Language
English
Publication Date
1-1-2022
Journal
Frontiers in Pediatrics
DOI
10.3389/fped.2022.756643
PMID
35372149
PMCID
PMC8970052
PubMedCentral® Posted Date
3-16-2022
PubMedCentral® Full Text Version
Post-print
Abstract
BACKGROUND: The majority of childhood deaths occur in low- and middle-income countries (LMICs). Many of these deaths are avoidable with basic critical care interventions. Quantifying the burden of pediatric critical illness in LMICs is essential for targeting interventions to reduce childhood mortality.
OBJECTIVE: To determine the burden of hospitalization and mortality associated with acute pediatric critical illness in LMICs through a systematic review and meta-analysis of the literature.
DATA SOURCES AND SEARCH STRATEGY: We will identify eligible studies by searching MEDLINE, EMBASE, CINAHL, and LILACS using MeSH terms and keywords. Results will be limited to infants or children (ages >28 days to 12 years) hospitalized in LMICs and publications in English, Spanish, or French. Publications with non-original data (e.g., comments, editorials, letters, notes, conference materials) will be excluded.
STUDY SELECTION: We will include observational studies published since January 1, 2005, that meet all eligibility criteria and for which a full text can be located.
DATA EXTRACTION: Data extraction will include information related to study characteristics, hospital characteristics, underlying population characteristics, patient population characteristics, and outcomes.
DATA SYNTHESIS: We will extract and report data on study, hospital, and patient characteristics; outcomes; and risk of bias. We will report the causes of admission and mortality by region, country income level, and age. We will report or calculate the case fatality rate (CFR) for each diagnosis when data allow.
CONCLUSIONS: By understanding the burden of pediatric critical illness in LMICs, we can advocate for resources and inform resource allocation and investment decisions to improve the management and outcomes of children with acute pediatric critical illness in LMICs.
Keywords
critical illness, resource limited setting, pediatrics—children, child health, global health, hospitalization, low- and middle-income countries (LMIC)
Published Open-Access
yes
Recommended Citation
Kortz, Teresa B; Nielsen, Katie R; Mediratta, Rishi P; et al., "The Burden of Critical Illness in Hospitalized Children in Low- and Middle-Income Countries: Protocol for a Systematic Review and Meta-Analysis" (2022). Faculty and Staff Publications. 3165.
https://digitalcommons.library.tmc.edu/baylor_docs/3165
Included in
Critical Care Commons, Emergency Medicine Commons, Medical Sciences Commons, Pediatrics Commons