The development of the neurocritical care specialty in China based on the analysis of neurocritical care unit volume and quality

Author:

Su Yingying1,Teng Junfang2,Pan Suyue3,Jiang Wen4,Wang Furong5,Tian Fei1,Jing Jing2,Huang Huijin1,Cao Jie6,Hu Huaiqiang7,Liu Liping8,Li Wei9,Liang Cheng10,Ma Liansheng11,Meng Xuegang12,Tian Linyu13,Wang Changqing14,Wang Lihua15,Wang Yan16,Wang Zhenhai17,Wang Zhiqiang18,Xie Zunchun19,You Mingyao20,Yuan Jun21,Zeng Chaosheng22,Zeng Li23,Zhang Le24,Zhang Lei25,Zhang Xin26,Zhang Yongwei27,Zhao Bin28,Zhou Saijun29,Zhou Zhonghe30

Affiliation:

1. Departments of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China

2. The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

3. Nanfang Hospital of Southern Medical University, Guangzhou, China

4. Xijing Hospital, Fourth Military Medical University, Xi’an, China

5. Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

6. The First Hospital of Jilin University, Changchun, China

7. The 960(th) Hospital of Joint Logistics Support, PLA, Jinan, China

8. Beijing Tiantan Hospital, Capital Medical University, Beijing, China

9. Daping Hospital, The Army Military Medical University, Chongqing, China

10. The Second Hospital of Lanzhou University, Lanzhou, China

11. The First Hospital of Shanxi Medical University, Taiyuan, China

12. The Xinjiang Uygur Autonomous Region People’s Hospital, Urumqi, China

13. West China Hospital, Sichuan University, Chengdu, China

14. The First Affiliated Hospital of Anhui Medical University, Hefei, China

15. The Second Affiliated Hospital, Harbin Medical University, Harbin, China

16. Tangshan People’s Hospital of Hebei Province, Tangshan, China

17. Neurology Center, General Hospital of Ningxia Medical University, Yinchuan, China

18. The First Affiliated Hospital of Fujian Medical University, Fuzhou, China

19. The First Affiliated Hospital of Nanchang University, Nanchang, China

20. The Affiliated Hospital of Guizhou Medical University, Guiyang, China

21. Inner Mongolia People’s Hospital, Hohhot, China

22. The Second Affiliated Hospital of Hainan Medical University, Haikou, China

23. The Affiliated Hospital of Guangxi Medical University, Nanning, China

24. Xiangya Hospital, Central South University, Changsha, China

25. The First People’s Hospital of Yunnan Province, Kunming, China

26. Nanjing Drum Tower Hospital, Nanjing, China

27. Department of Neurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China

28. Tianjin Medical University General Hospital, Tianjin, China

29. The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China

30. General Hospital of Northern Theater Command, Shenyang, China

Abstract

Abstract: PURPOSE: Through three neurocritical care unit (NCCU) surveys in China, we tried to understand the development status of neurocritical care and clarify its future development. METHODS: Using a cross-sectional survey method and self-report questionnaires, the number and quality of NCCUs were investigated through three steps: administering the questionnaire, sorting the survey data, and analyzing the survey data. RESULTS: At the second and third surveys, the number of NCCUs (76/112/206) increased by 47% and 84%, respectively. The NCCUs were located in tertiary grade A hospitals or teaching hospitals (65/100/181) in most provinces (24/28/29). The numbers of full-time doctors (359/668/1337) and full-time nurses (904/1623/207) in the NCCUs increased, but the doctor–bed ratio and nurse–bed ratio were still insufficient (0.4:1 and 1.3:1). CONCLUSION: In the past 20 years, the growth rate of NCCUs in China has accelerated, while the allocation of medical staff has been insufficient. Although most NCCU hospital bed facilities and instruments and equipment tend to be adequate, there are obvious defects in some aspects of NCCUs.

Publisher

Medknow

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