Department of Anesthesiology and Critical Care Medicine and Department of Emergency Medicine, Johns Hopkins University, Baltimore, MD, USA.
Department of Emergency Medicine, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
J Crit Care. 2021 Jun;63:1-7. doi: 10.1016/j.jcrc.2021.01.010. Epub 2021 Jan 27.
We evaluated critical care capacity in the 15 intensive care units (ICUs) in public hospitals in Addis Ababa, Ethiopia to determine the current state of critical care in the city and inform capacity-building efforts.
We conducted a cross-sectional survey of ICU medical and nursing directors or their delegates using a standardized questionnaire based on World Federation of Society of Intensive and Critical Care Medicine (WFSICCM) criteria.
ICU size ranged from 3 to 15 beds. All ICUs had capacity for mechanical ventilation and vasopressor support, and 53% had intensivists on staff. Ultrasound was available in 93%, while 40% had capacity for invasive blood pressure monitoring. Identified barriers to care included a lack of essential equipment, supplies, medications and specially trained providers. Respondents considered increasing available beds and coordinating between hospitals crucial for capacity building.
There is burgeoning critical care capacity in Addis Ababa, Ethiopia with 103 ICU beds in public hospitals, and the WFSICCM criteria provide a useful framework for evaluating critical care capacity and identifying priorities for capacity building. All ICUs in public hospitals in Addis Ababa were able to provide basic support for patients with life-threatening organ failure but demonstrated marked heterogeneity in critical care capacity.
我们评估了埃塞俄比亚亚的斯亚贝巴市 15 家公立医院重症监护病房（ICU）的重症监护能力，以了解该市目前的重症监护状况，并为能力建设工作提供信息。
我们使用基于世界危重病医学会（WFSICCM）标准的标准化问卷对 ICU 医疗和护理主任或其代表进行了横断面调查。
ICU 规模从 3 张床到 15 张床不等。所有 ICU 都有机械通气和血管加压素支持的能力，53%的 ICU 有重症医生。93%的 ICU 配备了超声设备，而 40%的 ICU 有能力进行有创血压监测。受访者认为，缺乏基本设备、用品、药物和专门培训的医护人员是阻碍重症治疗的因素。受访者认为增加可用床位和医院之间的协调对于能力建设至关重要。
埃塞俄比亚亚的斯亚贝巴市的重症监护能力正在迅速发展，公立医院有 103 张 ICU 床位，WFSICCM 标准为评估重症监护能力和确定能力建设优先事项提供了一个有用的框架。亚的斯亚贝巴市所有公立医院的 ICU 都能够为有生命危险的器官衰竭患者提供基本支持，但在重症监护能力方面存在明显的异质性。
