Organization of intensive care units in Europe: lessons from the EPIC study

Intensive Care Med. 1997 Nov;23(11):1181-4. doi: 10.1007/s001340050479.

Abstract

Objective: To study differences related to intensive care unit (ICU) structure and patient demography between the various countries of Western Europe.

Design: Application of data collected by the European Prevalence of Infection in Intensive Care (EPIC) study, a one-day prevalence study.

Setting: Voluntary participation of all Western European ICUs. A total of 1417 ICUs responded.

Patients: All patients, older than 10 years of age, occupying a bed in the participating ICUs over a 24-h period. 10,038 patient case reports were submitted.

Results: The study revealed important differences. In particular, there seems to be a north/south divide with fewer ICU beds and more severely ill patients in the south. The United Kingdom seemed more similar to southern European countries than to the north.

Conclusion: While there are similarities between European countries, large differences still remain and are important to identify to enable us to work together to create a more uniform system of intensive care, which will in turn give more effective and efficient patient care.

Publication types

  • Comparative Study

MeSH terms

  • APACHE
  • Bed Occupancy / statistics & numerical data*
  • Europe
  • Humans
  • Intensive Care Units / organization & administration*
  • Intensive Care Units / statistics & numerical data
  • Length of Stay / statistics & numerical data
  • Utilization Review