Impact of the post‐World War II generation on intensive care needs in Norway

Laake, Jon Henrik; Dybwik, Knut; Flaatten, Hans; Fonneland, I.-L.; Kvåle, Reidar; Strand, Kristian

doi:10.1111/j.1399-6576.2009.02170.x

Cited by 55 publications

(36 citation statements)

References 17 publications

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“…This has been described in the USA, where it is recognized that future provision of critical care is unlikely to be able to meet the estimated demands [2]. This potential shortfall has also been described in other countries, such as Norway, as a result of changes in population demographics [3]. Similar patterns are being described in many other countries, although most have been unable to accurately quantify the problem.…”

Section: Introductionmentioning

confidence: 72%

The variability of critical care bed numbers in Europe

Ferdinande²,

et al. 2012

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Purpose: To quantify the numbers of critical care beds in Europe and to understand the differences in these numbers between countries when corrected for population size and gross domestic product. Methods: Prospective data collection of critical care bed numbers for each country in Europe from July 2010 to July 2011. Sources were identified in each country that could provide data on numbers of critical care beds (intensive care and intermediate care). These data were then cross-referenced with data from international databases describing population size and age, gross domestic product (GDP), expenditure on healthcare and numbers of acute care beds. Results: We identified 2,068,892 acute care beds and 73,585 (2.8 %) critical care beds. Due to the heterogeneous descriptions of these beds in the individual countries it was not possible to discriminate between intensive care and intermediate care in most cases. On average there were 11.5 critical care beds per 100,000 head of population, with marked differences between countries (Germany 29.2, Portugal 4.2). The numbers of critical care beds per country corrected for population size were positively correlated with GDP (r 2 = 0.16, p = 0.05), numbers of acute care beds corrected for population (r 2 = 0.12, p = 0.05) and the percentage of acute care beds designated as critical care (r 2 = 0.59, p \ 0.0001). They were not correlated with the proportion of GDP expended on healthcare. Conclusions: Critical care bed numbers vary considerably between countries in Europe. Better understanding of these numbers should facilitate improved planning for critical care capacity and utilization in the future.

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Section: Introductionmentioning

confidence: 72%

The variability of critical care bed numbers in Europe

Ferdinande²,

et al. 2012

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“…Some estimates demand an increase in ICU bed numbers of 50% to cope with an ageing population [46]. In line with this increase will be an increased demand for specific rehabilitation programs and beds in residential homes or nursing homes, which also will increase global health costs.…”

Section: Effects On Country Levelmentioning

confidence: 99%

The status of intensive care medicine research and a future agenda for very old patients in the ICU

Flaatten¹,

Lange²,

Artigas³

et al. 2017

Intensive Care Med

199

186

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The "very old intensive care patients" (abbreviated to VOPs; greater than 80 years old) are probably the fastest expanding subgroup of all intensive care unit (ICU) patients. Up until recently most ICU physicians have been reluctant to admit these VOPs. The general consensus was that there was little survival to gain and the incremental life expectancy of ICU admission was considered too small. Several publications have questioned this belief, but others have confirmed the poor long-term mortality rates in VOPs. More appropriate triage (resource limitation enforced decisions), admission decisions based on shared decision-making and improved prediction models are also needed for this particular patient group. Here, an expert panel proposes a research agenda for VOPs for the coming years.

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“…Tatt i betraktning at andelen av innbyggerne  67 år som fikk anestesi var høyere enn andelen av innbyggerne < 67 år (data ikke vist), vil dette kunne føre til en dramatisk økning i antall anestesier når eldrebølgen kommer. Ut fra Helsedirektoratets rapportgenerator, basert på data fra Norsk pasientregister fra 1998 frem til i dag, kan man se at økningen i antall pasienter  67 år til kirurgiske inngrep gjelder for hele regionen samlet sett (11). Selv om tallene ikke er helt sammenliknbare, mener vi de gir grunnlag for å hevde at økningen på Nordlandssykehuset Bodø neppe er et resultat av omstruktureringer.…”

Section: Flere Eldreunclassified

Anestesi til eldre ved Nordlandssykehuset Bodø 1993-2009

Sommerli¹

2012

Tidsskriftet

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Impact of the post‐World War II generation on intensive care needs in Norway

Abstract: The demand for intensive care beds will increase markedly in Norwegian hospitals in the near future. This will have serious implications for the planning of infrastructure, education of health care personnel, as well as financing of our health care system.

Cited by 55 publications

References 17 publications

The variability of critical care bed numbers in Europe

The variability of critical care bed numbers in Europe

The status of intensive care medicine research and a future agenda for very old patients in the ICU

Anestesi til eldre ved Nordlandssykehuset Bodø 1993-2009

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