Scopus
YÖKSİS Eşleşti
Neurocritical Care Organization in the Low-Income and Middle-Income Countries
Neurocritical Care · Ocak 2025
YÖKSİS Kayıtları
Neurocritical Care Organization in the Low-Income and Middle-Income Countries
Neurocritical Care · 2025 SCI-Expanded
PROFESÖR OĞUZHAN ARUN →
Makale Bilgileri
DergiNeurocritical Care
Yayın TarihiOcak 2025
Scopus ID2-s2.0-85218836233
Özet
Background: This study aimed to assess the organization, infrastructure, workforce, and adherence to protocols in neurocritical care across low- and middle-income countries (LMICs), with the goal of identifying key gaps and opportunities for improvement. Methods: We conducted a cross-sectional survey of 408 health care providers from 42 LMICs. The survey collected data on the presence of dedicated neurointensive care units, workforce composition, access to critical care technologies, and adherence to evidence-based protocols. Data were analyzed using descriptive statistics, and comparisons were made across different geographical regions (East Asia and the Pacific, Europe and Central Asia, Latin America and the Caribbean, the Middle East and North Africa, and South Asia and sub-Saharan Africa) and economic strata [low-income countries (LICs), lower middle-income countries (LoMICs), and upper middle-income countries (UMICs)]. Results: Only 36.8% of respondents reported access to dedicated neurointensive care units: highest in the Middle East (100%), lowest in sub-Saharan Africa (11.5%), highest in LoMICs (42%), and lowest in LICs (13%). Access to critical care technologies, such as portable computed tomography scanners (9.3%; UMICs 11%, LICs 0%) and tele-intensive care unit services (14.9%; UMICs 19%, LICs 10%), was limited. Workforce shortages were evident, with many institutions relying on anesthesia residents for 24-h care. Adherence to protocols, including those for acute ischemic stroke (61.7%) and traumatic brain injury (55.6%), was highest in Latin America and the Caribbean (72% and 73%, respectively) and higher in UMICs (66% and 60%, respectively) but remained low in LICs (22% and 32%, respectively). Conclusions: The study highlights critical gaps in infrastructure, workforce, and technology across LMICs, yet it also underscores the potential for improvement. Strategic investments in neurointensive care unit capacity, workforce development, and affordable technologies are an unmet need in resource-limited settings. These findings offer a road map for policymakers and global health stakeholders to prioritize neurocritical care and reduce the disparities in patient outcomes globally.
Yazarlar (47)
1
Hemanshu Prabhakar
ORCID: 0000-0001-7830-3296
2
Abhijit V. Lele
3
Indu Kapoor
4
Charu Mahajan
5
Gentle S. Shrestha
6
Chethan Venkatasubba Rao
7
Jose I. Suarez
8
Sarah L. Livesay
9
Faraz Shafiq
10
Konstantin Popugaev
11
Dhania Santosa
12
Obaidullah Naby Zada
13
Wanning Yang
14
Hosne Ara Nisha
15
Julio C. Mijangos-Mendez
16
Peter Kaahwa Agaba
17
Juan Luis Pinedo Portilla
18
Yalew Hasen Tuahir
19
Puvanendiran Shanmugam
20
Yanet Pina Arruebarrena
21
Walter Videtta
22
Sebastián Vásquez-García
23
M. Samy Abdel Raheem
24
Fasika Yimer
25
Llewellyn C. Padayachy
26
Luis Silva Naranjo
27
Pedro Arriaga
28
Chann Myei
29
Sarah Shali Matuja
30
Tarig Fadalla
31
Tanuwong Viarasilpa
32
Ganbold Lundeg
33
Halima M. Salisu-Kabara
34
Samuel Ern Hung Tsan
35
Simon P. Gutierrez
36
Leroy P. Yankae
37
Aidos Konkayev
38
Nophanan Chaikittisilpa
39
Gisele Sampaio
40
Tuan Van Bui
41
Geraldine Seina L. Mariano
42
Gisselle Aguilar Sabillon
43
Pablo Blanco
44
Williams Ortiz
45
Angel Jesus Lacerda Gallardo
46
Oguzhan Arun
ORCID: 0000-0001-6101-1481
47
Kalaivani Mani
Anahtar Kelimeler
Intensive care unit
Low-income countries
Middle-income countries
Neurocritical care
Organization
Protocols
Kurumlar
All India Institute of Medical Sciences, New Delhi
New Delhi India
Aminu Kano Teaching Hospital
Kano Nigeria
Assiut University
Asyut Egypt
Astana Medical University
Astana Kazakhstan
Baylor College of Medicine
Houston United States
Beijing Tiantan Hospital, Capital Medical University
Beijing China
Burnazian State Research Centre
Moscow Russian Federation
Catholic University of Health and Allied Sciences
Mwanza Tanzania
Cho Ray Hospital
Ho Chi Minh City Viet Nam
Clínica del Country
Bogota Colombia
Debre Tabor University
Debre Tabor Ethiopia
Defence Services General Hospital
Yangon Myanmar
Dr. Soetomo General Hospital
Surabaya Indonesia
French Medical Institute for Mothers and Children
Kabul Afghanistan
Greater Accra Regional Hospital
Accra Ghana
Harborview Medical Center
Seattle United States
Hospital General Docente Ambato
Ambato Ecuador
Hospital General Docente Roberto Rodríguez
Moron Cuba
Hospital Ingavi
San Lorenzo Paraguay
Hospital Mario Catarino Rivas
San Pedro Sula Honduras
Hospital Materno-Infantil
La Paz Bolivia
Hospital Nacional Almanzor Aguinaga Asenjo, EsSalud
Chiclayo Peru
Hospital Universitario Dr. Luis Razetti
Barcelona Venezuela
Johns Hopkins University School of Medicine
Baltimore United States
Karl Heusner Memorial Hospital
Belize City Belize
Mongolian National University of Medical Sciences
Ulaanbaatar Mongolia
Mulago National Referral Hospital
Kampala Uganda
Posadas Hospital
Buenos Aires Argentina
Rush University
Chicago United States
Selçuk Tip Fakültesi
Konya Turkey
Siriraj Hospital
Bangkok Thailand
Soba University Hospital
Khartoum Sudan
Square Hospitals Ltd
Dhaka Bangladesh
Steve Biko Academic Hospital
Pretoria South Africa
St. Luke's Medical Centre
Quezon City Philippines
Teaching Hospital Peradeniya
Peradeniya Sri Lanka
The Aga Khan University
Karachi Pakistan
Tribhuvan University Teaching Hospital
Kathmandu Nepal
Universidad de Guadalajara
Guadalajara Mexico
Universidade Federal de São Paulo
Sao Paulo Brazil
Universiti Malaysia Sarawak
Kota Samarahan Malaysia
University of Namibia
Windhoek Namibia
University Teaching Hospital Lusaka
Lusaka Zambia