Cálculo de requerimientos de camas de cuidados intensivos pediátricos
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Gac Med Bol
Abstract
El principal problema que enfrenta la atención de cuidados intensivos, tanto para adultos como para niños, en países en desarrollo es la falta de recursos humanos, infraestructura y equipos adecuados. Existe un déficit histórico de personal médico, de enfermería y otros profesionales capacitados para la atención de pacientes críticos. Esto se ha agravado durante la pandemia de COVID-19 por el agotamiento y la renuncia del personal. Los hospitales, incluyendo los de referencia nacional, carecen de equipos modernos y la infraestructura está en malas condiciones. Muchas veces dependen de donaciones que llegan en mal estado. Para poder demostrar la necesidad real de más camas de cuidados intensivos pediátricos, se requieren estudios que analicen la demanda actual y proyectada, en lugar de basarse solo en la capacidad instalada. Esto permitiría justificar mejor la ampliación de estos servicios ante las autoridades. Objetivos: identificar una fórmula para cálculo de camas en terapia intensiva pediátrica. Métodos: estudio observacional descriptivo retrospectivo. Resultados: se describen fórmulas para el cálculo de camas para UCIP, más adecuadas según publicaciones en el área además de proponer una fórmula también para el cálculo: NxEMx(1+CV2)/TxOix(1-Di). Conclusiones: se pudo identificar fórmulas más adecuadas para este cálculo tomando en cuenta sobre todo el número de pacientes que se atienden en las unidades.
The main problem facing intensive care, for both adults and children, in developing countries is the lack of adequate human resources, infrastructure, and equipment. There is a historical shortage of medical, nursing, and other professionals trained to care for critically ill patients. This has worsened during the COVID-19 pandemic due to staff burnout and resignation. Hospitals, including national referral hospitals, lack modern equipment, and their infrastructure is in poor condition. They often rely on donations that arrive in poor condition. To demonstrate the real need for more pediatric intensive care beds, studies are needed that analyze current and projected demand, rather than based solely on installed capacity. This would allow for better justification of the expansion of these services to authorities. Objectives: to identify a formula for calculating pediatric intensive care beds. Methods: a retrospective, descriptive, observational study. Results: The most appropriate formulas are described based on publications in the field, and a formula for the calculation is also proposed. Conclusions: more appropriate formulas for this calculation were identified, taking into account, above all, the number of patients treated in the units.
The main problem facing intensive care, for both adults and children, in developing countries is the lack of adequate human resources, infrastructure, and equipment. There is a historical shortage of medical, nursing, and other professionals trained to care for critically ill patients. This has worsened during the COVID-19 pandemic due to staff burnout and resignation. Hospitals, including national referral hospitals, lack modern equipment, and their infrastructure is in poor condition. They often rely on donations that arrive in poor condition. To demonstrate the real need for more pediatric intensive care beds, studies are needed that analyze current and projected demand, rather than based solely on installed capacity. This would allow for better justification of the expansion of these services to authorities. Objectives: to identify a formula for calculating pediatric intensive care beds. Methods: a retrospective, descriptive, observational study. Results: The most appropriate formulas are described based on publications in the field, and a formula for the calculation is also proposed. Conclusions: more appropriate formulas for this calculation were identified, taking into account, above all, the number of patients treated in the units.
Description
Vol. 48, No. 2