When someone falls critically ill, hospitals are expected to provide life-saving care. But in many African countries, intensive care units are rare. Critically ill patients are treated in general hospital wards, and the provision of essential emergency and critical care is limited.
Critical illness refers to any life-threatening condition where at least one vital organ – such as the heart, lungs, or brain – is failing. It can arise from any underlying condition including infections, injuries, or non-communicable diseases such as heart attacks and strokes, and can affect anyone of any age.
In high-resourced settings some critically ill patients are treated in intensive care units. They receive continuous monitoring, oxygen support, medication to stabilise their blood pressure, and other life-saving treatments. Until now, most data on critical illness and critical care in Africa has come from small, single-hospital studies. These studies hinted at a serious problem.
