Kashyap R, Vashistha K, Saini C, Dutt T, Raman D, Bansal V, Singh H, Bhandari G, Ramakrishnan N, Seth H, Sharma D, Seshadri P, Daga MK, Gurjar M, Javeri Y, Surani S, Varon J, ININ-2018 Investigators Team. Critical care practice in India: Results of the intensive care unit need assessment survey (ININ2018). World J Crit Care Med 2020; 9(2): 31-42 [PMID: 32577414 DOI: 10.5492/wjccm.v9.i2.31]
Corresponding Author of This Article
Rahul Kashyap, MBBS, MBA, Assistant Professor, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States. kashyap.rahul@mayo.edu
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Crit Care Med. Jun 5, 2020; 9(2): 31-42 Published online Jun 5, 2020. doi: 10.5492/wjccm.v9.i2.31
Table 1 Demographic variables
Demographic variables
Responses in % (n = 134)
Age ( yr)
30-40
41
40-50
30.6
20-30
17.2
> 50
11.2
Gender
Male
80.2
Female
19.4
ICU experience (yr)
< 10
61.9
11-20
28.4
20-30
8.2
> 30
1.5
Designation
Consultant staff
75.4
Resident- PGY-3 and above
14.1
Resident- PGY-1
6.7
Resident- PGY-2
3.7
Intensive care unit specialty wise distribution
Mixed medical-surgical
82.8
Medical
8.2
Others
6.7
Surgical
2.2
Institution type
Private/academic
37.3
Private/non-academic
36.5
Government/academic
14.2
Government/non-academic
11.9
Bed strength
11-20
36.6
< 10
26.9
21-30
22.4
> 30
14.2
ICU type
Open
82.1
Closed
17.9
Table 2 Clinical resource parameters
Clinical resource parameters
Responses in % (n = 134)
Patient:nurse ratio
Usually 2:1 (for complicated patients 1:1) (n = 49)
36.6
2:1 (n = 34)
25.4
> 2:1 (n = 32)
23.9
1:1 (n = 13)
9.7
No fixed patient:nurse (n = 6)
4.5
24 h in-house intensivist (n = 77)
57.5
Certified intensivist (n = 107)
79.9
Residents/fellows/medical students rotate through or cover ICU along with staff intensivists (n = 110)
82.1
Table 3 Critical care protocols self-reporting
Critical care protocols self-reporting
High (%)
Medium (%)
Low (%)
Glucose control
91.8
Daily interruption of sedation
71.6
Palliative care/end of life
50.0
Advanced cardiac life support
88.8
Acute coronary syndrome
68.7
Delirium
48.5
DVT prophylaxis
87.3
Acute lung injury
62.7
Early mobility
48.5
Stress ulcer prophylaxis
87.3
Transfusion restriction
62
Hypothermia after cardiac arrest
44.8
Severe sepsis
83.5
VAP bundle
83.5
Nutrition
82.8
Table 4 Digital demographics
Digital demographics
Responses in % (n = 134)
High speed internet
46
Electronic medical records
37
Tele-ICU Coverage
21
2 – way communication (e.g., webcam)
16
Table 5 Common diagnoses
Common diagnoses (Dx)
No.
% of ICU
Most common Dx - septic shock
116
86.57
Respiratory failure
108
80.6
Heart failure
58
43.28
Trauma
57
42.54
Post Op
59
44.03
COPD exacerbation
72
53.73
Electrolyte imbalance
39
29.1
Epilepsy or seizure
21
15.67
Renal failure
72
53.73
Hypotension
37
27.61
Poisoning/substance abuse
34
25.37
Citation: Kashyap R, Vashistha K, Saini C, Dutt T, Raman D, Bansal V, Singh H, Bhandari G, Ramakrishnan N, Seth H, Sharma D, Seshadri P, Daga MK, Gurjar M, Javeri Y, Surani S, Varon J, ININ-2018 Investigators Team. Critical care practice in India: Results of the intensive care unit need assessment survey (ININ2018). World J Crit Care Med 2020; 9(2): 31-42