Development of Intensive Care in Low-Resource Regions
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Purpose of review
Since their introduction almost a century ago, intensive care units have become an essential part of the health care system. Although the majority are found in the high-income countries, access to intensive care in the low-income countries has improved. The purpose of this review is to report on the current state of intensive care in resource-limited settings.
Lack of basic health care resources still poses a specific challenge to the development and sustainability of health care. In addition, adequate funding, human resource training, and equipment specific to the specialty of critical care pose an even larger setback to the development of critical care in low-resource-limited settings.
Deaths potentially preventable with access to critical care as presented by data from the global disease burden analysis in 2004 are approximately 70% of all recorded deaths in low-income countries. This reflects the large burden of critical illness in low-income countries. Efforts to increase access to hospitals and intensive care for all critically ill patients should grow to match these needs.
KeywordsIntensive care in low resource Low-resource ICU capacity ICU bed capacity Cost of intensive care
Compliance with Ethical Standards
Conflict of Interest
Janat Tumukunde, Cornelius Sendagire, and Stephen Senyonjo Ttendo declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 8.• Slusher TM, et al. Pediatric critical care in resource-limited settings—overview and lessons learned. Front Pediatr. 2018;6(49) States the needs of setting up a PICU. Google Scholar
- 17.•• Cubro H, et al. Cost effectiveness of intensive care in a low resource setting: a prospective cohort of medical critically ill patients. World J Crit Care Med. 2016;5(2):150–64 Identifies the fact that intensive care costs as much as primary health care and need not considered too expensive. CrossRefGoogle Scholar
- 21.•• Haniffa R, et al. Improving ICU services in resource-limited settings: perceptions of ICU workers from low-middle-, and high-income countries. J Crit Care. 2018;44:352–6 Practitioners from resource-limited settings clearly state what their needs and thoughts are regarding intensive care. CrossRefGoogle Scholar