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Consensus statement on standards for neurocritical care units in low-income and middle-income countries (LMICs)

Journal of Critical Care · Şubat 2026

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Consensus statement on standards for neurocritical care units in low-income and middle-income countries (LMICs)
Journal of Critical Care · 2025 SCI-Expanded
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Makale Bilgileri

DergiJournal of Critical Care
Yayın TarihiŞubat 2026
Cilt / Sayfa91
Özet The disease burden of severe neurological and neurosurgical illnesses in low-income and middle-income countries (LMICs) is high. Management of these patients by a dedicated neurocritical care team can improve outcome. Globally, there is significant variation in organization, structure, and outcome of patients with neurocritical illnesses. This consensus statement aims to contextualize the standards for neurological critical care units (NCCUs) in LMICs. Recommendations were made about organization and infrastructure, personnel, logistics, training, education, and process for developing neurocritical care program appropriate for LMICs. Methods: The steering committee for the consensus statement was formed under the leadership of Society of Neurocritical Care (SNCC), India. With permission from Neurocritical Care Society (NCS) and the NCS guidelines committee, the previously published standards for NCCUs by NCS was used for a web-based survey. The Delphi method was used to gather consensus. A total of 28 experts from 21 nations, all from LMICs, participated in the Delphi. Responses were formally collated, reviewed, and incorporated into the final document. For Level 1 NCCUs, we found that LMIC experts have recommended few parameters that were considered optional by NCS. However, for Level 2 and 3 ICUs, many recommendations from NCS were suggested to be considered as optional by LMIC experts. We have made attempts to explain the variation in recommendations. The recommendations should be tested for feasibility at the local settings before implementing them.

Yazarlar (30)

1
Gentle S. Shrestha
2
Hemanshu Prabhakar
ORCID: 0000-0001-7830-3296
3
Charu Mahajan
4
Indu Kapoor
5
Sarah L. Livesay
6
Venkatkrishna Rajajee
7
Kapil Zirpe
8
Walter Videtta
9
Susmita Hossain
10
Gisele Sampaio Silva
11
Andres M. Rubiano
12
Mohamed Samy Abdel Raheem
13
Yanet Pina
14
Jaya Wanchoo
15
Urvi Shukla
16
Swagata Tripathy
17
Vasudha Singhal
18
Ruth Evlin Margaretha
19
Samuel Ern Hung Tsan
20
Fasika Yimer
21
Ritesh Lamsal
22
Halima M. Salisu-Kabara
23
Juan Luis Pinedo
24
Jo Ann R. Soliven
25
Konstantin Popugaev
26
Llewellyn C. Padayachy
27
Puvanendiran Shanmugam
28
Tanuwong Viarasilpa
29
Oguzhan Arun
ORCID: 0000-0001-6101-1481
30
Tuan Van Bui

Anahtar Kelimeler

Low-income countries Middle-income countries Neurocritical care Quality indicator Resource limited settings Standards

Kurumlar

All India Institute of Medical Sciences, Bhubaneswar
Bhubaneswar India
All India Institute of Medical Sciences, New Delhi
New Delhi India
Aminu Kano Teaching Hospital
Kano Nigeria
Baiturrahmah University
Padang Indonesia
Cho Ray Hospital
Ho Chi Minh City Viet Nam
Clinicas AUNA
Chiclayo Peru
College of Nursing
Chicago United States
Faculty of Medicine
Asyut Egypt
Greater Accra Regional Hospital
Accra Ghana
Hospital Nacional Professor Dr. Alejandro Posadas
Buenos Aires Argentina
Medanta - The Medicity
Gurugram India
Monash University
Melbourne Australia
National Medical Research Centre of Paediatrics
Moscow Russian Federation
Ruby Hall Clinic
Pune India
Selçuk Tip Fakültesi
Konya Turkey
Siriraj Hospital
Bangkok Thailand
Steve Biko Academic Hospital
Pretoria South Africa
Symbiosis International (Deemed University)
Pune India
The Medical City – Ortigas
Paaig City Philippines
The National Hospital Kandy
Kandy Sri Lanka
Tribhuvan University Teaching Hospital
Kathmandu Nepal
United Hospital Limited
Dhaka Bangladesh
Universidade Federal de São Paulo
Sao Paulo Brazil
Universidad El Bosque
Bogota Colombia
Universiti Malaysia Sarawak
Kota Samarahan Malaysia
University of Michigan, Ann Arbor
Ann Arbor United States
University of Namibia
Windhoek Namibia