JACK Posted August 25, 2012 Share Posted August 25, 2012 We are calculating what is the NICU bed requirement for a region. Instead of an arbitrary number, we decided to actually derive this number through scientific calculations. So given a region with a population Y (Eg. Y= 1 million people) with a fertility rate of X live births per 1000, what would be the NICU bed requirement for that region? Of that how many would be NICU-Intensive care beds and how many NICU-Intermediate care beds? I know it seems very hypothetical, but this is an actual problem we are facing and we will submit this to the appropriate authorities to justify our needs. I feel that with a proper scientifically derived requirement, it will be easier to get the help from the administration rather than based on arbitrary numbers. Link to comment Share on other sites More sharing options...
Stefan Johansson Posted August 26, 2012 Share Posted August 26, 2012 In Sweden, the goal is set to one level-3 bed per 1000 deliveries. Our level-3 care is pretty much regionalized, I think there are 8 NICUs that are formally categorized as level-3, on a population of 9 million people and 110.000 births per year. Regarding level-2: I think the national standards vary more than the level-3 need around the world. My own example, in the Karolinska unit where I work, there are 10.000 inborn infants (gestational week 28+0 and up), and we have 20-24 beds. We usually use all beds all the time... Our admission rate is slightly lower than the national average (about 8.5 vs 10 %), part of the explanation is that we keep some infants in the maternity wards that would qualify for neonatal admission in our hospitals with a larger number of beds. Link to comment Share on other sites More sharing options...
JACK Posted August 28, 2012 Author Share Posted August 28, 2012 Thanks Stefan for the info Link to comment Share on other sites More sharing options...
Ruth Posted September 7, 2012 Share Posted September 7, 2012 Neonatal beds These are the norms we are using in South Africa District3 / 1 000 local deliveries Regional1,5 / 1 000 deliveries in 2o catchment area Tertiary0,5 / 1 000 deliveries in 3o catchment area * Hospitals with 2 levels of care need to calculate the bed allocation for each level on the basis of the number of deliveries in the catchment area of each level. At district level 1/3 of neonatal beds should be KMC, 1/3rd H/C and 1/3rd low care. We also recommend at risk babies are nurses with their mothers and only recommend admitting sick babies to the nursery/ neonatal unit. Link to comment Share on other sites More sharing options...
JACK Posted September 7, 2012 Author Share Posted September 7, 2012 Thanks for the info Ruth Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now