How Effective are Intensive Care Unit Beds Used in Our Region? [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. Ahead of Print: TARD-65289 | DOI: 10.5152/TJAR.2019.65289  

How Effective are Intensive Care Unit Beds Used in Our Region?

Esma Meltem Şimşek1, Seval İzdeş2, Ümit Murat Parpucu3, Fatma Ulus4, Mustafa Özgür Cırık5, Suheyla Ünver6
1Ankara Province Heath Directorate Presidency of Public Hospitals, Ankara, Turkey
2Ankara Atatürk Training and Research Hospital, Ankara, Turkey
3Ankara Province Heath Directorate Presidency of Pharmaceutical and Medical Device Services, Ankara, Turkey
4Ankara Keçiören Training and Research Hospital, Ankara, Turkey
5Ankara Atatürk Thoracic and Thoracic Surgery Training and Research Hospital, Ankara, Turkey
6Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey

Objective: The demand for critical care facilities is also growing in our country. The aim of the present study was to investigate the incidence and causes of inappropriate admissions to adult intensive care units (ICUs) in our region to facilitate the planning of bed numbers.
Methods: A team of specialists made an unannounced visit to level 1, 2 and 3 adult ICUs in 12 hospitals in our region between June 2014 and January 2015. A total of 290 ICU patients were evaluated.
Results: The rate of inappropriate ICU admission was 55.9%, and the most common reason was the lack of a lower level ICU. Palliative patients comprised 35.5% of the ICU patients, 68% of whom should have been in home care. The rate of inappropriate admission was 16.7% higher in open ICUs than in closed ICUs.
Conclusion: Our results indicate that instead of increasing the number of beds in level 2 and 3 ICUs, hospitals should increase the number of level 1 ICU beds. In addition, we believe that the existing beds could be utilised more effectively if all ICUs implemented a closed management style and if there was better coordination between ICUs.

Keywords: Intensive care unit, patient admission, triage, utilisation




Corresponding Author: Esma Meltem Şimşek, Türkiye


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