ArticleRevista de saude publica2016
Difficulties in access and estimates of public beds in intensive care units in the state of Rio de Janeiro.
Article in Revista de saude publica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Late Nutrition and Negative Outcomes in a Brazilian Paediatric Intensive Care Unit: A Retrospective Cohort.Journal of paediatrics and child health · 2025Article
- Optimization of the Use of Hospital Beds as an Example of Improving the Functioning of Hospitals in Poland on the Basis of the Provincial Clinical Hospital No. 1 in Rzeszow.International journal of environmental research and public health · 2022Article
- Prioritization of ICU beds with renal replacement therapy support by court order and mortality in a Brazilian metropolitan area.Scientific reports · 2022Article
- Internal Regulation Center in hospitals: Repercussions of its implementation on the health services' indicators.Revista latino-americana de enfermagem · 2022Article
- COVID-19 pandemic and the judicialization of health care: an explanatory case study.Revista latino-americana de enfermagem · 2020Article
- Management of bed availability in intensive care in the context of hospitalization by court order.Revista latino-americana de enfermagem · 2020Article
- Refractory secondary hyperparathyroidism in waiting list for parathyroidectomy: who we should operate first in a quaternary hospital in Brazil regarding survival.Renal failure · 2019Observational
- Epidemiological overview - 18 years of ICU hospitalization due to trauma in Brazil.Revista de saude publica · 2019Article
- Determinants and outcomes associated with decisions to deny intensive care unit admission in Tunisian ICU.The Pan African medical journal · 2018Article
- Planning and understanding the intensive care network in the State of Rio de Janeiro (RJ), Brazil: a complex societal problem.Revista Brasileira de terapia intensivaArticle
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7 authors.
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Abstract
objectiveTo estimate the required number of public beds for adults in intensive care units in the state of Rio de Janeiro to meet the existing demand and compare results with recommendations by the Brazilian Ministry of Health.
methodsThe study uses a hybrid model combining time series and queuing theory to predict the demand and estimate the number of required beds. Four patient flow scenarios were considered according to bed requests, percentage of abandonments and average length of stay in intensive care unit beds. The results were plotted against Ministry of Health parameters. Data were obtained from the State Regulation Center from 2010 to 2011.
resultsThere were 33,101 medical requests for 268 regulated intensive care unit beds in Rio de Janeiro. With an average length of stay in regulated ICUs of 11.3 days, there would be a need for 595 active beds to ensure system stability and 628 beds to ensure a maximum waiting time of six hours. Deducting current abandonment rates due to clinical improvement (25.8%), these figures fall to 441 and 417. With an average length of stay of 6.5 days, the number of required beds would be 342 and 366, respectively; deducting abandonment rates, 254 and 275. The Brazilian Ministry of Health establishes a parameter of 118 to 353 beds. Although the number of regulated beds is within the recommended range, an increase in beds of 122.0% is required to guarantee system stability and of 134.0% for a maximum waiting time of six hours.
conclusionsAdequate bed estimation must consider reasons for limited timely access and patient flow management in a scenario that associates prioritization of requests with the lowest average length of stay.
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