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Cited by 624

The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.

Variation in critical care services across North America and Western Europe*

Wunsch, Hannah, Angus, Derek C., Harrison, David A., Collange, Olivier, Fowler, Robert, Hoste, Eric A. J., de Keizer, Nicolette F., Kersten, Alexander, Linde-Zwirble, Walter T., Sandiumenge, Alberto, Rowan, Kathryn M.·2008·Critical Care Medicine
DOI 10.1097/ccm.0b013e318186aec8
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Abstract

OBJECTIVE: Critical care represents a large percentage of healthcare spending in developed countries. Yet, little is known regarding international variation in critical care services. We sought to understand differences in critical care delivery by comparing data on the distribution of services in eight countries. DESIGN: Retrospective review of existing national administrative data. We identified sources of data in each country to provide information on acute care hospitals and beds, intensive care units and beds, intensive care admissions, and definitions of intensive care beds. Data were all referenced and from as close to 2005 as possible. SETTING: United States, France, United Kingdom, Canada, Belgium, Germany, The Netherlands, and Spain. PATIENTS: Not available. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: No standard definition existed for acute care hospital or intensive care unit beds across countries. Hospital beds varied three-fold from 221/100,000 population in the United States to 593/100,000 in Germany. Adult intensive care unit beds also ranged seven-fold from 3.3/100,000 population in the United Kingdom to 24.0/100,000 in Germany. Volume of intensive care unit admissions per year varied ten-fold from 216/100,000 population in the United Kingdom to 2353/100,000 in Germany. The ratio of intensive care unit beds to hospital beds was highly correlated across all countries except the United States (r = .90). There was minimal correlation between the number of intensive care unit beds per capita and health care spending per capita (r = .45), but high inverse correlation between intensive care unit beds and hospital mortality for intensive care unit patients across countries (r = -.82). CONCLUSIONS: Absolute critical care services vary dramatically between countries with wide differences in both numbers of beds and volume of admissions. The number of intensive care unit beds per capita is not strongly correlated with overall health expenditure, but does correlate strongly with mortality. These findings demonstrate the need for critical care data from all countries, as they are essential for interpretation of studies, and policy decisions regarding critical care services.

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Citations

Cites

Show all 8 references

Research works printed but not linked: 22

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Metadata

Authors
Wunsch, H., Angus, D. C., Harrison, D. A., Collange, O., Fowler, R., Hoste, E. A. J., de Keizer, N. F., Kersten, A., Linde-Zwirble, W. T., Sandiumenge, A., & Rowan, K. M.
Venue
Critical Care Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2008-10
Volume
36
Issue
10
Pages
2787-e8
ISSN
0090-3493 (ISSN-L)
DOI
10.1097/ccm.0b013e318186aec8
OpenAlex
W1993641530
Cited by
624
References
8
FWCI
54.28
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Variation in critical care services across North America and Western Europe*. https://app.cochat.ai/papers/10.1097/ccm.0b013e318186aec8
The paper
Wunsch, H., Angus, D. C., Harrison, D. A., Collange, O., Fowler, R., Hoste, E. A. J., de Keizer, N. F., Kersten, A., Linde-Zwirble, W. T., Sandiumenge, A., & Rowan, K. M. (2008). Variation in critical care services across North America and Western Europe*. Critical Care Medicine. https://doi.org/10.1097/ccm.0b013e318186aec8

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.