Pr. Armand Mekontso Dessap, Medical ICU, Henri Mondor university hospital, Paris East Créteil university, France
– ESICM (European Society of Intensive Care Medicine)
– SRLF (Société de Réanimation de Langue Française)
– SARAF (Société d’Anesthésie Réanimation d’Afrique Francophone)
– ISCCM (Indian Society of Critical Care Medicine)
Intensive care is an essential part of any health system. Developing a strategy to improve the efficacy of critical health care services requires a precise knowledge of the structural and organisational capacities of such units.
Data on the structures and organisation systems of the intensive care units (ICU) worldwide are scarce, especially in intermediate and low-income countries. This lack of information is partly due to the high disparity in the clinical care provided to critically ill people worldwide, to the diversity of the health systems models, and to the difficulty to reach a consensus on the definition of what an ICU is. The recent report of the World Federation of Societies of Intensive care Medicine proposes a common framework for transnational evaluation of the available health care resources.ii
The present survey aims to evaluate the structures and the organisation systems of the ICUs in a big sample from high, middle, and low income countries. Its exhaustive design should provide meaningful data in the field.
The following items will be involved in our survey: the spatial characteristics of the ICU, life support and monitoring techniques, human resources, clinical care administered to patients, research activities, and training and quality improvement programmes. Data will be collected and analysed during 2019. This should help define the ICUs capacities, draft their classification, and compare them across countries of similar of different income. Our study may provide important insights to decision makers on the actions to undertake and the improvement projects to setup, especially in low or middle income countries.
Link to the survey (time needed: 15-30 minutes approximately)