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An audit of state sector intensive care services in Sri Lanka

Authors:

AB Yatawatte ,

Department of Anaesthesiology, Faculty of Medicine, University of Peradeniya, LK
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CR Wanniarachchi,

Department of Anaesthesiology, Faculty of Medicine, University of Peradeniya, LK
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CDA Goonasekara

Department of Anaesthesiology, Faculty of Medicine, University of Peradeniya, LK
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Abstract

Objective To survey the facilities, functioning characteristics, bed strength, manpower, operational practices and the distribution of the Intensive Care Units (ICU) of Government Hospitals in Sri Lanka. Design A cross-sectional observational study.

Method Interview of the sister or the nurse in charge of each unit by telephone using a structured questionnaire. Setting Department of Anaesthesiology, Faculty of Medicine, University of Peradeniya. Study population All intensive care units of the government hospitals in Sri Lanka. Measurements Bed strength, facilities, functioning characteristics, manpower and equipment.

Results Fifty two intensive care units were identified in the island. Two units could not be contacted over the telephone and one refused to participate. Of the 49 ICUs studied 28 (57.1%) were located in teaching hospitals, six (12.2%) in provincial hospitals, 13 (26.5%) in base hospitals and two (4.1%) in special hospitals. Twenty five (51%) of the 49 ICUs were multidisciplinary, three (6.1%) general medical, four (8.2%) general surgical and the remainder were of medical, surgical and paediatric subspecialities. The minimum acceptable standard of a ventilator: bed ratio of 1:1 was seen in 28 (57%) and a nurse : bed ratio of 1:1 was seen in 37 (75.5%) ICUs. A 24-hour resident medical officer was available in 46 (93.9%) of the 49 ICUs. ICUs are mostly located in larger cities. The lowest ICU coverage (one ICU for about 1.2 million people) was seen in the Uva Province.

Conclusions ICUs in Sri Lanka are mainly located in teaching hospitals. The standards and management strategies vary widely.

(Index words: Distribution, equipment, specialities, staffing)

DOI: http://dx.doi.org/10.4038/cmj.v49i2.3261

Ceylon Medical Journal 2004; 49: 51-54

DOI: https://doi.org/10.4038/cmj.v49i2.3261
How to Cite: Yatawatte, A., Wanniarachchi, C. and Goonasekara, C., 2011. An audit of state sector intensive care services in Sri Lanka. Ceylon Medical Journal, 49(2), pp.51–54. DOI: http://doi.org/10.4038/cmj.v49i2.3261
Published on 15 Aug 2011.
Peer Reviewed

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