人口对成人重症监护病床的需求:一个前性的定量和定性研究
R A Lyons1, K Wareham, H A Hutchings
1Division of Epidemiology and Public Health, University of Wales, College of Medicine, Swansea, UK. LYONSRA@cardiff.ac.uk
Lancet (London, England)
|March 4, 2000
概括
这项研究科学估计了50万人口的成人重症监护病床需求. 调查结果表明,需要30个重症监护病床和55个高依赖病床来满足95%的需求.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 目前提供成人重症监护设施缺乏科学依据.
- 评估人口对重症监护病床的需求对于资源分配至关重要.
研究的目的:
- 为了科学地确定对50万人口所需的成年重症监护病床的数量.
- 为重症监护资源规划建立一个合理的基础.
主要方法:
- 一项前性研究在英国五家医院进行了一年.
- 评估了患者适合重症监护的情况,并计算了每天的病床需求.
- 一个集中治疗师小组就适当的患者单位分配达成共识.
主要成果:
- 超过4000名患者被确定为适合重症监护.
- 协商一致的决定表明需要41.3%的高依赖性病床和21.5%的重症监护病床.
- 估计每天的需求为21个重症监护室和43个高依赖病床,需要30个和55个床位来满足95%的需求.
结论:
- 这项研究提供了一个科学估计的成年重症监护病床需求的定义人口.
- 建议定期重新评估,以应对不断变化的入学模式.
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