©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
World J Crit Care Med. Mar 9, 2026; 15(1): 115938
Published online Mar 9, 2026. doi: 10.5492/wjccm.v15.i1.115938
Published online Mar 9, 2026. doi: 10.5492/wjccm.v15.i1.115938
Evaluation of the implementation of the Critical Care Asia and Africa Intensive Care Unit registry in Ethiopia
Adam D Laytin, Sean M Berenholtz, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, United States
Ayalew Zewdie, Menbeu Sultan, Ararso B Olani, Geremew Werkeshe, Department of Emergency Medicine and Critical Care, St. Paul’s Hospital Millennium Medical College, Addis Ababa 1271, Ethiopia
Amelia J Brandt, Department of Biostatistics, Epidemiology, and Data Management Core, Johns Hopkins University School of Medicine, Balitmore, MD 21287, United States
William Checkley, Department of Medicine, Division of Pulmonology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, United States
Bhakti Hansoti, Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, United States
Author contributions: Laytin AD, Zewdie A, Sultan M, Berenholtz SM, Checkley W, and Hansoti B conceptualized the study; Laytin AD curated the data; Laytin AD, Brandt AJ, Olani AB, and Werkeshe G participated in coding and formal analysis; Laytin AD and Berenholtz SM acquired funding; Laytin AD, Olani AB, and Werkeshe G participated in investigation; Laytin AD, Zewdie A, Sultan M, Brandt AJ, Berenholtz SM, Checkley W, and Hansoti B developed the methodology; Zewdie A and Sultan M supervised the data collection; Laytin AD, Brandt AJ, and Hansoti B wrote the original draft of the article; Zewdie A, Sultan M, Olani AB, Werkeshe G, Checkley W, and Berenholtz SM reviewed and edited the submitted version of the article; Berenholtz SM passed away prior to finalization of the article; and all other authors have read and approved the final manuscript.
Supported by Society for Academic Emergency Medicine Foundation, No. AG2020-0000000136; and a StAAR Mentored Training Award from the JHU SOM Department of Anesthesiology and Critical Care Medicine.
Institutional review board statement: This study was approved by the Medical Ethics Committee of the Johns Hopkins School of Medicine, approval No. IRB00296477; and St. Paul Hospital Millennium Medical College, approval No. PM 23-1310.
Informed consent statement: All respondents provided verbal informed consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: Not applicable.
Corresponding author: Adam D Laytin, MD, Assistant Professor, Department of Anesthe
Received: October 29, 2025
Revised: December 17, 2025
Accepted: January 21, 2026
Published online: March 9, 2026
Processing time: 122 Days and 16.1 Hours
Revised: December 17, 2025
Accepted: January 21, 2026
Published online: March 9, 2026
Processing time: 122 Days and 16.1 Hours
Core Tip
Core Tip: In this study, implementation of the Critical Care Asia and Africa Intensive Care Unit registry was evaluated at two hospitals in Addis Ababa, Ethiopia. The implementation was considered an overall success by respondents, who commented positively on the registry’s feasibility and acceptability. This study identified key barriers and facilitators to implementation and threats to sustainability, including essential resources, communication, training, supervision and leadership. These fin