Influence of ICU-bed availability on ICU admission decisions

Annals of Intensive Care

Volumn 5, Issue 1, 2015, Pages 1-7

  Robert, René ^a   Coudroy, Rémi ^a   Ragot, Stéphanie ^a   Lesieur, Olivier ^b   Runge, Isabelle ^e   Souday, Vincent ^d   Desachy, Arnaud ^c   Gouello, Jean Paul ^f   Hira, Michel ^g   Hamrouni, Mouldi ^h   Reignier, Jean ⁱ  

^a UNIVERSITÉ DE POITIERS   (France)

^b Quai Louis Prunier   (France)

^c Centre Hospitalier Angoulême   (France)

^d UNIVERSITÉ D'ANGERS   (France)

^e Medical Surgical Intensive Care Unit   (France)

^f District Hospital   (France)

^g Medical Surgical Intensive Care   (France)

^h Medical Surgical Intensive Care District Hospital   (France)

ⁱ UNIVERSITÉ DE NANTES   (France)

Author keywords

Admission; Bed occupancy; ICU; Refusal; Scarcity; Triage

Indexed keywords

ADULT; AGED; ARTICLE; FEMALE; HEALTH CARE AVAILABILITY; HIGH BED AVAILABILITY; HOSPITAL ADMISSION; HOSPITAL BED; HOSPITAL BED CAPACITY; HOSPITAL BED UTILIZATION; HUMAN; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PATIENT ABANDONMENT; PRIORITY JOURNAL;

EID: 84952916670     PISSN: None     EISSN: 21105820     Source Type: Journal    
DOI: 10.1186/s13613-015-0099-z     Document Type: Article

References (24)

1. Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J. For the Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS) Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA. 2000;284:2762–70.
2. Rhodes A, Ferdinande P, Flaatten H, Guidet B, Metnitz PG, Moreno RP. The variability of critical care bed numbers in Europe. Intensive Care Med. 2012;38:1647–53.
3. Garrouste-Orgeas M, Montuclard L, Timsit JF, Reignier J, Desmettre T, Karoubi P, et al. Predictors of intensive care unit refusal in French intensive care units: a multiple-center study. Crit Care Med. 2005;33:750–5.
4. Annane D, Diehl JL, Drault JN et al. Reanimation. 2012;22(Suppl 3):ppHS2-HS23.
5. Task Force of the American College of Critical. Care medicine society of critical care medicine guidelines for intensive care unit admission, discharge, and triage. Crit Care Med. 1999;27:633–8.
6. Robert R. Admission en réanimation. In: Boles JM, Bolaert PE, Jaeger A, Offenstadt G, Saulnier F, Wolff M, Zeni F, editors. Principes de reanimation. 2nd ed. Paris: Masson; 2009. p. 1890.
7. Azoulay E, Pochard F, Chevret S, Vinsonneau C, Garrouste M, Cohen Y, et al. Compliance with triage to intensive care recommendations. Crit Care Med. 2001;29:2132–6.
8. Nuckton TJ, List ND. Age as a factor in critical care unit admissions. Arch Intern Med. 1995;155:1087–92.
9. Vincent JL. Forgoing life support in western European intensive care units: the results of an ethical questionnaire. Crit Care Med. 1999;27:1626–33.
10. Sprung CL, Geber D, Eidelman LA, Baras M, Pizov R, Nimrod A, et al. Evaluation of triage decisions for intensive care admission. Crit Care Med. 1999;27:1073–9.
11. Iapichino G, Corbella D, Minelli C, Mills GH, Artigas A, Edbooke DL, et al. Reasons for refusal of admission to intensive care and impact on mortality. Intensive Care Med. 2010;36:1772–9.
12. Stelfox HT, Hemmelgarn BR, Bagshaw SM, Gao S, Doig CJ, Nijssen-Jordan C, et al. Intensive care unit bed availability and outcomes for hospitalized patients with sudden clinical deterioration. Arch Intern Med. 2012;172:467–74.
13. Singer DE, Carr PL, Mulley AG, Thibault GE. Rationing intensive care-physician responses to a resource shortage. N Engl J Med. 1983;309:1155–60.
14. Strauss MJ, LoGerfo JP, Yeltatzie JA, Temkin N, Hudson LD. Rationing of intensive care unit services: an everyday occurrence. JAMA. 1986;255:1143–6.
15. Chrusch CA, Olafson KP, McMillan PM, Roberts DE, Gray PR. High occupancy increases the risk of early death or readmission after transfer from intensive care. Crit Care Med. 2009;37:2753–8.
16. Reignier J, Dumont R, Katsahian S, Martin-Lefevre L, Renard B, Fiancette M, et al. Patient-related factors and circumstances surrounding decisions to forego life sustaining treatment, including intensive care unit admission refusal. Crit Care Med. 2008;36:2076–83.
17. Robert R, Reignier J, Tournoux-Facon C, Boulain T, Lesieur O, Gissot V, et al. Refusal of ICU admission due to a full unit: impact on mortality. Am J Respir Crit Care Med. 2012;185:1081–7.
18. Adhikari NKJ, Rubenfeld GD. Worldwide demand for critical care. Curr Opin Crit Care. 2011;17:620–2.
19. Checkley CW. Mortality and denial of admission to an intensive care unit. Am J Respir Crit Care Med. 2012;185:1038–9.
20. Robert R, Reignier J. Providing enough ICU beds: part of a multifaceted program to improve care of critically ill patients. Am J Respir Crit Care Med. 2012;185:1040.
21. Joynt GM, Gomersall CD, Tan P, Lee A, Cheng CA, Wong EL. Prospective evaluation of patients refused admission to an intensive care unit: triage, futility, and outcome. Intensive Care Med. 2001;27:1459–65.
22. Escher M, Perneger TV, Chevrolet JC. National questionnaire survey on what influences doctors’ decisions about admission to intensive care. BMJ. 2004;329(7463):425.
23. Garrouste-Orgeas M, Boumendil A, Pateron D, Aergerter P, Somme D, et al. Selection of intensive care unit admission criteria for patients aged 80 years and over and compliance of emergency and intensive care unit physicians with the selected criteria: an observational multicenter, prospective study. Crit Care Med. 2009;37:2919–28.
24. Giannini A, Consonni D. Physicians’ perceptions and attitudes regarding inappropriate admissions and resource allocation in the intensive care setting. Br J Anaest. 2006;96:57–62.