Evaluation report of pediatric intensive care units in Turkey

被引:7
作者
Bayrakci, Benan [1 ]
Kesici, Selman [1 ]
Kendirli, Tanil [2 ]
Kalkan, Gokhan [3 ]
Sari, Aydin [4 ]
Tokmak, Necvan [4 ]
Yilmaz, Gokmen [4 ]
Baloglu, Orkun [5 ]
Sencan, Irfan [4 ]
机构
[1] Hacettepe Univ, Fac Med, Pediat Intens Care Unit, TR-06100 Ankara, Turkey
[2] Ankara Univ, Fac Med, Pediat Intens Care Unit, TR-06100 Ankara, Turkey
[3] Gazi Univ, Fac Med, Pediat Intens Care Unit, Ankara, Turkey
[4] Minist Hlth, Dept Hlth Serv, Ankara, Turkey
[5] Med Coll Wisconsin, Dept Pediat Crit Care Med, Milwaukee, WI 53226 USA
关键词
Pediatric intensive care unit; regionalization; IMPACT; MORTALITY; REGIONALIZATION;
D O I
10.3906/sag-1307-102
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background/aim: To collect data from throughout Turkey in order to facilitate the organization of pediatric intensive care units (PICUs), and to develop short-term immediate action plans and draft long-term strategic plans. Materials and methods: A total of 35 specialists including 17 pediatric critical care (PCC) specialists, 9 PCC fellows in training, and 9 pediatricians working in PICUs evaluated PICUs and their infrastructures, mortality rates, appropriateness of indications for PICU admissions, PICU bed numbers, and utilization of those PICU beds. Results: PICU bed numbers, PCC specialist numbers, and PICU nurse numbers are insufficient in Turkey. The high percentage of inappropriate and inefficient use of current PICU beds is also another problem. Conclusion: In the light of this report, it is obvious that pediatric intensive care services are successful and efficient only in the presence of PCC specialists in PICUs. Studies for improving the infrastructure of PICUs and the training of PCC specialists and other health personnel should be started immediately.
引用
收藏
页码:1073 / 1086
页数:14
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