Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1605
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dc.contributorLitton, Edwarden_US
dc.contributorBucci, Tamaraen_US
dc.contributorChavan, Shailaen_US
dc.contributorHo, Yvonneen_US
dc.contributorHolley, Anthonyen_US
dc.contributorHoward, Grettaen_US
dc.contributorHuckson, Sueen_US
dc.contributorKwong, Philomenaen_US
dc.contributorMillar, Johnnyen_US
dc.contributorNguyen, Nhien_US
dc.contributorSecombe, Paulen_US
dc.contributorZiegenfuss, Marcen_US
dc.contributorPilcher, Daviden_US
dc.date.accessioned2020-11-23T05:54:56Z-
dc.date.available2020-11-23T05:54:56Z-
dc.date.issued2020-
dc.identifier.govdoc01576en_US
dc.identifier.urihttp://hdl.handle.net/11054/1605-
dc.descriptionIncludes Data from BHSen_US
dc.description.abstractObjectives To assess the capacity of intensive care units (ICUs) in Australia to respond to the expected increase in demand associated with COVID‐19. Design Analysis of Australian and New Zealand Intensive Care Society (ANZICS) registry data, supplemented by an ICU surge capability survey and veterinary facilities survey (both March 2020). Settings All Australian ICUs and veterinary facilities. Main outcome measures Baseline numbers of ICU beds, ventilators, dialysis machines, extracorporeal membrane oxygenation machines, intravenous infusion pumps, and staff (senior medical staff, registered nurses); incremental capability to increase capacity (surge) by increasing ICU bed numbers; ventilator‐to‐bed ratios; number of ventilators in veterinary facilities. Results The 191 ICUs in Australia provide 2378 intensive care beds during baseline activity (9.3 ICU beds per 100 000 population). Of the 175 ICUs that responded to the surge survey (with 2228 intensive care beds), a maximal surge would add an additional 4258 intensive care beds (191% increase) and 2631 invasive ventilators (120% increase). This surge would require additional staffing of as many as 4092 senior doctors (245% increase over baseline) and 42 720 registered ICU nurses (269% increase over baseline). An additional 188 ventilators are available in veterinary facilities, including 179 human model ventilators. Conclusions The directors of Australian ICUs report that intensive care bed capacity could be near tripled in response to the expected increase in demand caused by COVID‐19. But maximal surge in bed numbers could be hampered by a shortfall in invasive ventilators and would also require a large increase in clinician and nursing staff numbers.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2020-10-13T03:02:06Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2020-11-23T05:54:56Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2020-11-23T05:54:56Z (GMT). No. of bitstreams: 0 Previous issue date: 2020en
dc.titleSurge capacity of intensive care units in case of acute increase in demand caused by COVID‐19 in Australia.en_US
dc.typeJournal Articleen_US
dc.type.specifiedArticleen_US
dc.bibliographicCitation.titleMedical Journal of Australiaen_US
dc.bibliographicCitation.volume212en_US
dc.bibliographicCitation.issue10en_US
dc.bibliographicCitation.stpage463en_US
dc.bibliographicCitation.endpage467en_US
dc.subject.healththesaurusINTENSIVE CAREen_US
dc.subject.healththesaurusRESOURCE ALLOCATIONen_US
dc.subject.healththesaurusCOVID-19en_US
dc.subject.healththesaurusEPIDEMICSen_US
dc.subject.healththesaurusRESPIRATORY TRACT INFECTIONSen_US
dc.subject.healththesaurusHOSPITALSen_US
dc.subject.healththesaurusRESPIRATION, ARTIFICIALen_US
dc.identifier.doihttps://doi.org/10.5694/mja2.50596en_US
Appears in Collections:Research Output

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