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6 Research products, page 1 of 1

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  • Publication . Article . 2020
    Open Access English
    Authors: 
    Nadera J. Sweiss; Peter Korsten; Huzaefah J. Syed; Aamer Syed; Robert P. Baughman; Arthur M.F. Yee; Daniel A. Culver; Teresa Sosenko; Arata Azuma; Francesco Bonella; +12 more
    Publisher: Elsevier BV
  • Open Access English
    Authors: 
    Marc Pineton de Chambrun; Jean-Michel Constantin; Alexis Mathian; Cyril Quemeneur; Victoria Lepere; Alain Combes; Charles Edouard Luyt; Zahir Amoura;
    Publisher: HAL CCSD
    Country: France

    International audience

  • Open Access
    Authors: 
    Mohit Bhutani; Paul Hernandez; Jean Bourbeau; Gail Dechman; Erika Penz; Raymond Aceron; Marla K. Beauchamp; Joshua Wald; Michael K. Stickland; Sharla-Rae Olsen; +1 more
    Publisher: Elsevier BV
    Project: NSERC
  • Publication . Article . Other literature type . 2012
    Open Access
    Authors: 
    Hannah Wunsch;
    Publisher: Elsevier BV
    Project: NIH | Intensive care services f... (5K08AG038477-02)

    Large differences exist in the provision of ICU beds worldwide, with a complicated mix of risks and benefits to the population of having either too few or too many beds. Having too few beds can result in delayed admission of patients to the ICU or no admission at all, with either scenario potentially increasing mortality. Potential societal benefits of having few beds include lower costs for health care and less futile intensive care at the end of life. With added ICU beds for a population, mortality benefit should accrue, but there is still the question of whether the addition of beds always means that more lives will be saved or whether there is a point at which no additional mortality benefit is gained. With an abundance of ICU beds may come the possibility of increasing harm in the forms of unnecessary costs, poor quality of deaths (ie, excessively intensive), and iatrogenic complications. The possibility of harm may be likened to the concept of falling off a Starling curve, which is traditionally used to describe worsening heart function when overfilling occurs. This commentary examines the possible implications of having too few or too many ICU beds and proposes the concept of a family of Starling curves as a way to conceptualize the balance of societal benefits and harms associated with different availability of ICU beds for a population.

  • Open Access English
    Authors: 
    Sean R Mendez; Rachel C. Frank; Elizabeth K. Stevenson; Mabel Chung; Michael G. Silverman;
    Publisher: Elsevier BV
    Project: NIH | Research Training for Ane... (5T32GM007592-40)
  • Open Access English
    Authors: 
    Guillaume Hékimian; Mathieu Kerneis; Michel Zeitouni; Fleur Cohen-Aubart; Juliette Chommeloux; Nicolas Bréchot; Alexis Mathian; Guillaume Lebreton; Matthieu Schmidt; Miguel Hie; +11 more
    Publisher: Elsevier BV
Advanced search in Research products
Research products
arrow_drop_down
Searching FieldsTerms
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Include:
The following results are related to COVID-19. Are you interested to view more results? Visit OpenAIRE - Explore.
6 Research products, page 1 of 1
  • Publication . Article . 2020
    Open Access English
    Authors: 
    Nadera J. Sweiss; Peter Korsten; Huzaefah J. Syed; Aamer Syed; Robert P. Baughman; Arthur M.F. Yee; Daniel A. Culver; Teresa Sosenko; Arata Azuma; Francesco Bonella; +12 more
    Publisher: Elsevier BV
  • Open Access English
    Authors: 
    Marc Pineton de Chambrun; Jean-Michel Constantin; Alexis Mathian; Cyril Quemeneur; Victoria Lepere; Alain Combes; Charles Edouard Luyt; Zahir Amoura;
    Publisher: HAL CCSD
    Country: France

    International audience

  • Open Access
    Authors: 
    Mohit Bhutani; Paul Hernandez; Jean Bourbeau; Gail Dechman; Erika Penz; Raymond Aceron; Marla K. Beauchamp; Joshua Wald; Michael K. Stickland; Sharla-Rae Olsen; +1 more
    Publisher: Elsevier BV
    Project: NSERC
  • Publication . Article . Other literature type . 2012
    Open Access
    Authors: 
    Hannah Wunsch;
    Publisher: Elsevier BV
    Project: NIH | Intensive care services f... (5K08AG038477-02)

    Large differences exist in the provision of ICU beds worldwide, with a complicated mix of risks and benefits to the population of having either too few or too many beds. Having too few beds can result in delayed admission of patients to the ICU or no admission at all, with either scenario potentially increasing mortality. Potential societal benefits of having few beds include lower costs for health care and less futile intensive care at the end of life. With added ICU beds for a population, mortality benefit should accrue, but there is still the question of whether the addition of beds always means that more lives will be saved or whether there is a point at which no additional mortality benefit is gained. With an abundance of ICU beds may come the possibility of increasing harm in the forms of unnecessary costs, poor quality of deaths (ie, excessively intensive), and iatrogenic complications. The possibility of harm may be likened to the concept of falling off a Starling curve, which is traditionally used to describe worsening heart function when overfilling occurs. This commentary examines the possible implications of having too few or too many ICU beds and proposes the concept of a family of Starling curves as a way to conceptualize the balance of societal benefits and harms associated with different availability of ICU beds for a population.

  • Open Access English
    Authors: 
    Sean R Mendez; Rachel C. Frank; Elizabeth K. Stevenson; Mabel Chung; Michael G. Silverman;
    Publisher: Elsevier BV
    Project: NIH | Research Training for Ane... (5T32GM007592-40)
  • Open Access English
    Authors: 
    Guillaume Hékimian; Mathieu Kerneis; Michel Zeitouni; Fleur Cohen-Aubart; Juliette Chommeloux; Nicolas Bréchot; Alexis Mathian; Guillaume Lebreton; Matthieu Schmidt; Miguel Hie; +11 more
    Publisher: Elsevier BV