Critical care practices in the world: Results of the global intensive care unit need assessment survey 2020

Table 1 Demographic variables

Demographic variables	Responses in % (n = 121)
Age (yr)
31-40	29.8
41-50	23.1
20-30	23.1
> 50	24.0
Gender
Male	65.3
Female	34.7
Intensive care unit experience (yr)
< 10	50.4
10-20	35.5
21-30	9.9
> 30	4.1
Designation
Consultant staff	73.6
Resident-PGY-3 and above	14.9
Resident-PGY-1	5.0
Resident-PGY-2	6.6
Intensive care unit specialty wise distribution
Mixed medical-surgical	76.0
Medical	7.4
Others	16.6
Institution type
Private/non-academic	16.5
Government hospital (tertiary care)	19.8
Academic teaching hospital	31.5
Corporate teaching hospital	8.2
Other	0.9
Number of intensive care unit beds
< 11	28.1
11-20	31.4
21-30	23.1
> 30	17.4
Intensive care unit type
Open	43.8
Closed	56.2

PGY-3: Post-graduate year 3.

Table 2 Clinical resource parameters

Clinical resource parameters	Responses in % (n = 121)
Patient/nurse ratio (n)
Usually 2:1 (for complicated patients 1:1) (n = 41)	33.9
2:1 (n = 26)	21.5
> 2:1 (n = 20)	16.5
1:1 (n = 31)	25.6
No fixed patient/nurse (n = 3)	2.5
24 h in-house intensivist (n = 71)	58.7
Certified intensivist (n = 101)	83.5
Residents/fellows/medical students rotate through or cover intensive care units along with staff intensivists (n = 101)	83.5

Table 3 Critical care protocols self-reporting

High (%)		Medium (%)		Low (%)
Glucose control	89.3	Daily interruption of sedation	69.4	Palliative care/end of Life	43.8
Advanced cardiac life support	93.4	Acute coronary syndrome	81.0	Delirium	66.9
Deep vein thrombosis prophylaxis	83.5	Acute lung injury	54.5	Early mobility	68.6
Stress ulcer prophylaxis	83.5	Transfusion restriction	58.7	Hypothermia after cardiac arrest	61.2
Severe sepsis	81.7
Ventilator-associated pneumonia bundle	78.5
Nutrition	76.0

Table 4 Common diagnoses

Common diagnoses	No	% of intensive care unit
Sepsis or septic shock	106	87.6
Respiratory failure	106	87.6
Heart failure	67	55.4
Post-operative observation	68	56.2
Poisoning	15	12.4
Head trauma	37	30.6
Renal failure	46	38.0
Alcohol withdrawal	13	10.7
Epilepsy or uncontrolled seizures	18	14.9
Chronic obstructive pulmonary disease exacerbation	37	30.6
Hypertension	15	12.4
Cardiogenic shock	37	30.6
Electrolyte imbalance	20	16.5
Hypotension or hypovolemic shock	44	36.4
Heat stroke	4	3.3

Table 5 Critical care outcomes

Variables	Outcome
Intensive care unit mortality (response n =36)	14%
Intensive care unit length of stay, in days (response n = 41)	5.2
Mechanical ventilation mortality (response n = 27)	19.5%
Mechanical ventilation duration, in days (response n = 34)	4.3
Sepsis mortality (response n = 27)	21.2%