Surge capacity: Analysis of census fluctuations to estimate the number of intensive care unit beds needed

Health Services Research

Volumn 50, Issue 1, 2015, Pages 237-252

  Olafson, Kendiss ^a   Ramsey, Clare ^a   Yogendran, Marina ^a   Fransoo, Randall ^a   Chrusch, Carla ^b   Forget, Evelyn ^a   Garland, Allan ^a  

^a UNIVERSITY OF MANITOBA   (Canada)

^b UNIVERSITY OF CALGARY   (Canada)

Author keywords

bed occupancy; Critical care; resource allocation

Indexed keywords

ARTICLE; BED SHARING; CANADA; CRITICAL ILLNESS; HEALTH CARE POLICY; HOSPITAL ADMISSION; HOSPITAL BED CAPACITY; HOSPITAL BED UTILIZATION; HOSPITAL DISCHARGE; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; RESOURCE ALLOCATION; RETROSPECTIVE STUDY; SURGE CAPACITY; ADULT; COMPARATIVE STUDY; MANITOBA; ORGANIZATION AND MANAGEMENT; POPULATION RESEARCH; STATISTICS AND NUMERICAL DATA; YOUNG ADULT;

ADULT; CENSUSES; HOSPITAL BED CAPACITY; HUMANS; INTENSIVE CARE UNITS; MANITOBA; RESOURCE ALLOCATION; RETROSPECTIVE STUDIES; SURGE CAPACITY; YOUNG ADULT;

EID: 84921847546     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/1475-6773.12209     Document Type: Article

References (34)

