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Critical care bed capacity in Asian countries and regions

Phua, Jason and Faruq, Mohammad Omar and Kulkarni, Atul P and Ike Sri, Redjeki and Khamsay, Detleuxay and Naranpurev, Mendsaikhan and Kyi Kyi, Sann and Babu Raja, Shrestha and Jose Emmanuel M, Palo and Rashan, Haniffa and Chunting, Wang and Madiha, Hashmi and Syed Mohammad Reza, Hashemian and Aidos, Konkayev and Mat Nor, Mohd Basri and Boonsong, Patjanasoontorn and Khalid Mahmood Khan, Nafees and Lowell, Ling and Masaji, Nishimura and Maher Jaffer, Al Bahrani and Yaseen, M.Arabi (2020) Critical care bed capacity in Asian countries and regions. Critical Care Medicine, 48 (5). pp. 654-662. ISSN 0090-3493 E-ISSN 1530-0293 (In Press)

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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 (r2 = 0.19; p = 0.047), the universal health coverage service coverage index (r2 = 0.35; p = 0.003), and the Human Development Index (r2 = 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.

Item Type: Article (Journal)
Additional Information: 5608/78953
Uncontrolled Keywords: critical care, intensive care units, bed capacity, Asia, population
Subjects: R Medicine > RC Internal medicine
R Medicine > RC Internal medicine > RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine
Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Depositing User: Dr. Mohd Basri Mat Nor
Date Deposited: 27 Feb 2020 17:01
Last Modified: 19 Nov 2020 15:33
URI: http://irep.iium.edu.my/id/eprint/78953

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