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[Intensive care in Norway. A questionnaire study]

H Flaatten1

  • 1Anestesi og Intensivavdeling Haukeland Sykehus, Bergen.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|December 31, 1997
PubMed
Summary

Comparing intensive care units (ICUs) in Norway is difficult due to varied practices. Standardizing definitions and workload registration is needed for meaningful comparisons of critical care services.

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Area of Science:

  • Critical Care Medicine
  • Health Services Research
  • Hospital Administration

Background:

  • Intensive care units (ICUs) provide critical care services.
  • Variability in hospital resources and practices can impact patient outcomes.
  • Standardized data collection is essential for benchmarking and quality improvement.

Purpose of the Study:

  • To assess the current state of intensive care units (ICUs) in Norwegian hospitals.
  • To identify variations in resources, procedures, and data registration practices.
  • To determine the feasibility of comparing ICU activity across different hospital types.

Main Methods:

  • A questionnaire was distributed to university, central, and large local hospitals in Norway.
  • Data collected included ICU bed numbers, physician staffing, procedures, and registration methods for 1995.
  • Response rate was 100% from all surveyed hospitals.

Main Results:

  • Significant variation observed in ICU size (5.5-7.0 beds) and physician staffing (1.3-5.2 FTEs).
  • Limited adoption of severity scoring systems (APACHE/SAPS) and objective workload registration.
  • Inconsistent definitions for time spent in ICU or on ventilators were reported.

Conclusions:

  • Current practices prevent meaningful comparisons of ICU activity in Norway.
  • Uniform definitions, objective scoring systems, and workload registration are necessary.
  • Collaboration between hospitals, the Norwegian Medical Association, and health authorities is recommended.

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