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The Burden of Critical Illness in Hospitalized Children in Low- and Middle-Income Countries: Protocol for a Systematic Review and Meta-Analysis
- Source :
- Frontiers in pediatrics. 10
- Publication Year :
- 2021
-
Abstract
- BackgroundThe 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.ObjectiveTo 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 StrategyWe 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 SelectionWe will include observational studies published since January 1, 2005, that meet all eligibility criteria and for which a full text can be located.Data ExtractionData extraction will include information related to study characteristics, hospital characteristics, underlying population characteristics, patient population characteristics, and outcomes.Data SynthesisWe 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.ConclusionsBy 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.
- Subjects :
- Pediatric
Other Medical and Health Sciences
pediatrics—children
global health
pediatrics-children
Paediatrics and Reproductive Medicine
Good Health and Well Being
Clinical Research
resource limited setting
Pediatrics, Perinatology and Child Health
child health
critical illness
low- and middle-income countries
hospitalization
Subjects
Details
- ISSN :
- 22962360
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Frontiers in pediatrics
- Accession number :
- edsair.doi.dedup.....fc279b29de94c00311bde96b311c5ff3