Mechanical Ventilators in US Acute Care Hospitals
Mechanical Ventilators in US Acute Care Hospitals
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DOI：
10.1001/dmp.2010.18
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发表时间：
2010-10-01
影响因子：
2.7
通讯作者：
Branson, Richard
中科院分区：
文献类型：
--
作者：
Rubinson, Lewis;Vaughn, Frances;Branson, Richard
目的：机械通气能力的供给和分配对于重大突发公共卫生事件的应急预案制定具有重要意义。然而，美国卫生系统为儿童和成人提供机械通气的能力仍然很难量化。本研究的目的是确定成人和儿童的mechanical dispersionators在US acute care hospitals.Methods：在2007年美国医院协会数据库中包括5752美国急性护理医院的数量进行了调查。我们测量了机械呼吸机的数量和它们的feature.Results：响应调查的是4305（74.8%）的医院，占美国重症监护病房床位的83.8%。在受访医院拥有的52118台全功能机械呼吸机中，有24204台（46.4%）能够用于儿科/新生儿。占非受访者，我们估计有62 188全功能机械制冷机拥有美国急性护理医院。每个州每10万人口中全功能机械呼吸机的中位数为19.7（四分位数比17.2-23.1），范围从11.9到77.6。每100000名14岁以下人群中儿科功能设备全功能机械呼吸机的中位数为52.3（四分位数比为43.1-63.9），各州范围为22.1 - 206.2。此外，受访医院报告拥有82 755台全功能机械呼吸机以外的呼吸机;我们估计美国所有急症护理医院有98 738台全功能呼吸机以外的设备。结论：美国人口的机械呼吸机数量超过了其他发达国家的报告，但各州的人口调整供应量存在很大差异。仅在人口调整的基础上，有更多的儿科能力的替代者比成人多。（公共卫生应急预案。2010; 4：199-206）
Objective: The supply and distribution of mechanical ventilation capacity is of profound importance for planning for severe public health emergencies. However, the capability of US health systems to provide mechanical ventilation for children and adults remains poorly quantified. The objective of this study was to determine the quantity of adult and pediatric mechanical ventilators at US acute care hospitals.Methods: A total of 5752 US acute care hospitals included in the 2007 American Hospital Association database were surveyed. We measured the quantities of mechanical ventilators and their features.Results: Responding to the survey were 4305 (74.8%) hospitals, which accounted for 83.8% of US intensive care unit beds. Of the 52 118 full-feature mechanical ventilators owned by respondent hospitals, 24 204 (46.4%) are pediatric/neonatal capable. Accounting for nonrespondents, we estimate that there are 62 188 full-feature mechanical ventilators owned by US acute care hospitals. The median number of full-feature mechanical ventilators per 100 000 population for individual states is 19.7 (interquartile ratio 17.2-23.1), ranging from 11.9 to 77.6. The median number of pediatric-capable device full-feature mechanical ventilators per 100 000 population younger than 14 years old is 52.3 (interquartile ratio 43.1-63.9) and the range across states is 22.1 to 206.2. In addition, respondent hospitals reported owning 82 755 ventilators other than full-feature mechanical ventilators; we estimate that there are 98 738 devices other than full-feature ventilators at all of the US acute care hospitals.Conclusions: The number of mechanical ventilators per US population exceeds those reported by other developed countries, but there is wide variation across states in the population-adjusted supply. There are considerably more pediatric-capable ventilators than there are for adults only on a population-adjusted basis. (Disaster Med Public Health Preparedness. 2010; 4: 199-206)