{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T07:17:06Z","timestamp":1769239026067,"version":"3.49.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2012,3,1]],"date-time":"2012-03-01T00:00:00Z","timestamp":1330560000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Int Health Hum Rights"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>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.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This study used a mixed methods approach, including a cross sectional survey of respondents' opinions regarding critical care needs, ethnographic information and qualitative data.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>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.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>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.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1472-698x-12-1","type":"journal-article","created":{"date-parts":[[2012,3,1]],"date-time":"2012-03-01T09:19:15Z","timestamp":1330593555000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Critical care resources in the Solomon Islands: a cross-sectional survey"],"prefix":"10.1186","volume":"12","author":[{"given":"Mia","family":"Westcott","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra LC","family":"Martiniuk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A","family":"Fowler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neill KJ","family":"Adhikari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tenneth","family":"Dalipanda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2012,3,1]]},"reference":[{"key":"195_CR1","doi-asserted-by":"publisher","first-page":"1234","DOI":"10.1097\/01.CCM.0000208360.70835.87","volume":"34","author":"MW Dunser","year":"2006","unstructured":"Dunser MW, Baelani I, Ganbold L: A review and analysis of intensive care medicine in the least developed countries. Crit Care Med. 2006, 34: 1234-1242. 10.1097\/01.CCM.0000208360.70835.87.","journal-title":"Crit Care Med"},{"key":"195_CR2","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1016\/j.ccc.2006.03.008","volume":"22","author":"S Bhagwanjee","year":"2006","unstructured":"Bhagwanjee S: Critical care in Africa. Crit Care Clin. 2006, 22: 433-438. 10.1016\/j.ccc.2006.03.008.","journal-title":"Crit Care Clin"},{"key":"195_CR3","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1111\/j.1365-3156.2008.02202.x","volume":"14","author":"T Baker","year":"2009","unstructured":"Baker T: Systematic review: critical care in low-income countries. Trop Med Int Health. 2009, 14: 143-148. 10.1111\/j.1365-3156.2008.02202.x.","journal-title":"Trop Med Int Health"},{"key":"195_CR4","doi-asserted-by":"publisher","first-page":"942","DOI":"10.1213\/ane.0b013e318166ecb8","volume":"106","author":"S Jochberger","year":"2008","unstructured":"Jochberger S, Ismailova F, Lederer W, Mayr VD, Luckner G, Wenzel V, Ulmer H, Hasibeder WR, Dunser MW: Anaesthesia and its allied disciplines in the developing world: a nationwide survey of the Republic of Zambia. Anaesth Analg. 2008, 106: 942-948. 10.1213\/ane.0b013e318166ecb8.","journal-title":"Anaesth Analg"},{"key":"195_CR5","unstructured":"Solomon Islands country profile. [http:\/\/www.wpro.who.int\/NR\/rdonlyres\/F6887ECF-5239-4B37-A841-AD79825A6BD2\/0\/31SOLpro2011_finaldraft.pdf]"},{"key":"195_CR6","volume-title":"Happy isles in crisis: the historical causes for a failing state in Solomon Islands, 1998-2004","author":"C Moore","year":"2004","unstructured":"Moore C: Happy isles in crisis: the historical causes for a failing state in Solomon Islands, 1998-2004. 2004, Canberra, Australia: Asia Pacific Press"},{"issue":"4","key":"195_CR7","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1177\/1010539508322251","volume":"20","author":"ALC Martiniuk","year":"2008","unstructured":"Martiniuk ALC, Miller HC, Malefoasi G, Vergeer P, Garland T, Knight S: Cooperation, integration, and long-term commitment: what Solomon Islanders and development workers say about health sector aid. Asia Pac J Public Health. 2008, 20 (4): 287-297. 