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Rationing in the intensive care unit in case of full bed occupancy: a survey among intensive care unit physicians

Overview of attention for article published in BMC Anesthesiology, May 2016
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2 Facebook pages

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19 Dimensions

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52 Mendeley
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Title
Rationing in the intensive care unit in case of full bed occupancy: a survey among intensive care unit physicians
Published in
BMC Anesthesiology, May 2016
DOI 10.1186/s12871-016-0190-5
Pubmed ID
Authors

Anke J. M. Oerlemans, Hub Wollersheim, Nelleke van Sluisveld, Johannes G. van der Hoeven, Wim J. M. Dekkers, Marieke Zegers

Abstract

Internationally, there is no consensus on how to best deal with admission requests in cases of full ICU bed occupancy. Knowledge about the degree of dissension and insight into the reasons for this dissension is lacking. Information about the opinion of ICU physicians can be used to improve decision-making regarding allocation of ICU resources. The aim of this study was to: Assess which factors play a role in the decision-making process regarding the admission of ICU patients; Assess the adherence to a Dutch guideline pertaining to rationing of ICU resources; Investigate factors influencing the adherence to this guideline. In March 2013, an online questionnaire was sent to all ICU physician members (n = 761, in 90 hospitals) of the Dutch Society for Intensive Care. 166 physicians (21.8 %) working in 64 different Dutch hospitals (71.1 %) completed the questionnaire. Factors associated with a patient's physical condition and quality of life were generally considered most important in admission decisions. Scenario-based adherence to the Dutch guideline "Admission request in case of full ICU bed occupancy" was found to be low (adherence rate 50.0 %). There were two main reasons for this poor compliance: unfamiliarity with the guideline and disagreement with the fundamental approach underlying the guideline. Dutch ICU physicians disagree about how to deal with admission requests in cases of full ICU bed occupancy. The results of this study contribute to the discussion about the fundamental principles regarding admission of ICU patients in case of full bed occupancy.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 52 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 52 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 15%
Researcher 7 13%
Student > Bachelor 4 8%
Student > Ph. D. Student 4 8%
Other 3 6%
Other 8 15%
Unknown 18 35%
Readers by discipline Count As %
Medicine and Dentistry 13 25%
Nursing and Health Professions 7 13%
Business, Management and Accounting 3 6%
Social Sciences 2 4%
Immunology and Microbiology 1 2%
Other 6 12%
Unknown 20 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. 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 03 October 2017.
All research outputs
#18,972,324
of 23,520,142 outputs
Outputs from BMC Anesthesiology
#1,031
of 1,549 outputs
Outputs of similar age
#220,642
of 300,331 outputs
Outputs of similar age from BMC Anesthesiology
#5
of 7 outputs
Altmetric has tracked 23,520,142 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,549 research outputs from this source. They receive a mean Attention Score of 3.2. This one is in the 20th percentile – i.e., 20% of its peers scored the same or lower than it.
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 300,331 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 7 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.