ArticleCritical care medicine2017
Hospital-Level Changes in Adult ICU Bed Supply in the United States.
Article in Critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic Review of Clinical Insights into Novel Coronavirus (CoVID-19) Pandemic: Persisting Challenges in U.S. Rural Population.International journal of environmental research and public health · 2020Pooled it
- Indicators of intensive care unit capacity strain: a systematic review.Critical care (London, England) · 2018Pooled it
- Predictors, trends and outcomes associated with urinary tract infections in intracerebral hemorrhage: insights from a National Inpatient Sample Study (2010-2022).European journal of medical research · 2025Article
- Growth In Patient Cost Sharing For Hospitalizations With And Without Intensive Care Among Commercially Insured Patients.Health affairs (Project Hope) · 2023Article
- Characterizing industry payments to US teaching hospitals and affiliated physicians: a cross-sectional analysis of the Open Payments datasets from 2016 to 2022.Health affairs scholar · 2023Article
- Hospital factors that influence ICU admission decision-making: a qualitative study of eight hospitals.Intensive care medicine · 2023Article
- Comparing Outcomes of Critically Ill Patients in Intensive Care Units and General Wards: A Comprehensive Analysis.International journal of general medicine · 2023Article
- Comparative costs for critically ill patients with limited English proficiency versus English proficiency.PloS one · 2023Article
- Review
- An Innovative Individual-Level Socioeconomic Measure Predicts Critical Care Outcomes in Older Adults: A Population-Based Study.Journal of intensive care medicine · 2021Article
- Impact of Geographical Cohorting in the ICU: An Academic Tertiary Care Center Experience.Critical care explorations · 2020Article
- Epidemiological trends of surgical admissions to the intensive care unit in the United States.The journal of trauma and acute care surgery · 2020Article
- Organizational factors associated with adherence to low tidal volume ventilation: a secondary analysis of the CHECKLIST-ICU database.Annals of intensive care · 2020Article
- Management of bed availability in intensive care in the context of hospitalization by court order.Revista latino-americana de enfermagem · 2020Article
- Telemedicine for Tobacco Cessation and Prevention to Combat COVID-19 Morbidity and Mortality in Rural Areas.Frontiers in public health · 2020Article
- Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure.Journal of critical care · 2019Article
- Near-simultaneous intensive care unit (ICU) admissions and all-cause mortality: a cohort study.Intensive care medicine · 2019Article
- National Performance on the Medicare SEP-1 Sepsis Quality Measure.Critical care medicine · 2019Article
- Effects of Changes in ICU Bed Supply on ICU Utilization.Medical care · 2019Article
- Gastrostomy Tube Use in the Critically Ill, 1994-2014.Annals of the American Thoracic Society · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesAlthough the number of intensive care beds in the United States is increasing, little is known about the hospitals responsible for this growth. We sought to better characterize national growth in intensive care beds by identifying hospital-level factors associated with increasing numbers of intensive care beds over time.
designWe performed a repeated-measures time series analysis of hospital-level intensive care bed supply using data from Centers for Medicare and Medicaid Services.
settingAll United States acute care hospitals with adult intensive care beds over the years 1996-2011. PATIENTS: None.
interventionsNone. MEASUREMENTS AND MAIN
resultsWe described the number of beds, teaching status, ownership, intensive care occupancy, and urbanicity for each hospital in each year of the study. We then examined the relationship between increasing intensive care beds and these characteristics, controlling for other factors. The study included 4,457 hospitals and 55,865 hospital-years. Overall, the majority of intensive care bed growth occurred in teaching hospitals (net, +13,471 beds; 72.1% of total growth), hospitals with 250 or more beds (net, +18,327 beds; 91.8% of total growth), and hospitals in the highest quartile of occupancy (net, +10,157 beds; 54.0% of total growth). In a longitudinal multivariable model, larger hospital size, teaching status, and high intensive care occupancy were associated with subsequent-year growth. Furthermore, the effects of hospital size and teaching status were modified by occupancy: the greatest odds of increasing ICU beds were in hospitals with 500 or more beds in the highest quartile of occupancy (adjusted odds ratio, 18.9; 95% CI, 14.0-25.5; p < 0.01) and large teaching hospitals in the highest quartile of occupancy (adjusted odds ratio, 7.3; 95% CI, 5.3-9.9; p < 0.01).
conclusionsIncreasingly, intensive care bed expansion in the United States is occurring in larger hospitals and teaching centers, particularly following a year with high ICU occupancy.
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