Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.
Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Rev Lat Am Enfermagem. 2021 Oct 29;29. doi: 10.1590/1518-8345.4945.3489. eCollection 2021.
to assess the demand for Intensive Care Unit beds as well as the classification of the patients for admission, according to the priority system.
a retrospective and cross-sectional study, developed from January2014 to December2018 in two Intensive Care Units for adults of a university hospital. The sample consisted of the requests for vacancies according to the priority system(scale from 1 to 4, where 1 is the highest priority and 4 is no priority), registered in the institution's electronic system.
a total of 8,483 vacancies were requested, of which 4,389(51.7%) were from unitB. The highest percentage in unitA was of Priority2 patients(32.6%); and Priority1 was prevalent in unitB(45.4%). The median lead time between request and admission to unitA presented a lower value for priority1 patients(2h57) and a higher value for priority4 patients(11h24); in unitB, priority4 patients presented shorter time(5h54) and priority3 had longer time(11h54). 40.5% of the requests made to unitA and 48.5% of those made to unitB were fulfilled, with 50.7% and 48.5% of these patients being discharged from the units, respectively.
it is concluded that the demand for intensive care beds was greater than their availability. Most of the patients assisted were priorities1 and2, although a considerable percentage of those classified as priorities3 and4 is observed.
根据优先系统评估重症监护病房床位的需求以及患者入院分类。
这是一项回顾性和横断面研究，于 2014 年 1 月至 2018 年 12 月在一家大学医院的两个成人重症监护病房进行。样本由根据优先系统（从 1 到 4 级，其中 1 级为最高优先级，4 级为无优先级）在机构电子系统中登记的空位请求组成。
共请求了 8483 个空位，其中 4389 个（51.7%）来自 B 病房。A 病房中优先级 2 患者的比例最高（32.6%）；B 病房中优先级 1 患者居多（45.4%）。A 病房中，优先级 1 患者的请求与入院之间的中位前置时间值较低（2h57），优先级 4 患者的中位前置时间值较高（11h24）；B 病房中，优先级 4 患者的中位前置时间较短（5h54），优先级 3 患者的中位前置时间较长（11h54）。A 病房中有 40.5%的请求得到满足，B 病房中有 48.5%的请求得到满足，这两个病房中分别有 50.7%和 48.5%的患者出院。
重症监护病房床位的需求大于其供应量。接受治疗的患者大多为优先级 1 和 2，但也观察到相当比例的优先级 3 和 4 患者。
