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Su Y, Teng J, Pan S, Jiang W, Wang F, Tian F, Jing J, Huang H, Cao J, Hu H, Liu L, Li W, Liang C, Ma L, Meng X, Tian L, Wang C, Wang L, Wang Y, Wang Z, Wang Z, Xie Z, You M, Yuan J, Zeng C, Zeng L, Zhang L, Zhang L, Zhang X, Zhang Y, Zhao B, Zhou S, Zhou Z. The development of the neurocritical care specialty in China based on the analysis of neurocritical care unit volume and quality. Brain Circ 2024; 10:67-76. [PMID: 38655441 PMCID: PMC11034439 DOI: 10.4103/bc.bc_71_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Revised: 12/08/2023] [Accepted: 12/22/2023] [Indexed: 04/26/2024] Open
Abstract
PURPOSE Through three neurocritical care unit (NCCU) surveys in China, we tried to understand the development status of neurocritical care and clarify its future development. METHODS Using a cross-sectional survey method and self-report questionnaires, the number and quality of NCCUs were investigated through three steps: administering the questionnaire, sorting the survey data, and analyzing the survey data. RESULTS At the second and third surveys, the number of NCCUs (76/112/206) increased by 47% and 84%, respectively. The NCCUs were located in tertiary grade A hospitals or teaching hospitals (65/100/181) in most provinces (24/28/29). The numbers of full-time doctors (359/668/1337) and full-time nurses (904/1623/207) in the NCCUs increased, but the doctor-bed ratio and nurse-bed ratio were still insufficient (0.4:1 and 1.3:1). CONCLUSION In the past 20 years, the growth rate of NCCUs in China has accelerated, while the allocation of medical staff has been insufficient. Although most NCCU hospital bed facilities and instruments and equipment tend to be adequate, there are obvious defects in some aspects of NCCUs.
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Affiliation(s)
- Yingying Su
- Departments of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Junfang Teng
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Suyue Pan
- Nanfang Hospital of Southern Medical University, Guangzhou, China
| | - Wen Jiang
- Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Furong Wang
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Fei Tian
- Departments of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Jing Jing
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Huijin Huang
- Departments of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Jie Cao
- The First Hospital of Jilin University, Changchun, China
| | - Huaiqiang Hu
- The 960(th) Hospital of Joint Logistics Support, PLA, Jinan, China
| | - Liping Liu
- Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Wei Li
- Daping Hospital, The Army Military Medical University, Chongqing, China
| | - Cheng Liang
- The Second Hospital of Lanzhou University, Lanzhou, China
| | - Liansheng Ma
- The First Hospital of Shanxi Medical University, Taiyuan, China
| | - Xuegang Meng
- The Xinjiang Uygur Autonomous Region People's Hospital, Urumqi, China
| | - Linyu Tian
- West China Hospital, Sichuan University, Chengdu, China
| | - Changqing Wang
- The First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Lihua Wang
- The Second Affiliated Hospital, Harbin Medical University, Harbin, China
| | - Yan Wang
- Tangshan People's Hospital of Hebei Province, Tangshan, China
| | - Zhenhai Wang
- Neurology Center, General Hospital of Ningxia Medical University, Yinchuan, China
| | - Zhiqiang Wang
- The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
| | - Zunchun Xie
- The First Affiliated Hospital of Nanchang University, Nanchang, China
| | - Mingyao You
- The Affiliated Hospital of Guizhou Medical University, Guiyang, China
| | - Jun Yuan
- Inner Mongolia People's Hospital, Hohhot, China
| | - Chaosheng Zeng
- The Second Affiliated Hospital of Hainan Medical University, Haikou, China
| | - Li Zeng
- The Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Le Zhang
- Xiangya Hospital, Central South University, Changsha, China
| | - Lei Zhang
- The First People's Hospital of Yunnan Province, Kunming, China
| | - Xin Zhang
- Nanjing Drum Tower Hospital, Nanjing, China
| | - Yongwei Zhang
- Department of Neurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China
| | - Bin Zhao
- Tianjin Medical University General Hospital, Tianjin, China
| | - Saijun Zhou
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Zhonghe Zhou
- General Hospital of Northern Theater Command, Shenyang, China
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