2023-09-28 14:46:10 +00:00
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abstract: 'Purpose of reviewThe burden of critical illness in low-income and
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middle-income countries (LMICs) is substantial. A better understanding
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of critical care outcomes is essential for improving critical care
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delivery in resource-limited settings. In this review, we provide an
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overview of recent literature reporting on critical care outcomes in
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LMICs. We discuss several barriers and potential solutions for a better
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understanding of critical care outcomes in LMICs.Recent
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findingsEpidemiologic studies show higher in-hospital mortality rates
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for critically ill patients in LMICs as compared with patients in
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high-income countries (HICs). Recent findings suggest that critical care
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interventions that are effective in HICs may not be effective and may
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even be harmful in LMICs. Little data on long-term and morbidity
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outcomes exist. Better outcomes measurement is beginning to emerge in
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LMICs through decision support tools that report process outcome
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measures, studies employing mobile health technologies with community
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health workers and the development of context-specific severity of
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illness scores.SummaryOutcomes from HICs cannot be reliably extrapolated
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to LMICs, so it is important to study outcomes for critically ill
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patients in LMICs. Specific challenges to achieving meaningful outcomes
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studies in LMICs include defining the critically ill population when few
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ICU beds exist, the resource-intensiveness of long-term follow-up, and
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the need for reliable severity of illness scores to interpret outcomes.
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Although much work remains to be done, examples of studies overcoming
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these challenges are beginning to emerge.'
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affiliation: 'Vukoja, M (Corresponding Author), Inst Pulm Dis Vojvodina, Put Dr Goldmana
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4, Sremska Kamenica 21204, Serbia.
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Vukoja, Marija, Inst Pulm Dis Vojvodina, Put Dr Goldmana 4, Sremska Kamenica 21204,
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Serbia.
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Vukoja, Marija, Univ Novi Sad, Fac Med, Novi Sad, Serbia.
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Riviello, Elisabeth D., Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Pulm
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Crit Care \& Sleep Med, Boston, MA USA.
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Schultz, Marcus J., Mahidol Univ, Mahidol Oxford Trop Med Res Unit MORU, Bangkok,
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Thailand.
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Schultz, Marcus J., Acad Med Ctr, Dept Intens Care, Amsterdam, Netherlands.
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Schultz, Marcus J., Acad Med Ctr, LEICA, Amsterdam, Netherlands.'
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author: Vukoja, Marija and Riviello, Elisabeth D. and Schultz, Marcus J.
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author-email: kojicic.marija@gmail.com
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author_list:
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- family: Vukoja
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given: Marija
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- family: Riviello
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given: Elisabeth D.
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- family: Schultz
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given: Marcus J.
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da: '2023-09-28'
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doi: 10.1097/MCC.0000000000000528
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eissn: 1531-7072
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files: []
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issn: 1070-5295
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journal: CURRENT OPINION IN CRITICAL CARE
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keywords: 'clinical trials; critical care; intensive care; low-income and
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middle-income countries; outcomes; resource-limited settings'
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keywords-plus: 'RESPIRATORY-DISTRESS-SYNDROME; LOW-INCOME COUNTRIES; LOW-MIDDLE-INCOME;
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INTENSIVE-CARE; ANTIMICROBIAL RESISTANCE; SEPSIS; MORTALITY; UNITS;
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MULTICENTER; AFRICA'
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language: English
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month: OCT
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number: '5'
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number-of-cited-references: '55'
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orcid-numbers: 'Schultz, Marcus/0000-0003-3969-7792
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Vukoja, Marija/0000-0001-9560-3653
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Riviello, Elisabeth/0000-0002-9443-3928'
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pages: 421-427
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papis_id: eade8e395948472ac3b1203ac1eb5b20
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ref: Vukoja2018criticalcare
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researcherid-numbers: 'Schultz, Marcus/AAB-6379-2021
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Vukoja, Marija/AAA-5850-2020
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'
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tags:
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- review
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times-cited: '27'
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title: Critical care outcomes in resource-limited settings
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000456316000015
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usage-count-last-180-days: '1'
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usage-count-since-2013: '4'
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volume: '24'
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web-of-science-categories: Critical Care Medicine
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year: '2018'
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