TY - JOUR
T1 - A survey on the resources and practices in pediatric critical care of resource-rich and resource-limited countries
AU - Tripathi, Sandeep
AU - Kaur, Harsheen
AU - Kashyap, Rahul
AU - Dong, Yue
AU - Gajic, Ognjen
AU - Murthy, Srinivas
N1 - Publisher Copyright:
© 2015 Tripathi et al.
PY - 2015/10/9
Y1 - 2015/10/9
N2 - Background: Contemporary 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. Methods: We 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. Results: Survey 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. Conclusions: Although 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.
AB - Background: Contemporary 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. Methods: We 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. Results: Survey 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. Conclusions: Although 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.
KW - International survey
KW - Low- and middle-income countries
KW - Pediatric critical care
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U2 - 10.1186/s40560-015-0106-3
DO - 10.1186/s40560-015-0106-3
M3 - Article
AN - SCOPUS:84997497038
SN - 2052-0492
VL - 3
JO - Journal of Intensive Care
JF - Journal of Intensive Care
IS - 1
M1 - 40
ER -