[Activity and the available human resources working in 66 French Southern intensive care units].
BACKGROUND
The aim of the study was to determine the activity and the available human resources working in 66 intensive care unit (ICU).


METHODS
One-day audit performed between January 2009 and May 2009 by trained residents.


RESULTS
Among 710 beds, 695 (98%) beds were available for 626 patients (occupation rate=90%). The two most frequent causes of admission were shock and pneumonia. On admission, the median SAPS II was 46. More than 75% of patients had at least two organ dysfunctions within their ICU stay (respiratory failure=80%, circulatory failure=67%). At the moment of the audit, the median SOFA score was 3, and 549 (88%) patients had required a billing procedure with an admission SAPS II greater or equal to 15. Twenty seven percent of ICUs had a ratio patients/nurses or patients/aid nurse greater than 2.5 and 4, respectively whereas 58% ICUs had a ratio open beds/nurse greater than 2.5 or open beds/aid nurse greater than 4.


CONCLUSIONS
In this study, more than 75% patients had at least two organ dysfunctions within their ICU stay and 88% required a billing procedure and had an admission SAPS II greater or equal to 15. Nevertheless, the staff resource remained below the 2002 decree in 27% ICUs.
Constantin
J M
JM
Unité de soins intensifs, CHU de Clermont-Ferrand, 63058 Clermont-Ferrand, France.
Leone
M
M
Jaber
S
S
Allaouchiche
B
B
Orban
J C
JC
Cannesson
M
M
Fourcade
O
O
Morel
J
J
Martin
C
C
Lefrant
J Y
JY
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003422:Critical Care / Q000706:statistics & numerical data; D005260:Female; D005602:France; D016304:Hospitals, Private; D006785:Hospitals, University; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007902:Length of Stay; D008297:Male; D008330:Management Audit; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000453:epidemiology; D009740:Nursing Staff; D010561:Personnel Staffing and Scheduling; D011014:Pneumonia / Q000453:epidemiology; D012121:Respiration, Artificial; D012769:Shock / Q000453:epidemiology; D016896:Treatment Outcome; D000078329:Workforce; D055815:Young Adult