A Model for Decision Making for Intensive Care Unit Admission in Source Limited Hospitals

作者：Maghsoudi Behzad; Tabei Seyed Hesamodin^*; Zand Farid; Tabatabaee Hamidreza; Akbarzadeh Armin

来源：Iranian Red Crescent Medical Journal, 2014, 16(10): e15497.

DOI：10.5812/ircmj.15497

• Intensive Care Unit
• Delphi
• Prioritizing

Background: Demand for ICU beds is exceeding its supply. Since the sources are limited in some centers, it is necessary to design a model to identify the patients who benefit more from ICU beds. %26lt;br%26gt;Objectives: The present study aimed to develop a model to prioritize adult patients according to their clinical indications by a three rounded Delphi method study. %26lt;br%26gt;Patients and Methods: In this study, 22 physicians who practiced in a source limited hospital in southern Iran were invited to participate in a three phase Delphi survey. %26lt;br%26gt;Results: At first, the panelists recommended 30 indications. The indications in the first checklist plus those obtained by literature review formed the second checklist which contained 36 items. The items were scored from 0 to 10 by the panelists. According to the scores, the indications were categorized into three priority levels, which were confirmed by the panelists in the third round. %26lt;br%26gt;Conclusions: This simple checklist contains the indications for ICU admission categorized into three priority levels. This checklist can be considered as a guide for physicians who practice in hospitals with limited number of ICU beds.

• 出版日期2014-10