World Resources in Critical Care Study: a survey of critical care research and resources in eight countries

Wunsch, Hannah; Harrison, David A; Collange, Olivier; Keizer, Nicolet de; Fowler, Robert; Hoste, Eric A. J.; Kersten, Alexander; Linde-Zwirble, WT; Sandiumenge, Alberto; Angus, Derek C.; Rowan, Kathy

doi:10.1186/cc5666

Cited by 5 publications

(2 citation statements)

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“…13 However, critical care continues to be under-resourced in the UK compared with other developed countries. 14 Given the general financial pressures on the NHS in the next few years, 15 we need to take advantage of every opportunity to make best use of existing resources. Daily interruption of sedation has been shown to reduce patient length of stay, 16 and the effective management of sedation has been endorsed by the NHS Modernisation Agency as part of a care bundle to improve efficiency.…”

Section: Analgesia-based Sedationmentioning

confidence: 99%

Sedation Management in the ICU: Are We at a Crossroads?

Waldmann

2010

Journal of the Intensive Care Society

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Section: Analgesia-based Sedationmentioning

confidence: 99%

Sedation Management in the ICU: Are We at a Crossroads?

Waldmann

2010

Journal of the Intensive Care Society

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“…Although individual countries have previously published data on the resources [ 3 , 4 ], no large international study has compared resources among the different parts of the world. In addition, much of the CC evidence base has come from resource-rich countries [ 5 ]; research from low- and middle-income countries (LMICs) represents only a small fraction of CC research performed around the planet [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

A survey on the resources and practices in pediatric critical care of resource-rich and resource-limited countries

et al. 2015

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BackgroundContemporary critical care research necessitates involvement of multiple centers, preferably from many countries. Adult and pediatric research networks have produced outstanding data; however, their involvement is restricted to a small percentage of the industrialized nations. Implementation of their findings in low- and middle-income countries (LMICs) is fraught with challenges.MethodsWe conducted an online international survey to assess and compare disease burden and resources to participate in multicenter research studies through a listserv of the World Federation of Pediatric Intensive and Critical Care Societies. Respondents were grouped into high-income countries and LMICs on the basis of World Bank classification.ResultsSurvey was completed by 73 centers in 34 countries (34 from high-income countries and 39 from LMICs). Compared with high-income countries, the pediatric intensive care units in LMICs were characterized by a lower number of critical care specialists, more difficult access to hemodialysis, and a lower number of elective postoperative patients, but a similar overall disease burden. Training and resources for research were comparable in the two cohorts.ConclusionsAlthough differences exist in access to both trained providers and equipment, the survey results were more striking in their similarity. It is essential that centers from LMICs be included in multinational studies, to generate results applicable to all children worldwide.

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