EXPERT REACTION: More patients die in packed ICUs

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Australia; New Zealand; NSW; VIC; SA
Photo by Natanael Melchor on Unsplash
Photo by Natanael Melchor on Unsplash

Two in three patients being admitted to Australian and New Zealand intensive care units are going into a medium-strain hospital environment, where they are 10% more likely to die than a low-strain one, finds new research. The study of more than 57,000 patients across 137 ICUs also found that patients entering a high-strain unit are nearly 25% more likely to die. The authors say there is an incentive to run busier ICUs are as they have cheaper operating costs, but their study shows this can have serious consequences.

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Expert Reaction

These comments have been collated by the Science Media Centre to provide a variety of expert perspectives on this issue. Feel free to use these quotes in your stories. Views expressed are the personal opinions of the experts named. They do not represent the views of the SMC or any other organisation unless specifically stated.

Dr Paul Young, Director of the ICU Research Programme at the Medical Research Institute of New Zealand.

ICU care is typically the kind of care that can't be provided anywhere else in the hospital. Most patients are admitted to the ICU because they have a potentially reversible life-threatening condition, and many would die without the life support they receive in the ICU.

Because ICU care is highly specialised, it is not surprising that when the number of staffed ICU beds available to treat patients is low, that this delays delivery of appropriate care, and increases the risk of patients dying. This study provides clear evidence that the comparatively low number of ICU beds available in New Zealand measurably increases the risk of death among patients who are hospitalised with life-threatening conditions.

Last updated:  05 Aug 2021 2:13pm
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Journal of Critical Care
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Organisation/s: Flinders University, The University of Newcastle, Monash University
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