Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China (Email:
Chin Med J (Engl). 2013;126(18):3422-6.
Little quantitative evidence was available regarding the development of NICUs in China. The purpose of this survey was to evaluate the current situation of neurointensive care units (NICUs) across China.
The directors of NICUs from 100 tertiary care hospitals across China were contacted and asked to complete a closed response questionnaire regarding their NICUs. Basic information, equipment, and technology information available in the units, as well as staffing information were investigated.
Seventy-six questionnaires were returned (a 68% response rate). Of 76 NICUs, 43 units constituted the majority. The number of each NICU bed varied from 4 to 45, occupying 2%-30% of the total department beds. Over 70% of NICUs were equipped with many emergency treatment equipments as well as physiological and biochemical monitoring equipments, while 34%-70% of NICUs still lacked some kinds of equipments such as defibrillators. Some specialist equipments were still partially lacking in 62%-95% of NICUs. A vast majority of the NICUs were equipped with neurocritical care directors, full-time attending physicians, and head nurses, but full-time NICU residents and neurocritical care nurses were still lacking in nearly half (53%) and one-third (33%-37%) of NICUs, respectively. In 76 NICUs, full-time neurointensivists and nurses added up to 359 and 852, respectively. In addition, 78%-97% of all the surveyed NICUs were severely short of non-neurological professional staffs.
In China, neurocritical care has developed rapidly, but there is still a shortage of well-equipped and well-staffed NICUs across the nation currently.
中国新生儿重症监护病房（NICU）的发展情况缺乏定量证据。本研究旨在评估中国 NICU 的现状。
联系了全国 100 家三级保健医院的 NICU 主任，请他们填写一份关于其 NICU 的封闭式应答问卷。调查了单位的基本信息、设备和技术信息以及人员配备信息。
共收回 76 份问卷（应答率为 68%）。76 个 NICU 中，43 个为主导型。每个 NICU 的床位数量从 4 到 45 张不等，占科室总床位的 2%-30%。超过 70%的 NICU 配备了许多急救治疗设备和生理生化监测设备，而 34%-70%的 NICU 仍缺乏一些设备，如除颤器。62%-95%的 NICU 仍部分缺乏一些专科设备。绝大多数 NICU 配备了神经危重病学主任、全职主治医生和护士长，但近一半（53%）和三分之一（33%-37%）的 NICU 仍缺乏全职 NICU 住院医师和神经危重病学护士。在 76 个 NICU 中，全职神经科医生和护士分别为 359 人和 852 人。此外，所有调查的 NICU 中，78%-97%都严重缺乏非神经科专业人员。
在中国，神经危重病学发展迅速，但全国范围内设备齐全、人员配备充足的 NICU 仍严重短缺。
