Completed Public Health & Healthcare Pregnancy, Children & Inherited Conditions

Collaboration for Research, Training and Implementation in Critical Care in Asia and Africa (CCAA)

In plain English

AI plain-English summary

A network of intensive care units across Africa and Asia will pool patient data to improve survival rates for the critically ill. The COVID-19 pandemic exposed deadly gaps in critical care quality, especially in low- and middle-income countries (LMICs). Many ICUs lack the data infrastructure to track which treatments work and which do not. This project builds on existing LMIC-led registries that have already contributed to pandemic preparedness and clinical trials. The core problem is that critical care data from wealthier countries often does not apply to settings with different diseases, equipment, and staffing. If successful, the project will create a central data hub that harmonises epidemiological and treatment information across income settings for the first time. Clinicians will be able to compare outcomes and identify which care processes save lives locally. The quality improvement interventions developed here will be designed for scaling to other LMICs. The project also trains LMIC investigators to lead their own research on policy and practice, building a self-sustaining learning health system. The ultimate change is that critically ill patients in these regions receive care based on evidence from their own populations, not imported from elsewhere.

View original technical description
We envision that the project will equip an LMIC led community of practice with the infrastructure and capability to improve the quality of care for critically ill patients and healthcare providers using high value clinical and service data. The global COVID-19 pandemic has brought into focus the importance of critical care services and the impact of gaps in care quality on patient outcomes. This project builds upon the successes of our collaboration of LMIC investigator-led registries, which have contributed to data-driven health services research including pandemic preparedness and practice changing clinical trials. The outputs of this project directly align in vision with the WHO roadmap to strengthen health systems and enabling high quality LMIC research. The data research hub will provide unprecedented harmonised epidemiological and treatment data on critically ill patients comparable across income settings. The quality improvement interventions will improve care processes and generate methods scalable to other LMICs. This project will strengthen and sustain the foundations of a learning health system, whilst LMIC investigators develop the capabilities to lead research on policy, practice and population health.

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Researchers

Aasiyah Rashan (EPMC Awardee)Abigail Beane (EPMC Awardee)Adrianus (Arjen) Dondorp (EPMC Awardee)Aniruddha Ghose (EPMC Awardee)Arthur Kwizera (EPMC Awardee)Bharath Kumar Tirupakuzhi Vijayaraghavan (EPMC Awardee)Bruce Biccard (EPMC Awardee)Cassia Righy (EPMC Awardee)Catherine Thwaites (EPMC Awardee)David Thomson (EPMC Awardee)Dilanthi Gamage Dona (EPMC Awardee)Diptesh Aryal (EPMC Awardee)Duncan Wagstaff (EPMC Awardee)Duong Bich Thuy (EPMC Awardee)Giovanni Putoto (EPMC Awardee)Ishara Udayanga (EPMC Awardee)John Amuasi (EPMC Awardee)Jorge Salluh (EPMC Awardee)Krishna Gokhale (EPMC Awardee)Krishnarajah Nirantharakumar (EPMC Awardee)Luigi Pisani (EPMC Awardee)Madiha Hashmi (EPMC Awardee)Marcus Schultz (EPMC Awardee)Maryam Shamal Ghalib (EPMC Awardee)Mohd Basri Mat-Nor (EPMC Awardee)Najwan Abu Al-Saad (EPMC Awardee)Nicholas Day (EPMC Awardee)Ramani Moonesinghe (EPMC Awardee)Rashan Haniffa (EPMC Awardee)Snehal Maureen Pinto Pereira (EPMC Awardee)Srinivas Murthy (EPMC Awardee)Steve Harris (EPMC Awardee)Sutharshan Vengadasalam (EPMC Awardee)Swagata Tripathy (EPMC Awardee)Timo Tolppa (EPMC Awardee)Vrindha Pari (EPMC Awardee)Wangari Waweru-Siika (EPMC Awardee)

Related Research

Grants with similar aims, by meaning.

African critical care registry network for pandemic surveillance, clinical management and research.
Implementing an innovative electronic registry in a new regional intensive care network to improve quality of care and establish a platform for clinical trials in resource-limited settings in Asia
NIHR Global Health Research Group on collaborative care for cardiometabolic disease in Africa
Enabling ISARIC Clinical Characterisation Protocol (CCP) roll out in LMICs
To develop a Zambian context specific short and long term model for managing COVID-19 pandemic and future infectious disease outbreaks.

Original classification

Innovations LMIC Flagship

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