Acute care for the three leading causes of mortality in lower-middle-income countries: A systematic review
| Autor: | Olindi Wijesekera, Cassidy M Dahn, Konrad Karasek, Gabrielle A. Jacquet, Grace E Garcia |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
lower-middle-income countries Psychological intervention Acute care Review Article Disease 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine World health 03 medical and health sciences 0302 clinical medicine Health care medicine cardiovascular diseases 030212 general & internal medicine Stroke Human studies business.industry Middle income countries Public Health Environmental and Occupational Health medicine.disease ischemic heart disease stroke critical care lower respiratory infection Emergency medicine Emergency Medicine business |
| Zdroj: | International Journal of Critical Illness and Injury Science |
| ISSN: | 2229-5151 |
| DOI: | 10.4103/ijciis.ijciis_22_18 |
| Popis: | According to the World Health Organization, the three leading causes of mortality in lower-middle-income countries (LMIC) are ischemic heart disease (IHD), stroke, and lower respiratory infections (LRIs), causing 111.8, 68.8, and 51.5 annual deaths per 100,000, respectively. Due to barriers to healthcare, patients frequently present in critical stages of these diseases. Measured implementations in critical care in LMIC have been published; however, the literature has not been formally reviewed. We performed a systematic review of the literature indexed in PubMed as of October 2017. Abstracts were limited to human studies in English, French, and Spanish, conducted in LMIC, and containing quantitative data on acute care of IHD, stroke, and LRI. The search resulted in 4994 unique abstracts. Through multiple rounds of screening using criteria determined a priori, 161 manuscripts were identified: 38 for IHD, 20 for stroke, 26 for adult LRI, and 78 for pediatric LRI. These studies, predominantly from Asia, demonstrate successful diagnostic and treatment measures used in providing acute care for patients in LMIC. Given that, only four manuscripts originated in Central or South America, original research from these areas is lacking. IHD, stroke, and LRIs are significant causes of mortality, especially in LMIC. Diagnostic and therapeutic interventions for IHD (monitoring, medications, thrombolytics, percutaneous intervention, coronary artery bypass graft), stroke (therapeutic hypothermia, medications, and thrombolytics), and LRI (oxygen saturation measurement, diagnostic ultrasound, administration of oxygen, appropriate antibiotics, and other medications) have been studied in LMIC and published. |
| Databáze: | OpenAIRE |
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