Professor Bertrand Guidet, France, outlined the findings at the European Society of Intensive Care Medicine (ESICM) congress in Barcelona this month.
Participants
- AMIBnet (Brazil)
- ANZICS CTG (Australia, New Zealand)
- ARDSNet (USA)
- ASDI (Austria)
- AZURéa (France)
- CCCTG (Canada)
- CCCCTG (China)
- BRICNET (Brazil)
- CUBRéa (France)
- EDUSEPSIS (Spain)
- GiVITI (Italy)
- InFACT
- NICE (Netherlands)
- OUTCOMERéa (France)
- PROSAFE (Hungary, Poland, Slovenia, Cyprus, Greece and Israel) REVA (France and Switzerland)
- SCCTG (Denmark, Finland, Iceland, Norway, Sweden)
- SEPNET (Germany)
- UK trial group
- USCIITG CIOS group (USA)
Results
N |
% | |
Closed ICU model | 339 |
(88) |
Presence of an intensivist involved in bedside care at night | 271 | (70) |
Presence of computerised physician order entry |
237 |
(61) |
Presence of an electronic medical record |
248 | (64) |
Multidisciplinary ICU round |
282 |
(73) |
80% of responding ICUs were located in teaching and/or public hospitals. One-third treat more than 1,000 patients a year. ICU volume is associated with intensivist staffing model and presence of a multidisciplinary ICU round.
ICU volume and organisational factors
p |
|
Closed ICU model staffing |
<0.0002 |
Multidisciplinary round |
<0.002 |
Medical record reporting system |
<0.001 |
Claire Pillar
Managing Editor, ICU Management