10.1177\/1010539508322251.","journal-title":"Asia Pac J Public Health"},{"key":"195_CR8","unstructured":"Least developed countries: criteria for identification of LDCs. [http:\/\/www.unohrlls.org\/en\/ldc\/related\/59\/]"},{"key":"195_CR9","unstructured":"Human Development Report 2010: the real wealth of nations: pathways to human development. [http:\/\/hdr.undp.org\/en\/reports\/global\/hdr2010\/]"},{"key":"195_CR10","unstructured":"Countries: Solomon Islands. [http:\/\/www.who.int\/countries\/slb\/en\/]"},{"key":"195_CR11","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1007\/s00268-011-1097-4","volume":"35","author":"ES Natuzzi","year":"2011","unstructured":"Natuzzi ES, Kushner A, Jagilly R, Pickacha D, Agiomea K, Hou L, Houasia P, Hendricks PL, Ba'erodo D: Surgical care in the Solomon Islands: a road map for universal surgical care delivery. World J Surg. 2011, 35: 1183-1193. 10.1007\/s00268-011-1097-4.","journal-title":"World J Surg"},{"key":"195_CR12","unstructured":"Solomon Islands: health profile. [http:\/\/www.who.int\/gho\/countries\/slb.pdf]"},{"key":"195_CR13","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1186\/cc6984","volume":"12","author":"RA Fowler","year":"2008","unstructured":"Fowler RA, Adhikari NKJ, Bhagwanjee S: Clinical review: critical care in the global context--disparities in burden of illness, access and economics. Crit Care. 2008, 12: 225-230. 10.1186\/cc6984.","journal-title":"Crit Care"},{"key":"195_CR14","unstructured":"Ministry of Health and Medical Services: Solomon Islands National Health Strategic Plan 2011-2015. [http:\/\/www.wpro.who.int\/NR\/rdonlyres\/E10020A4-5124-4902-836B-566C45E230F0\/0\/SOL20112015.pdf]"},{"issue":"3","key":"195_CR15","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1503\/cmaj.080372","volume":"179","author":"M Duffett","year":"2008","unstructured":"Duffett M, Kho M, Meade M, Adhikari N, Sinuff T, Cook D: A guide for the design and conduct of self-administered surveys of clinicians. Can Med Assoc J. 2008, 179 (3): 245-252. 10.1503\/cmaj.080372.","journal-title":"Can Med Assoc J"},{"key":"195_CR16","volume-title":"Surgical Care at the District Hospital","author":"World Health Organisation","year":"2003","unstructured":"World Health Organisation: Surgical Care at the District Hospital. 2003, Geneva: WHO Press"},{"key":"195_CR17","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1111\/j.1365-2044.2007.05295.x","volume":"62","author":"RM Towey","year":"2007","unstructured":"Towey RM, Ojara S: Intensive care in the developing world. Anaesthesia. 2007, 62: 32-37. 10.1111\/j.1365-2044.2007.05295.x.","journal-title":"Anaesthesia"},{"key":"195_CR18","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1097\/01.ccx.0000132653.52131.fc","volume":"10","author":"I Mustafa","year":"2004","unstructured":"Mustafa I: Intensive care in developing countries in the Western Pacific. Curr Opin Crit Care. 2004, 10: 304-309. 10.1097\/01.ccx.0000132653.52131.fc.","journal-title":"Curr Opin Crit Care"},{"key":"195_CR19","doi-asserted-by":"publisher","first-page":"1328","DOI":"10.1016\/S0140-6736(08)61164-2","volume":"372","author":"T Duke","year":"2008","unstructured":"Duke T, Wandi F, Jonathan M, Matai S, Kaupa M, Saavu M, Subhi R, Peel D: Improved oxygen systems for childhood pneumonia, a multihospital effectiveness study in Papua New Guinea. Lancet. 2008, 372: 1328-1333. 10.1016\/S0140-6736(08)61164-2.","journal-title":"Lancet"}],"container-title":["BMC International Health and Human Rights"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-698X-12-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1472-698X-12-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-698X-12-1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-698X-12-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T18:37:52Z","timestamp":1630521472000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcinthealthhumrights.biomedcentral.com\/articles\/10.1186\/1472-698X-12-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,1]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["195"],"URL":"https:\/\/doi.org\/10.1186\/1472-698x-12-1","relation":{},"ISSN":["1472-698X"],"issn-type":[{"value":"1472-698X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,1]]},"assertion":[{"value":"6 September 2011","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 March 2012","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 March 2012","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"1"}}