Aleksandra Leligdowicz1, Satish Bhagwanjee2, Janet V Diaz3, Wei Xiong4, John C Marshall5, Robert A Fowler6, Neill Kj Adhikari7. 1. Interdepartmental Division of Critical Care, University of Toronto, Toronto, Canada; Division of Critical Care Medicine, University Health Network, Toronto, Canada. Electronic address: aleksandra.leligdowicz@uhn.ca. 2. Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA. Electronic address: satsb@uw.edu. 3. Department of Medicine, California Pacific Medical Center, San Francisco, CA. Electronic address: dr.jvdiaz.criticalcare@gmail.com. 4. Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Electronic address: wx.stats@gmail.com. 5. Interdepartmental Division of Critical Care, University of Toronto, Toronto, Canada; Keenan Research Center at the Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Canada. Electronic address: marshallj@smh.ca. 6. Interdepartmental Division of Critical Care, University of Toronto, Toronto, Canada; Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Electronic address: Rob.Fowler@sunnybrook.ca. 7. Interdepartmental Division of Critical Care, University of Toronto, Toronto, Canada; Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Electronic address: neill.adhikari@utoronto.ca.
Abstract
PURPOSE: Capacity to provide critical care in resource-limited settings is poorly understood because of lack of data about resources available to manage critically ill patients. Our objective was to develop a survey to address this issue. METHODS: We developed and piloted a cross-sectional self-administered survey in 9 resource-limited countries. The survey consisted of 8 domains; specific items within domains were modified from previously developed survey tools. We distributed the survey by e-mail to a convenience sample of health care providers responsible for providing care to critically ill patients. We assessed clinical sensibility and test-retest reliability. RESULTS: Nine of 15 health care providers responded to the survey on 2 separate occasions, separated by 2 to 4 weeks. Clinical sensibility was high (3.9-4.9/5 on assessment tool). Test-retest reliability for questions related to resource availability was acceptable (intraclass correlation coefficient, 0.94; 95% confidence interval, 0.75-0.99; mean (SD) of weighted κ values = 0.67 [0.19]). The mean (SD) time for survey completion survey was 21 (16) minutes. CONCLUSIONS: A reliable cross-sectional survey of available resources to manage critically ill patients can be feasibly administered to health care providers in resource-limited settings. The survey will inform future research focusing on access to critical care where it is poorly described but urgently needed.
PURPOSE: Capacity to provide critical care in resource-limited settings is poorly understood because of lack of data about resources available to manage critically illpatients. Our objective was to develop a survey to address this issue. METHODS: We developed and piloted a cross-sectional self-administered survey in 9 resource-limited countries. The survey consisted of 8 domains; specific items within domains were modified from previously developed survey tools. We distributed the survey by e-mail to a convenience sample of health care providers responsible for providing care to critically illpatients. We assessed clinical sensibility and test-retest reliability. RESULTS: Nine of 15 health care providers responded to the survey on 2 separate occasions, separated by 2 to 4 weeks. Clinical sensibility was high (3.9-4.9/5 on assessment tool). Test-retest reliability for questions related to resource availability was acceptable (intraclass correlation coefficient, 0.94; 95% confidence interval, 0.75-0.99; mean (SD) of weighted κ values = 0.67 [0.19]). The mean (SD) time for survey completion survey was 21 (16) minutes. CONCLUSIONS: A reliable cross-sectional survey of available resources to manage critically illpatients can be feasibly administered to health care providers in resource-limited settings. The survey will inform future research focusing on access to critical care where it is poorly described but urgently needed.
Authors: Paul D Sonenthal; Mulinda Nyirenda; Noel Kasomekera; Regan H Marsh; Emily B Wroe; Kirstin W Scott; Alice Bukhman; Emilia Connolly; Tadala Minyaliwa; Martha Katete; Grace Banda-Katha; Joia S Mukherjee; Shada A Rouhani Journal: EClinicalMedicine Date: 2022-01-13
Authors: Andrew Fraser; Jessica Newberry Le Vay; Peter Byass; Stephen Tollman; Kathleen Kahn; Lucia D'Ambruoso; Justine I Davies Journal: BMJ Glob Health Date: 2020-04-16