Critical Care Bed Capacity in Asian Countries and Regions
Critical Care Bed Capacity in Asian Countries and Regions
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DOI：
10.1097/ccm.0000000000004222
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发表时间：
2020-05-01
影响因子：
8.8
通讯作者：
Fang, Wen-Feng
中科院分区：
文献类型：
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作者：
Phua, Jason;Faruq, Mohammad Omar;Fang, Wen-Feng
目的：评估亚洲国家和地区成人重症监护病床数量与人口规模的关系。设计：横断面观察性研究。设置：23个亚洲国家和地区，覆盖该大陆92.1%的人口。参与者：根据世界银行分类，10个低收入和中低收入经济体，5个中高收入经济体和8个高收入经济体。干预措施：通过多种途径获得最接近2017年的重症监护病床数据，包括ICU和中级监护病房病床，包括政府来源，国家重症监护学会，学院或登记，个人接触和数据外推。测量和主要结果：每10万人口累计拥有重症监护床位3.6张。在低收入和中低收入经济体，每个国家和地区每10万人口中的重症监护床位数中位数明显较低（2.3;四分位数范围，1.4-2.7）（4.6;四分位数范围，3.5-15.9）和高收入经济体（12.3;四分位数范围，8.1-20.8）（p = 0.001），即使在世界银行收入分类相同的国家和地区之间也存在很大差异。这一数字由世界银行收入分类在多变量分析中独立预测，并与每10万人口的急性医院床位数（r（2）= 0.19; p = 0.047）、全民健康保险服务覆盖指数（r（2）= 0.35; p = 0.003），和人类发展指数（r（2）= 0.40; p = 0.001）的单变量analysis.Conclusions：重症监护病床的能力在亚洲各地差异很大，是显着低于低收入和中低收入比中高收入和高收入的国家和地区。
Objective:To assess the number of adult critical care beds in Asian countries and regions in relation to population size.Design:Cross-sectional observational study.Setting:Twenty-three Asian countries and regions, covering 92.1% of the continent's population.Participants:Ten low-income and lower-middle-income economies, five upper-middle-income economies, and eight high-income economies according to the World Bank classification.Interventions:Data closest to 2017 on critical care beds, including ICU and intermediate care unit beds, were obtained through multiple means, including government sources, national critical care societies, colleges, or registries, personal contacts, and extrapolation of data.Measurements and Main Results:Cumulatively, there were 3.6 critical care beds per 100,000 population. The median number of critical care beds per 100,000 population per country and region was significantly lower in low- and lower-middle-income economies (2.3; interquartile range, 1.4-2.7) than in upper-middle-income economies (4.6; interquartile range, 3.5-15.9) and high-income economies (12.3; interquartile range, 8.1-20.8) (p = 0.001), with a large variation even across countries and regions of the same World Bank income classification. This number was independently predicted by the World Bank income classification on multivariable analysis, and significantly correlated with the number of acute hospital beds per 100,000 population (r(2) = 0.19; p = 0.047), the universal health coverage service coverage index (r(2) = 0.35; p = 0.003), and the Human Development Index (r(2) = 0.40; p = 0.001) on univariable analysis.Conclusions:Critical care bed capacity varies widely across Asia and is significantly lower in low- and lower-middle-income than in upper-middle-income and high-income countries and regions.