Rationing intensive care

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6985.1010b (Published 15 April 1995) Cite this as: BMJ 1995;310:1010

Crisis reactions to shortages should be replaced by analysis of strategic services

  1. A R Bull
  1. Medical director Eastbourne and County Healthcare, Hellingly, Hailsham, East Susex BN27 4EP

    EDITOR,—There has been considerable public concern over the need to transfer a man from London to Leeds for intensive care because of a shortage of beds.1 In 1992-3 I led a detailed study of the use of intensive care facilities in the Yorkshire region (which includes Leeds).2 Data (including severity scores based on the Intensive Care Society's national acute physiology and chronic health evaluation (APACHE II)) were collected on 3063 out of 3185 patients admitted to designated …

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