Postoperative critical care and high-acuity care provision in the United Kingdom, Australia, and New Zealand
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dc.contributor.author | Barneto, LM | |
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dc.contributor.author | Bhattacharya, D | |
dc.contributor.author | Truong, H | |
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dc.contributor.author | Panckhurst, J | |
dc.contributor.author | Henry, J | |
dc.contributor.author | Perrin, S | |
dc.contributor.author | Campbell, K | |
dc.contributor.author | Singh, V | |
dc.contributor.author | Birioukov, V | |
dc.contributor.author | Ireland, C | |
dc.contributor.author | Shanmuganathan, P | |
dc.contributor.author | Brown, D | |
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dc.contributor.author | Jackson, A | |
dc.contributor.author | Sharma, S | |
dc.contributor.author | Dale-Gandar, J | |
dc.date.accessioned | 2024-03-18T22:23:49Z | |
dc.date.available | 2024-03-18T22:23:49Z | |
dc.date.issued | 2019-04 | |
dc.identifier.issn | 0007-0912 | |
dc.identifier.issn | 1471-6771 | |
dc.identifier.uri | https://pearl.plymouth.ac.uk/handle/10026.1/22205 | |
dc.description.abstract |
BACKGROUND: Decisions to admit high-risk postoperative patients to critical care may be affected by resource availability. We aimed to quantify adult ICU/high-dependency unit (ICU/HDU) capacity in hospitals from the UK, Australia, and New Zealand (NZ), and to identify and describe additional 'high-acuity' beds capable of managing high-risk patients outside the ICU/HDU environment. METHODS: We used a modified Delphi consensus method to design a survey that was disseminated via investigator networks in the UK, Australia, and NZ. Hospital- and ward-level data were collected, including bed numbers, tertiary services offered, presence of an emergency department, ward staffing levels, and the availability of critical care facilities. RESULTS: We received responses from 257 UK (response rate: 97.7%), 35 Australian (response rate: 32.7%), and 17 NZ (response rate: 94.4%) hospitals (total 309). Of these hospitals, 91.6% reported on-site ICU or HDU facilities. UK hospitals reported fewer critical care beds per 100 hospital beds (median=2.7) compared with Australia (median=3.7) and NZ (median=3.5). Additionally, 31.1% of hospitals reported having high-acuity beds to which high-risk patients were admitted for postoperative management, in addition to standard ICU/HDU facilities. The estimated numbers of critical care beds per 100 000 population were 9.3, 14.1, and 9.1 in the UK, Australia, and NZ, respectively. The estimated per capita high-acuity bed capacities per 100 000 population were 1.2, 3.8, and 6.4 in the UK, Australia, and NZ, respectively. CONCLUSIONS: Postoperative critical care resources differ in the UK, Australia, and NZ. High-acuity beds may have developed to augment the capacity to deliver postoperative critical care. | |
dc.format.extent | 460-469 | |
dc.format.medium | Print-Electronic | |
dc.language | en | |
dc.publisher | Elsevier BV | |
dc.subject | critical care | |
dc.subject | health services research | |
dc.subject | patient safety | |
dc.subject | perioperative care | |
dc.subject | postoperative complications | |
dc.title | Postoperative critical care and high-acuity care provision in the United Kingdom, Australia, and New Zealand | |
dc.type | journal-article | |
dc.type | Article | |
plymouth.author-url | https://www.ncbi.nlm.nih.gov/pubmed/30857602 | |
plymouth.issue | 4 | |
plymouth.volume | 122 | |
plymouth.publisher-url | http://dx.doi.org/10.1016/j.bja.2018.12.026 | |
plymouth.publication-status | Published | |
plymouth.journal | British Journal of Anaesthesia | |
dc.identifier.doi | 10.1016/j.bja.2018.12.026 | |
plymouth.organisational-group | |Plymouth | |
plymouth.organisational-group | |Plymouth|Faculty of Health | |
plymouth.organisational-group | |Plymouth|Users by role | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2018-09-07 | |
dc.date.updated | 2024-03-18T22:23:48Z | |
dc.identifier.eissn | 1471-6771 | |
dc.rights.embargoperiod | forever | |
rioxxterms.versionofrecord | 10.1016/j.bja.2018.12.026 |