Portal de investigación
Description of Intensive Care and Intermediate Care resources managed by Anaesthesiology Departments in Spain and their adaptation capacity during the COVID-19 pandemic.
Fecha de publicación:
Fecha Ahead of Print:
Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- Tamayo Medel, G
- Ramasco Rueda, F
- Ferrando Ortola, C
- Gonzalez de Castro, R
- Pastorini, C
- Mendez Hernandez, R
- Garcia Fernandez, J
- el Grupo de REGISTRO UCI SCI SEDAR
Grupos
Abstract
INTRODUCTION: It is essential to understand the strategic importance of intensive care resources in the sustainable organisation of healthcare systems. Our objective has been to identify the intensive and intermediate care beds managed by Anaesthesiology and Resuscitation Services (A-ICU and A-IMCU) in Spain, their human and technical resources, and the changes made to these resources during the COVID -19 pandemic. MATERIAL AND METHODS: Prospective observational study performed between December 2020 and July 2021 to register the number and characteristics of A-ICU and A-IMCU beds in hospitals listed in the catalogue published by the Spanish Ministry of Health. RESULTS: Data were obtained from 313 hospitals (98% of all hospitals with more than 500 beds, 70% of all hospitals with more than 100 beds). One hundred and forty seven of these hospitals had an A-ICU with a total of 1,702 beds. This capacity increased to 2,107 (124%) during the COVID-19 pandemic. Three hundred and eight hospitals had an A-IMCU with a total of 3,470 beds, 52.9% (2,089) of which provided long-term care. The hospitals had 1,900 ventilators, at a ratio of 1.07 respirators per A-ICU; 1,559 anaesthesiologists dedicated more than 40% of their working time to intensive care. The nurse-to-bed ratio in A-ICUs was 2.8. DISCUSSION: A large proportion of fully-equipped ICU and IMCU beds in Spanish hospitals are managed by the anaesthesiology service. A-ICU and A-IMCUs have shown an extraordinary capacity to adapt their resources to meet the increased demand for intensive care during the COVID-19 pandemic.
Copyright © 2024. Publicado por Elsevier España, S.L.U.
Datos de la publicación
- ISSN/ISSNe:
- 2341-1929, 2341-1929
- Tipo:
- Article
- Páginas:
- 76-89
Revista Espanola De Anestesiologia Y Reanimacion
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- No hay documentos
Filiaciones
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Keywords
- Anaesthesiology, Anestesiología, COVID-19, ICU, ICU-A, PACU, Recursos, Resources, UCI, UCI-A, URPA
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Cita
Tamayo G,Ramasco F,Ferrando C,Gonzalez de Castro R,Ferrandis R,Pastorini C,Mendez R,Garcia J,el Grupo S. Description of Intensive Care and Intermediate Care resources managed by Anaesthesiology Departments in Spain and their adaptation capacity during the COVID-19 pandemic. Rev Esp Anestesiol Reanim (Engl Ed). 2024. 71. (2):p. 76-89.