ArticleWiener klinische Wochenschrift2010
Variability of structures in German intensive care units--a representative, nationwide analysis.
Article in Wiener klinische Wochenschrift, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- The Austrian ICU survey : A questionnaire-based evaluation of intensive care medicine in Austria.Wiener klinische Wochenschrift · 2022Article
- Epidemiology, management, and outcome of infection, sepsis, and septic shock in a German emergency department (EpiSEP study).Frontiers in medicine · 2022Article
- Importance of acute cardiac care registries at the national level.Acta clinica Croatica · 2020Article
- Bacterial sepsis : Diagnostics and calculated antibiotic therapy.Der Anaesthesist · 2019Review
- Cardiac intensive care unit organisation in an economically less developed European country.Intensive care medicine · 2018Article
- Are high nurse workload/staffing ratios associated with decreased survival in critically ill patients? A cohort study.Annals of intensive care · 2017Article
- [Bacterial sepsis : Diagnostics and calculated antibiotic therapy].Der Anaesthesist · 2017Review
- [Methods for endotracheal tube fixation. Results of a survey of intensive care nurses].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2013Article
- The impact of staffing on central venous catheter-associated bloodstream infections in preterm neonates - results of nation-wide cohort study in Germany.Antimicrobial resistance and infection control · 2013Article
- [Influence of personnel staffing on patient care and nursing in German intensive care units. Descriptive study on aspects of patient safety and stress indicators of nursing].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2013Article
- [Safety in intensive care medicine. Can we learn from aviation?].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2012Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStructures in intensive care medicine comprise human as well as material resources, organization, and management and may be related to processes thereby affecting patients' outcomes. Utilizing a unique data base we evaluated structures of German intensive care units (ICUs).
methodsThe study was carried out by the German Competence Network Sepsis (SepNet). Data were prospectively collected on a cross-sectional basis in a representative random sample of German hospitals utilizing a questionnaire. Structures were related to ICU outcome of patients with severe sepsis or septic shock. The sample was subdivided in 5 strata according to hospital size.
resultsA total of 454 ICUs cared for 3877 patients including 415 patients (11%) with severe sepsis or septic shock. The mean number of beds per ICU was 10.4, the ratio of ICU to hospital beds 1:27, both with significant differences depending on hospital size. 81% of the ICUs provided around the clock physician presence (range: 66-98% across hospital strata, p < 0.001). Shift-wise, one nurse was responsible for a mean number of 2.7 patients (morning 1:2.3, afternoon 1:2.6, night 1:3.3 patients) with significant variation according to hospital size (smaller hospitals 1:2.9, university hospitals 1:2.1, p < 0.001). More than half of all German ICUs are lead by anesthesiologists. Neither physician nor nurse staffing was associated with mortality in the subset of patients with sepsis.
conclusionsIn a representative, nationwide sample of German ICUs key elements of structures varied considerably with respect to hospital size. This has to be considered when proposing standards, reimbursement strategies, or quality assessment.
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