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Critical Care Bed Capacity in Asian Countries and Regions

机译：亚洲国家和地区的关键护理床容

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摘要

Supplemental Digital Content is available in the text. Objective: To assess the number of adult critical care beds in Asian countries and regions in relation to population size. Design: Cross-sectional observational study. Setting: Twenty-three Asian countries and regions, covering 92.1% of the continent’s population. Participants: Ten low-income and lower-middle–income economies, five upper-middle–income economies, and eight high-income economies according to the World Bank classification. Interventions: Data closest to 2017 on critical care beds, including ICU and intermediate care unit beds, were obtained through multiple means, including government sources, national critical care societies, colleges, or registries, personal contacts, and extrapolation of data. Measurements and Main Results: Cumulatively, there were 3.6 critical care beds per 100,000 population. The median number of critical care beds per 100,000 population per country and region was significantly lower in low- and lower-middle–income economies (2.3; interquartile range, 1.4–2.7) than in upper-middle–income economies (4.6; interquartile range, 3.5–15.9) and high-income economies (12.3; interquartile range, 8.1–20.8) ( p = 0.001), with a large variation even across countries and regions of the same World Bank income classification. This number was independently predicted by the World Bank income classification on multivariable analysis, and significantly correlated with the number of acute hospital beds per 100,000 population ( r ~(2)= 0.19; p = 0.047), the universal health coverage service coverage index ( r ~(2)= 0.35; p = 0.003), and the Human Development Index ( r ~(2)= 0.40; p = 0.001) on univariable analysis. Conclusions: Critical care bed capacity varies widely across Asia and is significantly lower in low- and lower-middle–income than in upper-middle–income and high-income countries and regions.
机译：文本中提供了补充数字内容。目的：评估亚洲国家和地区的成人关键护理床的数量与人口规模有关。设计：横截面观测研究。环境：二十三个亚洲国家和地区，占大陆人口的92.1％。参与者：10个低收入和低中中等收入经济体，五个中高收入经济体和八大高收入经济体根据世界银行分类。干预措施：通过多种方法，包括政府来源，国家重大关怀社会，学院或注册机构，个人联系人，个人联系以及数据外推，获得2017年关于临界护理床的数据测量和主要结果：累积，每10万人口有3.6张关键护理床。低中中低收入经济体（2.3;四分位数，1.4-2.7）中，每10万人每10万人口和地区每10万人口的重症监护人口数量明显低于中等收入经济体（4.6;四分位数，3.5-15.9）和高收入经济体（12.3;四分位数范围，8.1-20.8）（p = 0.001），即使在同一世界银行收入分类的国家和地区甚至具有大的变化。该号码由世界银行收入分类独立预测多变量分析，并与每10万人急性医院床的数量显着相关（R〜（2）= 0.19; P = 0.047），普遍健康覆盖服务覆盖率指数（ r〜（2）= 0.35; p = 0.003），人类发展指数（R〜（2）= 0.40; p = 0.001）在单一性分析上。结论：临界护理床容量在亚洲广泛变化，低于中等收入低于中等收入和高收入国家和地区，显着降低。

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  • 来源
    《Critical care medicine》 |2020年第5期|共9页
  • 作者

    Jason Phua; Mohammad Omar Faruq; Atul P. Kulkarni; Ike Sri Redjeki; Khamsay Detleuxay; Naranpurev Mendsaikhan; Kyi Kyi Sann; Babu Raja Shrestha; Madiha Hashmi; Jose Emmanuel M. Palo; Rashan Haniffa; Chunting Wang; Seyed Mohammad Reza Hashemian; Aidos Konkayev; Mohd Basri Mat Nor; Boonsong Patjanasoontorn; Khalid Mahmood Khan Nafees; Lowell Ling; Masaji Nishimura; Maher Jaffer Al Bahrani; Yaseen M. Arabi; Chae-Man Lim; Wen-Feng Fang;

  • 作者单位

    Fast and Chronic Programmes Alexandra Hospital National University Health System Singapore;

    General Intensive Care Unit and Emergency Department United Hospital Ltd;

    Division of Critical Care Medicine Tata Memorial Hospital Homi Bhabha National Institute;

    Faculty of Medicine Department of Anesthesiology and Intensive Care Padjadjaran University Dr;

    Adult Intensive Care Unit Mahosot Hospital;

    Anaesthesia and Critical Care Department Mongolian National University of Health Science;

    Department of Anaesthesiology and ICU Yangon General Hospital University of Medicine;

    Department of Anesthesia and Intensive Care Kathmandu Medical College Teaching Hospital;

    Department of Anaesthesiology Aga Khan University;

    Acute and Critical Care Institute;

    Network for Improving Critical Care Systems and Training;

    Department of Critical Care Medicine Shandong Provincial Hospital;

    Chronic Respiratory Diseases Research Center National Research Institute of Tuberculosis and Lung;

    Anaesthesiology and Intensive Care Department Astana Medical University Nur-Sultan Kazakhstan;

    International Islamic University Malaysia Medical Centre;

    Division of Respiratory and Critical Care Medicine Department of Internal Medicine Faculty of;

    RIPAS Hospital;

    Department of Anaesthesia and Intensive Care The Chinese University of Hong Kong Prince of Wales;

    Tokushima Prefectural Central Hospital;

    Department of Anesthesia and Critical Care Royal Hospital;

    King Saud Bin Abdulaziz University for Health Sciences King Abdullah International Medical;

    Department of Pulmonary and Critical Care Medicine Asan Medical Center;

    Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Kaohsiung Chang;

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  • 正文语种 eng
  • 中图分类 护理学;
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