title: [Activity and the available human resources working in 66 French Southern intensive care units].
abstract: 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.
authors.affiliation: Unité de soins intensifs, CHU de Clermont-Ferrand, 63058 Clermont-Ferrand, France.
authors.forename: J M
authors.initials: JM
authors.lastname: Constantin
authors.forename: M
authors.initials: M
authors.lastname: Leone
authors.forename: S
authors.initials: S
authors.lastname: Jaber
authors.forename: B
authors.initials: B
authors.lastname: Allaouchiche
authors.forename: J C
authors.initials: JC
authors.lastname: Orban
authors.forename: M
authors.initials: M
authors.lastname: Cannesson
authors.forename: O
authors.initials: O
authors.lastname: Fourcade
authors.forename: J
authors.initials: J
authors.lastname: Morel
authors.forename: C
authors.initials: C
authors.lastname: Martin
authors.forename: J Y
authors.initials: JY
authors.lastname: Lefrant
mesh_terms: 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