Difficulties in Access and Estimates of Public Beds in Intensive Care Units in the State of Rio De Janeiro

Overview

Journal Rev Saude Publica

Specialty Public Health

Date 2016 May 19

PMID 27191155

Citations 9

Authors

Rosane Sonia Goldwasser

Maria Stella de Castro Lobo

Edilson Fernandes De Arruda

Simone Aldrey Angelo

Jose Roberto Lapa E Silva

Andre Assis de Salles

Cid Marcos David

Affiliations

Soon will be listed here.

Abstract

Objective: To 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.

Methods: The 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.

Results: There 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.

Conclusions: Adequate 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.

Citing Articles

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Internal Regulation Center in hospitals: Repercussions of its implementation on the health services' indicators.

Feijo V, Barreto M, Tanita M, Balsanelli A, Cunha I, Haddad M Rev Lat Am Enfermagem. 2022; 30:e3517.

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Prioritization of ICU beds with renal replacement therapy support by court order and mortality in a Brazilian metropolitan area.

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Management of bed availability in intensive care in the context of hospitalization by court order.

Vargas M, Peter E, Luz K, Barlem E, Ventura C, Nascimento E Rev Lat Am Enfermagem. 2020; 28:e3271.

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