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Title

A MODEL FOR DECISION MAKING FOR INTENSIVE CARE UNIT ADMISSION IN SOURCE LIMITED HOSPITALS

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 Start Page 1 | End Page 5

Abstract

 Background: Demand for ICU beds is exceeding its supply. Since the sources are limited in some centers, it is necessary to design a model to identify the patients who benefit more from ICU beds.Objectives: The present study aimed to develop a model to prioritize adult patients according to their clinical indications by a three rounded DELPHI method study.Patients and Methods: In this study, 22 physicians who practiced in a source limited hospital in southern Iran were invited to participate in a three phase DELPHI survey.Results: At first, the panelists recommended 30 indications. The indications in the first checklist plus those obtained by literature review formed the second checklist which contained 36 items. The items were scored from 0 to 10 by the panelists. According to the scores, the indications were categorized into three priority levels, which were confirmed by the panelists in the third round.Conclusions: This simple checklist contains the indications for ICU admission categorized into three priority levels. This checklist can be considered as a guide for physicians who practice in hospitals with limited number of ICU beds.

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