Evidence map›Paper›PMID 25522054›Full record

ArticleAmerican journal of respiratory and critical care medicine2015

Critical care bed growth in the United States. A comparison of regional and national trends.

David J Wallace, Derek C Angus, Christopher W Seymour, Amber E Barnato, Jeremy M Kahn

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

81 citing papers in PubMed.

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  10. Spatial equity and factors associated with intensive care unit bed allocation in China.Archives of public health = Archives belges de sante publique · 2024
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

David J Wallace1 Clinical Research, Investigation and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine.
Derek C Angus
Christopher W Seymour
Amber E Barnato
Jeremy M Kahn

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Multidisciplinary Training in Critical Care Outcomes ResearchT32HL007820 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Timothy D Girard, Jeremy M Kahn · 1996 to 2026
$6.4M
Pittsburgh Career Development Program in Emergency Medicine ResearchK12HL109068 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CALLAWAY, CLIFTON W., YEALY, DONALD M · 2011 to 2015
$3.1M
Pre-hospital identification of high-risk sepsisK23GM104022 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SEYMOUR, CHRISTOPHER WARREN · 2013 to 2016
$674k
Understanding Regional Critical Care Delivery in Acute Respiratory FailureK08HL122478 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WALLACE, DAVID JOHN · 2015 to 2018
$606k
NCATS NIH HHS UL1 TR000005NHLBI NIH HHS K08 HL122478NHLBI NIH HHS K12 HL109068NHLBI NIH HHS T32 HL007820NHLBI NIH HHS T32 HL07820NIGMS NIH HHS K23 GM104022
6 · The paper itself

Abstract

rationaleAlthough the number of intensive care unit (ICU) beds in the United States is increasing, it is unknown whether this trend is consistent across all regions.

objectivesWe sought to better characterize regional variation in ICU bed changes over time and identify regional characteristics associated with these changes.

methodsWe used data from the Centers for Medicare and Medicaid Services and the U.S. Census to summarize the numbers of hospitals, hospital beds, ICU beds, and ICU occupancy at the level of Dartmouth Atlas hospital referral region from 2000 to 2009. We categorized regions into quartiles of bed change over the study interval and examined the relationship between change categories, regional characteristics, and population characteristics over time. MEASUREMENTS AND MAIN

resultsFrom 2000 to 2009 the national number of ICU beds increased 15%, from 67,579 to 77,809, mirroring population. However, there was substantial regional variation in absolute changes (median, +16 ICU beds; interquartile range, -3 to +51) and population-adjusted changes (median, +0.9 ICU beds per 100,000; interquartile range, -3.8 to +5.9), with 25.0% of regions accounting for 74.8% of overall growth. At baseline, regions with increasing numbers of ICU beds had larger populations, lower ICU beds per 100,000 capita, higher average ICU occupancy, and greater market competition as measured by the Herfindahl-Hirschman Index (P < 0.001 for all comparisons).

conclusionsNational trends in ICU bed growth are not uniformly reflected at the regional level, with most growth occurring in a small number of highly populated regions.

Indexed as

Population GrowthAdultAgedAged, 80 and overBed OccupancyCensusesHospital Bed CapacityHumansIntensive Care UnitsLongitudinal StudiesMedicaidMedicareMiddle AgedUnited Statesbed supplycritical careinfrastructureintensive care unit

Identifiers

PMID25522054
PMCPMC4351597

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.