Published online Jun 5, 2020. doi: 10.5492/wjccm.v9.i2.31
Peer-review started: December 7, 2019
First decision: January 28, 2020
Revised: April 27, 2020
Accepted: May 12, 2020
Article in press: May 12, 2020
Published online: June 5, 2020
Processing time: 180 Days and 14.3 Hours
With the modernization of medicine and technology, the population is living longer. The patients presenting in hospital have several co-morbid factors and are critically ill on many instances. The developed countries have come with several protocol and best practices, based on the scientific facts and expert guideline. This has shown to save lives and improve the outcomes. When it comes to developing countries, though progress has been made but not much data or information is available.
There is not much data out there regarding standard of practice, variations in practice, clinical services available in the different region of intensive care unit (ICU). We believe that having that knowledge will help in decreasing the variation and improve henceforth help in improving the patient care.
Study was designed to understand the processes, adherence to the guidelines and clinical services available in ICU in different part of India.
This study was cross-sectional pan-India based survey.
Responses were received from 134 adult/pediatric ICU were received. More than 80% of their ICU was either open or transitional. Digital infra-structure and technology was found to be marginal. More than 80% of them were utilizing sepsis care, ventilator-associated pneumonia bundle, deep venous thrombosis prophylaxis, stress ulcer prophylaxis and glycemic control. They have lower nurse to patient ratio. They also have fewer critical care specialist.
There is definitely need for improvement in the digital infra-structure, nurse to patient ratio, critical care physician availability.
Improving the practice gaps can help in improving the patient care, decreasing the hospital and ICU length of stay, decrease in mortality, and improvement in patient outcome.