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Difficulties in access and estimates of public beds in intensive care units in the state of Rio de Janeiro

Overview of attention for article published in Revista de Saúde Pública, May 2016
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  • Above-average Attention Score compared to outputs of the same age (63rd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (63rd percentile)

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3 X users
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1 Facebook page

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75 Mendeley
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Title
Difficulties in access and estimates of public beds in intensive care units in the state of Rio de Janeiro
Published in
Revista de Saúde Pública, May 2016
DOI 10.1590/s1518-8787.2016050005997
Pubmed ID
Authors

Rosane Sonia Goldwasser, Maria Stella de Castro Lobo, Edilson Fernandes de Arruda, Simone Aldrey Angelo, José Roberto Lapa e Silva, André Assis de Salles, Cid Marcos David

Abstract

OBJECTIVE To estimate the required number of public beds for adults in intensive care units in the state of Rio de Janeiro to meet the existing demand and compare results with recommendations by the Brazilian Ministry of Health. METHODS The study uses a hybrid model combining time series and queuing theory to predict the demand and estimate the number of required beds. Four patient flow scenarios were considered according to bed requests, percentage of abandonments and average length of stay in intensive care unit beds. The results were plotted against Ministry of Health parameters. Data were obtained from the State Regulation Center from 2010 to 2011. RESULTS There were 33,101 medical requests for 268 regulated intensive care unit beds in Rio de Janeiro. With an average length of stay in regulated ICUs of 11.3 days, there would be a need for 595 active beds to ensure system stability and 628 beds to ensure a maximum waiting time of six hours. Deducting current abandonment rates due to clinical improvement (25.8%), these figures fall to 441 and 417. With an average length of stay of 6.5 days, the number of required beds would be 342 and 366, respectively; deducting abandonment rates, 254 and 275. The Brazilian Ministry of Health establishes a parameter of 118 to 353 beds. Although the number of regulated beds is within the recommended range, an increase in beds of 122.0% is required to guarantee system stability and of 134.0% for a maximum waiting time of six hours. CONCLUSIONS Adequate bed estimation must consider reasons for limited timely access and patient flow management in a scenario that associates prioritization of requests with the lowest average length of stay.

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The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 75 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 75 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 13 17%
Student > Bachelor 9 12%
Student > Doctoral Student 6 8%
Student > Ph. D. Student 6 8%
Student > Postgraduate 5 7%
Other 11 15%
Unknown 25 33%
Readers by discipline Count As %
Medicine and Dentistry 17 23%
Nursing and Health Professions 10 13%
Engineering 5 7%
Social Sciences 5 7%
Computer Science 1 1%
Other 10 13%
Unknown 27 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 March 2021.
All research outputs
#8,262,107
of 25,374,647 outputs
Outputs from Revista de Saúde Pública
#263
of 1,139 outputs
Outputs of similar age
#114,680
of 327,280 outputs
Outputs of similar age from Revista de Saúde Pública
#6
of 19 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one has received more attention than most of these and is in the 66th percentile.
So far Altmetric has tracked 1,139 research outputs from this source. They receive a mean Attention Score of 4.7. This one has done well, scoring higher than 75% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 327,280 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.
We're also able to compare this research output to 19 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.