Critical care collaboration
James Lind Alliance partnership

The Top 10 questions shaping the research agenda.

Priorities developed with patients, carers and multidisciplinary healthcare professionals.

Locally grounded questions for diverse critical care systems.

Why this work matters

Locally grounded questions for diverse critical care systems.

Critical illness, ICU organisation and access to recovery support vary widely across Asia and Africa. This priority-setting partnership was created to identify questions that reflect the experiences of people receiving, supporting and delivering critical care in lower-resourced settings.

CCAA is described by the James Lind Alliance as a Wellcome-funded, clinician-led community of practice seeking to improve outcomes, strengthen research capacity and support ICU service provision.

Read the JLA partnership page ↗
African and Asian critical care professionals discussing research priorities during clinical training
Research questions shaped by patients, carers and multidisciplinary critical care teams.
51questions in the shortlisting survey
18questions ranked at the final workshop
10highest priorities published
2024Top 10 publication year
Community-ranked priorities

The Top 10.

Wording has been lightly edited for website readability while preserving the meaning and rank of the published JLA questions.

  1. 01

    How can cost effectiveness of critical care services in ICU be improved, including ventilation, organ support, blood transfusion and financial planning for patients and families?

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  2. 02

    What are the socio-economic impacts of ICU care for critically ill patients and their families, and how do these factors influence treatment decisions?

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  3. 03

    What strategies are effective in the early recognition of the critically ill patient in low- and middle-income countries?

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  4. 04

    How can infection control and isolation management in ICU be improved?

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  5. 05

    What are current outcomes, and what strategies can improve psychological recovery and physical rehabilitation following critical illness, including family and home interventions?

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  6. 06

    Which patients will most benefit from ICU care?

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  7. 07

    How effective are known antimicrobial stewardship strategies in the ICU context?

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  8. 08

    How can management and outcomes of priority epidemic-prone or emerging infectious diseases in ICU be improved?

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  9. 09

    What are current practices, decision-making processes and stakeholder perceptions regarding end-of-life and withdrawal of care in ICUs?

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  10. 10

    How can effective management of shock in the ICU be improved, including steroids, anti-inflammatories and immune modulators?

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01Open survey

Patients, carers and healthcare professionals proposed unanswered questions.

02Evidence review

Questions were grouped, checked and refined against existing evidence.

03Shortlisting

Stakeholders selected questions that mattered most to them.

04Consensus workshop

Participants discussed and ranked the final priorities.

Source documents

Explore the full evidence trail.

Published Top 10 prioritiesJames Lind Alliance ↗PSP protocol and final data sheetJames Lind Alliance ↗