The use of hospital resuscitation and intensive care beds in provision of medical care in a city

Objective: To identify the shortcomings and reserves of the use of the resuscitation and intensive care bed Fund on the example of the health care system of a city. Material and Methods. The use of resuscitation and intensive care beds in 75 hospitals in Saint Petersburg was analyzed. The data were statistically processed, average values, extensive and intensive indicators were calculated with an assessment of the reliability of their difference, indicators of a dynamic series, and a correlation analysis was performed. Results: The availability of beds in Saint Petersburg in 2015-2019 decreased from 775.7 to 706.9 per 100 thousand population, while the share of intensive care and intensive care beds is stable (4.5-6.1%). This does not correspond to an increase in emergency hospitalization by 14.5%, the number of operations by 14.0%, and high-tech operations by 54.5%). The need for anaesthetic and resuscitation care has increased: from 1387 to 1524 cases per 100 thousand population, while the average number of days of employment of such beds has not changed significantly (in 2015, 245±4.8, in 2019, 241±5.5 (f<2). The availability of intensive care and intensive care beds affects the reduction of hospital mortality (p=-0.7, p<0.05). Conclusion: Intensive care and intensive care beds in Saint Petersburg, despite their intensive use, work effectively, while reserves have been identified that can be used in emergency situations and adverse epidemiological conditions.