Haniffa Rashan, De Silva A Pubudu, Iddagoda Saman, Batawalage Hasini, De Silva S Terrance G R, Mahipala Palitha G, Dondorp Arjen, de Keizer Nicolette, Jayasinghe Saroj
National Intensive Care Surveillance, Ministry of Health, Colombo, Sri Lanka; Mahidol Oxford Tropical Medicine Research Unit (MORU), Bangkok, Thailand; Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
National Intensive Care Surveillance, Ministry of Health, Colombo, Sri Lanka; Intensive Care National Audit and Research Centre, London, United Kingdom.
J Crit Care. 2014 Oct;29(5):764-8. doi: 10.1016/j.jcrc.2014.04.021. Epub 2014 May 9.
To describe the extent and variation of critical care services in Sri Lanka as a first step towards the development of a nationwide critical care unit (CCU) registry.
A cross-sectional survey was conducted in all state CCUs by telephone or by visits to determine administration, infrastructure, equipment, staffing, and overall patient outcomes.
There were 99 CCUs with 2.5 CCU beds per 100000 population and 13 CCU beds per 1 000 hospital beds. The median number of beds per CCU was 5. The overall admissions were 194 per 100000 population per year. The overall bed turnover was 76.5 per unit per year, with CCU mortality being 17%. Most CCUs were headed by an anesthetist. There were a total of 790 doctors (1.6 per bed), 1,989 nurses (3.9 per bed), and 626 health care assistants (1.2 per bed). Majority (87.9%) had 1:1 nurse-to-patient ratio, although few (11.4%) nurses had received formal intensive care unit training. All CCUs had basic infrastructure (electricity, running water, piped oxygen) and basic equipment (such as electronic monitoring and infusion pumps).
Sri Lanka, a lower middle-income country has an extensive network of critical care facilities but with inequalities in its distribution and facilities.
描述斯里兰卡重症监护服务的范围和差异，作为建立全国重症监护病房（CCU）登记册的第一步。
通过电话或实地走访对所有政府CCU进行横断面调查，以确定管理、基础设施、设备、人员配备和总体患者结局。
共有99个CCU，每10万人口有2.5张CCU床位，每1000张医院床位有13张CCU床位。每个CCU的床位中位数为5张。每年每10万人口的总入院人数为194人。每个单位每年的床位周转率为76.5次，CCU死亡率为17%。大多数CCU由麻醉师领导。共有790名医生（每张床位1.6名）、1989名护士（每张床位3.9名）和626名医疗助理（每张床位1.2名）。大多数（87.9%）的护士与患者比例为1:1，尽管很少（11.4%）护士接受过正规的重症监护病房培训。所有CCU都有基本基础设施（电力、自来水、管道氧气）和基本设备（如电子监测仪和输液泵）。
斯里兰卡作为一个中低收入国家，拥有广泛的重症监护设施网络，但在其分布和设施方面存在不平等。
