Most published large critical care studies are conducted through national or international critical care research networks. But what are the characteristics of ICUs belonging to these networks? The Health Services Research and Outcomes (HSRO) section of the European Society of Intensive Care Medicine (ESICM) set out to answer this question. Typically such ICUs are situated in public and teaching hospitals.
Most are organised as closed units and have an intensivist present at
night. ICU volume is associated with intensivist staffing model and
presence of a multidisciplinary ICU round.
Professor Bertrand Guidet, France, outlined the findings at the European Society of Intensive Care Medicine (ESICM) congress in Barcelona this month.
Participants
Results
80% of responding ICUs were located in teaching and/or public hospitals. One-third treat more than 1,000 patients a year. ICU volume is associated with intensivist staffing model and presence of a multidisciplinary ICU round.
ICU volume and organisational factors
Claire Pillar
Managing Editor, ICU Management
Professor Bertrand Guidet, France, outlined the findings at the European Society of Intensive Care Medicine (ESICM) congress in Barcelona this month.
Participants
- AMIBnet (Brazil)
- ANZICS CTG (Australia, New Zealand)
- ARDSNet (USA)
- ASDI (Austria)
- AZURéa (France)
- CCCTG (Canada)
- CCCCTG (China)
- BRICNET (Brazil)
- CUBRéa (France)
- EDUSEPSIS (Spain)
- GiVITI (Italy)
- InFACT
- NICE (Netherlands)
- OUTCOMERéa (France)
- PROSAFE (Hungary, Poland, Slovenia, Cyprus, Greece and Israel) REVA (France and Switzerland)
- SCCTG (Denmark, Finland, Iceland, Norway, Sweden)
- SEPNET (Germany)
- UK trial group
- USCIITG CIOS group (USA)
Results
N | % | |
Closed ICU model | 339 | (88) |
Presence of an intensivist involved in bedside care at night | 271 | (70) |
Presence of computerised physician order entry | 237 | (61) |
Presence of an electronic medical record | 248 | (64) |
Multidisciplinary ICU round | 282 | (73) |
80% of responding ICUs were located in teaching and/or public hospitals. One-third treat more than 1,000 patients a year. ICU volume is associated with intensivist staffing model and presence of a multidisciplinary ICU round.
ICU volume and organisational factors
p | |
Closed ICU model staffing | <0.0002 |
Multidisciplinary round | <0.002 |
Medical record reporting system | <0.001 |
Claire Pillar
Managing Editor, ICU Management
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Most published large critical care studies are conducted through national or international critical care research networks. But what are the characteristic...