1. Arrow, K. J.;. 1963. " Uncertainty and the Welfare Economics of Medical Care." The American Economic Review 53 (5): 941-73.
2. de Bruin, A. M.; A. C. van Rossum, M. C. Visser, and, G. M. Koole,. 2007. " Modeling the Emergency Cardiac in-Patient Flow: An Application of Queuing Theory." Health Care Management Science 10 (2): 125-37.
3. Carney, B.; 2011. " Acute Care Hospital Bed Need," Connecticut Department of Health [accessed on December 10, 2013]. Available at http://www.ct.gov/dph/lib/dph/ohca/hc-facilities-advisory-body/acutecarehospitalbedneed.pdf
4. Carr, B. G.; D. K. Addyson, and, J. M. Kahn,. 2010. " Variation in Critical Care Beds Per Capita in the United States: Implications for Pandemic and Disaster Planning." Journal of the American Medical Association 303 (14): 1371-2. doi: 10.1001/jama.2010.394.
5. Chalfin, D. B.; S. Trzeciak, A. Likourezos, B. M. Baumann, R. P. Dellinger, and DELAY-ED study group. 2007. " Impact of Delayed Transfer of Critically Ill Patients from the Emergency Department to the Intensive Care Unit." Critical Care Medicine 35 (6): 1477-83. doi: 10.1097/01.CCM.0000266585.74905.5A.
6. Chrusch, C. A.; K. P. Olafson, P. M. McMillan, D. E. Roberts, and, P. R. Gray,. 2009. " High Occupancy Increases the Risk of Early Death or Readmission after Transfer from Intensive Care." Critical Care Medicine 37 (10): 2753-8. doi: 10.1097/CCM.0b013e3181a57b0c.
7. Combes, A.; C.-E. Luyt, J.-L. Trouillet, J. Chastre, and, C. Gibert,. 2005. " Adverse Effect on a Referral Intensive Care Unit's Performance of Accepting Patients Transferred from Another Intensive Care Unit." Critical care medicine 33 (4): 705-10.
8. Corke, C.; E. Leeuw, S. K. Lo, and, C. George,. 2009. " Predicting Future Intensive Care Demand in Australia." Critical Care and Resuscitation 11 (4): 257-60.
9. Costa, A. X.; S. A. Ridley, A. K. Shahani, P. R. Harper, V. De Senna, and, M. S. Nielsen,. 2003. " Mathematical Modelling and Simulation for Planning Critical Care Capacity." Anaesthesia 58 (4): 320-7.
10. Daly, K.; R. Beale, and, R. Chang,. 2001. " Reduction in Mortality after Inappropriate Early Discharge from Intensive Care Unit: Logistic Regression Triage Model." British Medical Journal 322 (7297): 1274.
11. DeLia, D.; 2006. " Annual Bed Statistics Give a Misleading Picture of Hospital Surge Capacity." Annals of Emergency Medicine 48 (4): 384-8, 388.e1-2. doi: 10.1016/j.annemergmed.2006.01.024.
12. Department of Health. 2010. " Comprehensive Critical Care: A Review of Adult Critical Care Services [accessed on December 10, 2013]. Available at http://www.dh.gov.uk/prod-consum-dh/groups/dh-digitalassests/@dh/@en/documents/digitalasset/dh-4082872.pdf
13. Escarce, J. J.; and, M. A. Kelley,. 1990. " Admission Source to the Medical Intensive Care Unit Predicts Hospital Death Independent of APACHE II Score." Journal of the American Medical Association 264 (18): 2389-94.
14. Florida Agency for Health Care Administration. 2012. " Florida Hospital Bed Need Projections and Service Utilization by District " [accessed on December 10, 2013]. Available at http://ahca.myflorida.com/MCHQ/CON-FA/Publications/docs/FLHospBedNeed/Jul2013-HospitalBedNeedProjections.pdf
15. Garland, A.; and, A. F. Connors,. 2013. " Optimal Timing of Transfer out of the Intensive Care Unit." American Journal of Critical Care 22 (5): 390-7.
16. Garland, A.; R. Fransoo, K. Olafson, C. D. Ramsey, M. Yogendran, D. Chateau, and, K.-L. McGowan,. 2011. The Epidemiology and Outcomes of Critical Illness in Manitoba. Manitoba Center for Health Policy. [accessed on June 18, 2014]. Available at: http://mchp-appserv.cpe.umanitoba.ca/reference/MCHP-ICU-Report-WEB-%2820120403%29.pdf
17. Garland, A.; M. Yogendran, K. Olafson, D. C. Scales, K.-L. McGowan, and, R. Fransoo,. 2012. " The Accuracy of Administrative Data for Identifying the Presence and Timing of Admission to Intensive Care Units in a Canadian Province." Medical care 50 (3): e1-6. doi: 10.1097/MLR.0b013e318245a754.
18. Goldfrad, C.; and, K. Rowan,. 2000. " Consequences of Discharges from Intensive Care at Night." The Lancet 355 (9210): 1138-42.
19. Helferty, M.; J. Vachon, J. Tarasuk, R. Rodin, J. Spika, and, L. Pelletier,. 2010. " Incidence of Hospital Admissions and Severe Outcomes during the First and Second Waves of Pandemic (H1N1) 2009." Canadian Medical Association Journal 182 (18): 1981-7. doi: 10.1503/cmaj.100746.
20. Howie, A. J.; and, S. A. Ridley,. 2008. " Bed Occupancy and Incidence of Methicillin-Resistant Staphylococcus Aureus Infection in an Intensive Care Unit." Anaesthesia 63 (10): 1070-3. doi: 10.1111/j.1365-2044.2008.05575.x.
21. Iapichino, G.; L. Gattinoni, D. Radrizzani, B. Simini, G. Bertolini, L. Ferla, G. Mistraletti, F. Porta, and, D. R. Miranda,. 2004. " Volume of Activity and Occupancy Rate in Intensive Care Units. Association with Mortality." Intensive Care Medicine 30 (2): 290-7. doi: 10.1007/s00134-003-2113-4.
22. Jenkins, J. L.; R. E. O'Connor, and, D. C. Cone,. 2006. " Differentiating Large-Scale Surge versus Daily Surge." Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine 13 (11): 1169-72. doi: 10.1197/j.aem.2006.07.022.
23. Kahn, J. M.; C. H. Goss, P. J. Heagerty, A. A. Kramer, C. R. O'Brien, and, G. D. Rubenfeld,. 2006. " Hospital Volume and the Outcomes of Mechanical Ventilation." The New England Journal of Medicine 355 (1): 41-50. doi: 10.1056/NEJMsa053993.
24. Lylwodraeth Cymru Welsh Government. 2013. " Together for Health-A Delivery Plan for the Critically Ill " [accessed on December 10, 2013]. Available at http://wales.gov.uk/docs/dhss/publications/130611deliveryen.pdf
25. Luce, J. M.; and, G. D. Rubenfeld,. 2002. " Can Health Care Costs Be Reduced by Limiting Intensive Care at the End of Life? " American Journal of Respiratory and Critical Care Medicine 165 (6): 750-4.
26. Lyons, R. A.; K. Wareham, H. A. Hutchings, E. Major, and, B. Ferguson,. 2000. " Population Requirement for Adult Critical-Care Beds: A Prospective Quantitative and Qualitative Study." The Lancet 355 (9204): 595-8.
27. Mackay, M.; and, M. Lee,. 2005. " Choice of Models for the Analysis and Forecasting of Hospital Beds." Health Care Management Science 8 (3): 221-30.
28. McManus, M. L.; M. C. Long, A. Cooper, and, E. Litvak,. 2004. " Queuing Theory Accurately Models the Need for Critical Care Resources." Anesthesiology 100 (5): 1271.
29. New Jersey Commission on Rationalizing Health Care Resources. 2008. " Analyzing Future Supply and Demand of Acute Care Hospitals." [accessed on December 10, 2013]. Available at http://www.nj.gov/health/rhc/finalreport/documents/chapter-4.pdf
30. Nguyen, J. M.; P. Six, R. Parisot, D. Antonioli, F. Nicolas, and, P. Lombrail,. 2003. " A Universal Method for Determining Intensive Care Unit Bed Requirements." Intensive Care Medicine 29 (5): 849-52. doi: 10.1007/s00134-003-1725-z.
31. Robert, R.; J. Reignier, C. Tournoux-Facon, T. Boulain, O. Lesieur, V. Gissot, V. Souday, M. Hamrouni, C. Chapon, and, J.-P. Gouello, Association des Réanimateurs du Centre Ouest Group. 2012. " Refusal of Intensive Care Unit Admission Due to a Full Unit: Impact on Mortality." American Journal of Respiratory and Critical Care Medicine 185 (10): 1081-7. doi: 10.1164/rccm.201104-0729OC.
32. Singer, D. E.; P. L. Carr, A. G. Mulley, and, G. E. Thibault,. 1983. " Rationing Intensive Care-Physician Responses to a Resource Shortage." New England Journal of Medicine 309 (19): 1155-60. doi: 10.1056/NEJM198311103091905.
33. Strauss, M. J.; J. P. LoGerfo, J. A. Yeltatzie, N. Temkin, and, L. D. Hudson,. 1986. " Rationing of Intensive Care Unit Services. An Everyday Occurrence." Journal of the American Medical Association 255 (9): 1143-6.
34. Wunsch, H.; D. C. Angus, D. A. Harrison, O. Collange, R. Fowler, E. A. J. Hoste, N. F. de Keizer, A. Kersten, W. T. Linde-Zwirble, A. Sandiumenge, and, K. M. Rowan,. 2008. " Variation in Critical Care Services across North America and Western Europe." Critical Care Medicine 36 (10): 2787-93, e1-9. doi: 10.1097/CCM.0b013e318186aec8.