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Global health and emergency care: a resuscitation research agenda--part 1
Tom P Aufderheide1, Jerry P Nolan, Ian G Jacobs
1The Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI.
Insights
Global research investment for cardiovascular disease and trauma resuscitation is disproportionately low. Enhancing resuscitation research requires addressing ethical challenges, improving data infrastructure, and focusing on cost-effective strategies, especially in low- and middle-income countries.
Area of Science:
- Emergency Medicine
- Global Health
- Resuscitation Science
Background:
- Cardiovascular disease and trauma represent a significant global burden of disease.
- Current research investment in resuscitation science for these conditions is disproportionately low.
- International resuscitation research faces unique ethical and infrastructural challenges.
Purpose of the Study:
- To outline the burden of disease and outcomes related to cardiac arrest and trauma.
- To identify key issues and global trends in resuscitation research.
- To highlight funding priorities and research needs in resuscitation science.
Main Methods:
- The content is derived from discussions at the 2013 Academic Emergency Medicine global health consensus conference.
- Focuses on synthesizing information regarding disease burden, research challenges, and funding trends.
- Literature review and expert consensus informed the identification of research priorities.
Main Results:
- Cardiovascular disease and trauma impose a high burden of disease globally but receive inadequate research funding.
- Advancing resuscitation research necessitates reliable baseline statistics, data linkages, national databases, and sustainable infrastructure.
- Significant research gaps exist in understanding epidemiology, context, training, and cost-effective interventions in low- and middle-income countries.
Conclusions:
- There is a critical need for increased global investment in resuscitation research for cardiovascular disease and trauma.
- Developing robust research infrastructure, addressing ethical considerations, and fostering international collaboration are essential.
- Future research should prioritize low-cost models, effective dissemination strategies, and evidence-based interventions to improve global resuscitation outcomes.
Abstract:
At the 2013 Academic Emergency Medicine global health consensus conference, a breakout session on a resuscitation research agenda was held. Two articles focusing on cardiac arrest and trauma resuscitation are the result of that discussion. This article describes the burden of disease and outcomes, issues in resuscitation research, and global trends in resuscitation research funding priorities. Globally, cardiovascular disease and trauma cause a high burden of disease that receives a disproportionately smaller research investment. International resuscitation research faces unique ethical challenges. It needs reliable baseline statistics regarding quality of care and outcomes; data linkages between providers; reliable and comparable national databases; and an effective, efficient, and sustainable resuscitation research infrastructure to advance the field. Research in resuscitation in low- and middle-income countries is needed to understand the epidemiology, infrastructure and systems context, level of training needed, and potential for cost-effective care to improve outcomes. Research is needed on low-cost models of population-based research, ways to disseminate information to the developing world, and finding the most cost-effective strategies to improve outcomes.
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