Sefa, Nana and Bartlett, Emily S. and Chaffay, Brandon A. and Haridasa, Naeha and Velasco, Bernadett P. and Yi, Sojung and Contag, Caitlin A. and Rashed, Amir L. and McCarville, Patrick and Sonenthal, Paul D. and Shukur, Nebiyu and Bellou, Abdelouahab and Mickman, Carl and Ghatak-Roy, Adhiti and Ferreira, Allison and Adhikari, Neill K. J. and Reynolds, Teri (2021) Critical care service delivery across healthcare systems in low-income and low-middle-income countries: protocol for a systematic review. BMJ Open, 11 (8). e048423. ISSN 2044-6055

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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.

Item Type: Journal Article
Faculty: Faculty of Health, Education, Medicine & Social Care
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 02 Sep 2021 08:57
Last Modified: 09 Sep 2021 18:50

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