• Intensive care medicine · Nov 1997

    Comparative Study

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

    • J L Vincent, P Suter, D Bihari, and H Bruining.
    • Department of Intensive Care, Erasme University Hospital, Belgium. jlvincen@resulb.ulb.ac.be
    • Intensive Care Med. 1997 Nov 1; 23 (11): 118111841181-4.

    ObjectiveTo study differences related to intensive care unit (ICU) structure and patient demography between the various countries of Western Europe.DesignApplication of data collected by the European Prevalence of Infection in Intensive Care (EPIC) study, a one-day prevalence study.SettingVoluntary participation of all Western European ICUs. A total of 1417 ICUs responded.PatientsAll 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.ResultsThe 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.ConclusionWhile 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.

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