abstract: 'Purpose of reviewThe burden of critical illness in low-income and

  middle-income countries (LMICs) is substantial. A better understanding

  of critical care outcomes is essential for improving critical care

  delivery in resource-limited settings. In this review, we provide an

  overview of recent literature reporting on critical care outcomes in

  LMICs. We discuss several barriers and potential solutions for a better

  understanding of critical care outcomes in LMICs.Recent

  findingsEpidemiologic studies show higher in-hospital mortality rates

  for critically ill patients in LMICs as compared with patients in

  high-income countries (HICs). Recent findings suggest that critical care

  interventions that are effective in HICs may not be effective and may

  even be harmful in LMICs. Little data on long-term and morbidity

  outcomes exist. Better outcomes measurement is beginning to emerge in

  LMICs through decision support tools that report process outcome

  measures, studies employing mobile health technologies with community

  health workers and the development of context-specific severity of

  illness scores.SummaryOutcomes from HICs cannot be reliably extrapolated

  to LMICs, so it is important to study outcomes for critically ill

  patients in LMICs. Specific challenges to achieving meaningful outcomes

  studies in LMICs include defining the critically ill population when few

  ICU beds exist, the resource-intensiveness of long-term follow-up, and

  the need for reliable severity of illness scores to interpret outcomes.

  Although much work remains to be done, examples of studies overcoming

  these challenges are beginning to emerge.'
affiliation: 'Vukoja, M (Corresponding Author), Inst Pulm Dis Vojvodina, Put Dr Goldmana
  4, Sremska Kamenica 21204, Serbia.

  Vukoja, Marija, Inst Pulm Dis Vojvodina, Put Dr Goldmana 4, Sremska Kamenica 21204,
  Serbia.

  Vukoja, Marija, Univ Novi Sad, Fac Med, Novi Sad, Serbia.

  Riviello, Elisabeth D., Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Pulm
  Crit Care \& Sleep Med, Boston, MA USA.

  Schultz, Marcus J., Mahidol Univ, Mahidol Oxford Trop Med Res Unit MORU, Bangkok,
  Thailand.

  Schultz, Marcus J., Acad Med Ctr, Dept Intens Care, Amsterdam, Netherlands.

  Schultz, Marcus J., Acad Med Ctr, LEICA, Amsterdam, Netherlands.'
author: Vukoja, Marija and Riviello, Elisabeth D. and Schultz, Marcus J.
author-email: kojicic.marija@gmail.com
author_list:
- family: Vukoja
  given: Marija
- family: Riviello
  given: Elisabeth D.
- family: Schultz
  given: Marcus J.
da: '2023-09-28'
doi: 10.1097/MCC.0000000000000528
eissn: 1531-7072
files: []
issn: 1070-5295
journal: CURRENT OPINION IN CRITICAL CARE
keywords: 'clinical trials; critical care; intensive care; low-income and

  middle-income countries; outcomes; resource-limited settings'
keywords-plus: 'RESPIRATORY-DISTRESS-SYNDROME; LOW-INCOME COUNTRIES; LOW-MIDDLE-INCOME;

  INTENSIVE-CARE; ANTIMICROBIAL RESISTANCE; SEPSIS; MORTALITY; UNITS;

  MULTICENTER; AFRICA'
language: English
month: OCT
number: '5'
number-of-cited-references: '55'
orcid-numbers: 'Schultz, Marcus/0000-0003-3969-7792

  Vukoja, Marija/0000-0001-9560-3653

  Riviello, Elisabeth/0000-0002-9443-3928'
pages: 421-427
papis_id: eade8e395948472ac3b1203ac1eb5b20
ref: Vukoja2018criticalcare
researcherid-numbers: 'Schultz, Marcus/AAB-6379-2021

  Vukoja, Marija/AAA-5850-2020

  '
tags:
- review
times-cited: '27'
title: Critical care outcomes in resource-limited settings
type: Review
unique-id: WOS:000456316000015
usage-count-last-180-days: '1'
usage-count-since-2013: '4'
volume: '24'
web-of-science-categories: Critical Care Medicine
year: '2018'