ArticleBMC anesthesiology2016
Rationing in the intensive care unit in case of full bed occupancy: a survey among intensive care unit physicians.
Article in BMC anesthesiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Practices in Triage and Transfer of Critically Ill Patients: A Qualitative Systematic Review of Selection Criteria.Critical care medicine · 2020Pooled it
- Priority setting in critical care: a multicriteria approach to ranking access to Intensive Care Unit beds.BMC health services research · 2025Article
- Holding the frontline: a cross-sectional survey of emergency department staff well-being and psychological distress in the course of the COVID-19 outbreak.BMC health services research · 2021Article
- Physicians' Acceptance of Triage Guidelines in the Context of the COVID-19 Pandemic: A Qualitative Study.Frontiers in public health · 2021Article
- Near-simultaneous intensive care unit (ICU) admissions and all-cause mortality: a cohort study.Intensive care medicine · 2019Article
- A Data-Driven Hybrid Three-Stage Framework for Hospital Bed Allocation: A Case Study in a Large Tertiary Hospital in China.Computational and mathematical methods in medicine · 2019Article
- Accountability for reasonableness and criteria for admission, triage and discharge in intensive care units: an analysis of current ethical recommendations.Revista Brasileira de terapia intensivaArticle
- Factors potentially associated with the decision of admission to the intensive care unit in a middle-income country: a survey of Brazilian physicians.Revista Brasileira de terapia intensivaArticle
- Refusal of beds and triage of patients admitted to intensive care units in Brazil: a cross-sectional national survey.Revista Brasileira de terapia intensivaArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInternationally, there is no consensus on how to best deal with admission requests in cases of full ICU bed occupancy. Knowledge about the degree of dissension and insight into the reasons for this dissension is lacking. Information about the opinion of ICU physicians can be used to improve decision-making regarding allocation of ICU resources. The aim of this study was to: Assess which factors play a role in the decision-making process regarding the admission of ICU patients; Assess the adherence to a Dutch guideline pertaining to rationing of ICU resources; Investigate factors influencing the adherence to this guideline.
methodsIn March 2013, an online questionnaire was sent to all ICU physician members (n = 761, in 90 hospitals) of the Dutch Society for Intensive Care.
results166 physicians (21.8 %) working in 64 different Dutch hospitals (71.1 %) completed the questionnaire. Factors associated with a patient's physical condition and quality of life were generally considered most important in admission decisions. Scenario-based adherence to the Dutch guideline "Admission request in case of full ICU bed occupancy" was found to be low (adherence rate 50.0 %). There were two main reasons for this poor compliance: unfamiliarity with the guideline and disagreement with the fundamental approach underlying the guideline.
conclusionsDutch ICU physicians disagree about how to deal with admission requests in cases of full ICU bed occupancy. The results of this study contribute to the discussion about the fundamental principles regarding admission of ICU patients in case of full bed occupancy.
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