Table of Contents

HK J Paediatr (New Series)
Vol 1. No. 1, 1996

HK J Paediatr (New Series) 1996;1:77-81

Occasional Survey

A Survey on Pediatric Intensive Care Units in China

XM Fan, ZY Lu


To understand the present status of pediatric intensive care in China, we conducted a survey between October and December, 1993, involving 20 hospitals in 14 provinces and municipalities. The results showed that there were totally 41 ICUs for pediatric patients, including 19 pediatric ICUs (PICU), 18 neonatal ICUs (NICU) and 4 pediatric surgical ICUs (SICU), with total of 403 beds. The physicians to bed and nurses to bed ratios were 1:1.5 and 1:0.91 respectively. The average number of equipment per bed was 0.47 ventilator, 0.34 multi-function monitor and 0.47 infusion pump. Very few of the ICUs had portable X-ray machines, biochemical and blood gas analyzers, and hemodialysis machines. The most frequently treated diseases/conditions were pneumonia, intracranial infections, post-operation and sepsis in PICUs, and neonatal pneumonia, hypoxic ischemic encephalopathy and sclerema in NICUs. Pneumonia and respiratory failure accounted for 33.29% and 26.50% of all the diseases/conditions treated in the ICUs and the mean case fatality rate of respiratory failure was 24.50%. The results of the survey suggest that there is shortage of ICU beds and modern equipment, and treatment is often delayed due to excessively strict criteria for mechanical ventilation. A set of simple, and nationally acceptable criteria for evaluation of severity and cure of the diseases/conditions is urgently required.

Keyword : China; Intensive care units


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