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首页> 外文期刊>BMC International Health and Human Rights >Critical care resources in the Solomon Islands: a cross-sectional survey
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Critical care resources in the Solomon Islands: a cross-sectional survey

机译：所罗门群岛的重症监护资源：横断面调查

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Background There are minimal data available on critical care case-mix, care processes and outcomes in lower and middle income countries (LMICs). The objectives of this paper were to gather data in the Solomon Islands in order to gain a better understanding of common presentations of critical illness, available hospital resources, and what resources would be helpful in improving the care of these patients in the future. Methods This study used a mixed methods approach, including a cross sectional survey of respondents' opinions regarding critical care needs, ethnographic information and qualitative data. Results The four most common conditions leading to critical illness in the Solomon Islands are malaria, diseases of the respiratory system including pneumonia and influenza, diabetes mellitus and tuberculosis. Complications of surgery and trauma less frequently result in critical illness. Respondents emphasised the need for basic critical care resources in LMICs, including equipment such as oximeters and oxygen concentrators; greater access to medications and blood products; laboratory services; staff education; and the need for at least one national critical care facility. Conclusions A large degree of critical illness in LMICs is likely due to inadequate resources for primary prevention and healthcare; however, for patients who fall through the net of prevention, there may be simple therapies and context-appropriate resources to mitigate the high burden of morbidity and mortality. Emphasis should be on the development and acquisition of simple and inexpensive tools rather than complicated equipment, to prevent critical care from unduly diverting resources away from other important parts of the health system.
机译：背景信息在中低收入国家（LMIC）中，有关重症监护病例组合，护理流程和结果的可用数据很少。本文的目的是收集所罗门群岛的数据，以便更好地了解重大疾病的常见表现，可用的医院资源以及哪些资源将在将来改善这些患者的护理。方法：本研究采用混合方法，包括对受访者关于重症监护需求，人种学信息和定性数据的意见进行横断面调查。结果所罗门群岛导致严重疾病的四种最常见状况是疟疾，包括肺炎和流感的呼吸系统疾病，糖尿病和结核病。手术和外伤的并发症较少导致严重疾病。受访者强调中低收入国家需要基本的重症监护资源，包括血氧仪和氧气浓缩器等设备;更多地获得药品和血液制品;实验室服务;员工教育;以及至少需要一个国家重症监护设施。结论中低收入国家的严重危重病很可能是由于一级预防和保健资源不足所致。但是，对于无法预防的患者，可以采用简单的疗法和适合特定情况的资源来减轻高发病率和死亡率的负担。重点应放在开发和获取简单而廉价的工具上，而不是复杂的设备上，以防止重症监护过度地将资源从卫生系统的其他重要部分转移出去。

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