Hospital-Level Changes in Adult ICU Bed Supply in the United States

David J. Wallace · Christopher W. Seymour · Jeremy M. Kahn

57 citations0/0 files storedCritical Care Medicine

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Healthcare Policy and Management Healthcare Quality and Management Emergency and Acute Care Studies

Abstract

OBJECTIVES: Although the number of intensive care beds in the United States is increasing, little is known about the hospitals responsible for this growth. We sought to better characterize national growth in intensive care beds by identifying hospital-level factors associated with increasing numbers of intensive care beds over time. DESIGN: We performed a repeated-measures time series analysis of hospital-level intensive care bed supply using data from Centers for Medicare and Medicaid Services. SETTING: All United States acute care hospitals with adult intensive care beds over the years 1996-2011. PATIENTS: None. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: We described the number of beds, teaching status, ownership, intensive care occupancy, and urbanicity for each hospital in each year of the study. We then examined the relationship between increasing intensive care beds and these characteristics, controlling for other factors. The study included 4,457 hospitals and 55,865 hospital-years. Overall, the majority of intensive care bed growth occurred in teaching hospitals (net, +13,471 beds; 72.1% of total growth), hospitals with 250 or more beds (net, +18,327 beds; 91.8% of total growth), and hospitals in the highest quartile of occupancy (net, +10,157 beds; 54.0% of total growth). In a longitudinal multivariable model, larger hospital size, teaching status, and high intensive care occupancy were associated with subsequent-year growth. Furthermore, the effects of hospital size and teaching status were modified by occupancy: the greatest odds of increasing ICU beds were in hospitals with 500 or more beds in the highest quartile of occupancy (adjusted odds ratio, 18.9; 95% CI, 14.0-25.5; p < 0.01) and large teaching hospitals in the highest quartile of occupancy (adjusted odds ratio, 7.3; 95% CI, 5.3-9.9; p < 0.01). CONCLUSIONS: Increasingly, intensive care bed expansion in the United States is occurring in larger hospitals and teaching centers, particularly following a year with high ICU occupancy.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 57 citations exist upstream.

References

1987Health insurance and the demand for medical care: evidence from a randomized experiment.2009Critical care medicine in the United States 2000–2005: An analysis of bed numbers, occupancy rates, payer mix, and costs*2004Critical care medicine in the United States 1985–2000: An analysis of bed numbers, use, and costs*2009The Structure of Critical Care Transfer Networks 2014Critical Care Bed Growth in the United States. A Comparison of Regional and National Trends 2014ICU Bed Supply, Utilization, and Health Care Spending 2013Do More Hospital Beds Lead to Higher Hospitalization Rates? A Spatial Examination of Roemer’s Law 2006Changes in critical care beds and occupancy in the United States 1985–2000: Differences attributable to hospital size

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.