TCT-851 Providing cost-effective, population based AMI care with the use of Telemedicine

Mehta, Sameer; Botelho, Roberto; Fernández, Francisco; Bojanini, Fredy; Perin, Marco Antônio; Cordoso, Rodolfo; Parra, Daniela; Ferré, Alexandra; Rodriguez, Daniel

doi:10.1016/j.jacc.2016.09.881

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“…In relation to HIV and TB in LMICs, there exists data on cost-effectiveness14; however, emergency care data is sparse. Research on acute myocardial infarctions from Latin America employing telemedicine referral pathways to more well-resourced institutions has been shown to be cost-effective and represents a collaborative methodology that could be used in other LMICs 15. Also previously studied in emergency care research in Uganda is task shifting from more highly trained practitioners to other providers with less training and this has been found to have beneficial clinical impacts 16.…”

Section: Emergency Care Research In Lmics: Challenges and Strategiesmentioning

confidence: 99%

Clinical emergency care research in low-income and middle-income countries: opportunities and challenges

et al. 2019

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Disease processes that frequently require emergency care constitute approximately 50% of the total disease burden in low-income and middle-income countries (LMICs). Many LMICs continue to deal with emergencies caused by communicable disease states such as pneumonia, diarrhoea, malaria and meningitis, while also experiencing a marked increase in non-communicable diseases, such as cardiovascular diseases, diabetes mellitus and trauma. For many of these states, emergency care interventions have been developed through research in high-income countries (HICs) and advances in care have been achieved. However, in LMICs, clinical research, especially interventional trials, in emergency care are rare. Furthermore, there exists minimal research on the emergency management of diseases, which are rarely encountered in HICs but impact the majority of LMIC populations. This paper explores challenges in conducting clinical research in patients with emergency conditions in LMICs, identifies examples of successful clinical research and highlights the system, individual and study design characteristics that made such research possible in LMICs. Derived from the available literature, a focused list of high impact research considerations are put forth.

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Section: Emergency Care Research In Lmics: Challenges and Strategiesmentioning

confidence: 99%

Clinical emergency care research in low-income and middle-income countries: opportunities and challenges

et al. 2019

View full text Add to dashboard Cite

show abstract

TCT-851 Providing cost-effective, population based AMI care with the use of Telemedicine

Cited by 1 publication

References 0 publications

Clinical emergency care research in low-income and middle-income countries: opportunities and challenges

Clinical emergency care research in low-income and middle-income countries: opportunities and challenges

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