The variability of critical care bed numbers in Europe
The variability of critical care bed numbers in Europe
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DOI：
10.1007/s00134-012-2627-8
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发表时间：
2012-10-01
影响因子：
38.9
通讯作者：
Moreno, R. P.
中科院分区：
文献类型：
--
作者：
Rhodes, A.;Ferdinande, P.;Moreno, R. P.
量化欧洲重症监护病床的数量，并了解各国在人口规模和国内生产总值校正后这些数字的差异。2010年7月至2011年7月欧洲各国重症监护床位数量的前瞻性数据收集。在每个国家确定了可以提供重症监护床位（重症监护和中级监护）数量数据的来源。然后将这些数据与描述人口规模和年龄、国内生产总值（GDP）、医疗保健支出和急症护理床位数量的国际数据库中的数据进行交叉对照。我们确定了2,068,892个急性护理床位和73,585个（2.8%）重症监护床位。由于各个国家对这些床位的描述各不相同，在大多数情况下不可能区分重症监护和中级护理。平均每10万人口中有11.5张重症监护病床，各国之间存在显著差异（德国29.2张，葡萄牙4.2张）。按人口规模校正的每个国家的重症监护床位数量与GDP （r (2) = 0.16, p = 0.05）、按人口校正的急性护理床位数量（r (2) = 0.12, p = 0.05）和指定为重症监护的急性护理床位百分比（r (2) = 0.59, p < 0.0001）呈正相关。它们与医疗保健支出占GDP的比例无关。欧洲各国的重症监护病床数量差别很大。更好地了解这些数字应有助于改进未来重症监护能力和利用的规划。
To quantify the numbers of critical care beds in Europe and to understand the differences in these numbers between countries when corrected for population size and gross domestic product.Prospective data collection of critical care bed numbers for each country in Europe from July 2010 to July 2011. Sources were identified in each country that could provide data on numbers of critical care beds (intensive care and intermediate care). These data were then cross-referenced with data from international databases describing population size and age, gross domestic product (GDP), expenditure on healthcare and numbers of acute care beds.We identified 2,068,892 acute care beds and 73,585 (2.8 %) critical care beds. Due to the heterogeneous descriptions of these beds in the individual countries it was not possible to discriminate between intensive care and intermediate care in most cases. On average there were 11.5 critical care beds per 100,000 head of population, with marked differences between countries (Germany 29.2, Portugal 4.2). The numbers of critical care beds per country corrected for population size were positively correlated with GDP (r (2) = 0.16, p = 0.05), numbers of acute care beds corrected for population (r (2) = 0.12, p = 0.05) and the percentage of acute care beds designated as critical care (r (2) = 0.59, p < 0.0001). They were not correlated with the proportion of GDP expended on healthcare.Critical care bed numbers vary considerably between countries in Europe. Better understanding of these numbers should facilitate improved planning for critical care capacity and utilization in the future.