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发展中国家的重症监护:COVID-19 大流行揭示了什么?

Critical care in developing nations: what has the COVID-19 pandemic revealed?

机构信息

Research Department, Imed Group, São Paulo, Brasil.

出版信息

Pan Afr Med J. 2023 Jul 14;45:123. doi: 10.11604/pamj.2023.45.123.40574. eCollection 2023.

DOI:10.11604/pamj.2023.45.123.40574
PMID:37790164
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10543904/
Abstract

The COVID-19 pandemic has altered the lives of millions of individuals, resulting in over 600 million cases and over 6 million fatalities worldwide. In developing nations, mortality rates for intubated patients with viral pneumonia were as high as 80%, compared to 30% in developed countries. This article intends to discuss the causes of this disparity, focusing on the main problems shared by nations with limited resources.

摘要

新冠疫情改变了数百万人的生活,导致了全球超过 6 亿例病例和超过 600 万人死亡。在发展中国家,因病毒性肺炎接受插管治疗的患者死亡率高达 80%,而在发达国家则为 30%。本文旨在讨论造成这种差异的原因,重点讨论资源有限的国家所面临的主要问题。

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本文引用的文献

1
We need to talk about critical care in Brazil.我们需要谈谈巴西的重症监护。
Clinics (Sao Paulo). 2022 Aug 29;77:100096. doi: 10.1016/j.clinsp.2022.100096. eCollection 2022.
2
Characterisation of the first 250,000 hospital admissions for COVID-19 in Brazil: a retrospective analysis of nationwide data.巴西 25 万例 COVID-19 住院患者的特征:全国范围内数据的回顾性分析。
Lancet Respir Med. 2021 Apr;9(4):407-418. doi: 10.1016/S2213-2600(20)30560-9. Epub 2021 Jan 15.
3
Critically Ill Adults With Coronavirus Disease 2019 in New Orleans and Care With an Evidence-Based Protocol.新奥尔良 2019 冠状病毒病危重症成人患者和采用循证方案的治疗
Chest. 2021 Jan;159(1):196-204. doi: 10.1016/j.chest.2020.08.2114. Epub 2020 Sep 14.
4
Contextualizing Critical Care Medicine in the Face of Covid-19 Pandemic.在新冠疫情背景下审视重症医学
JNMA J Nepal Med Assoc. 2020 Jun 30;58(226):447-452. doi: 10.31729/jnma.5153.
5
ICU beds: less is more? Not sure.重症监护病房床位:少即是多?不确定。
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6
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Intensive care unit capacity in low-income countries: a systematic review.低收入国家重症监护病房的容量:一项系统评价。
PLoS One. 2015 Jan 24;10(1):e0116949. doi: 10.1371/journal.pone.0116949. eCollection 2015.
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Critical care medicine in the United States: addressing the intensivist shortage and image of the specialty.美国重症监护医学:解决重症医学专家短缺和专业形象问题。
Crit Care Med. 2013 Dec;41(12):2754-61. doi: 10.1097/CCM.0b013e318298a6fb.
9
Critical care without walls.无边界重症监护
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