[SP1-2] Current status of ICU and intensive care medicine in Korea
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同時通訳付き】
Institute / Position
Catholic University of Korea, College of Medicine,
Department of Anesthesiology, Pain and Critical Care Medicine
Professor
Education and Certification
1994: PhD (the Graduate School of Catholic University of Korea, College of Medicine)
1985: MD (Catholic University of Korea, College of Medicine)
2009: Subspecialty board for critical care medicine (Korean society of Critical Care medicine)
1989: Professional license of Anesthesiologist (Korean Society of Anesthesiologists)
Experience
Aug. 1996 - Aug 1997: Research Fellow of the Center of Anesthesiology Research in Cleveland Clinic Foundation (Ohio)
Mar. 2014 – Feb. 2018: Chairman of the Department of Anesthesiology, Pain and Critical Medicine, Catholic University of Korea, College of Medicine
Since 1989 to present: Faculty member of the Department of Anesthesiology, Pain and Critical Medicine, Catholic University of Korea, College of Medicine
Social Activity
President of the Korean Society of Critical Care Medicine (since 2018 to present)
Vice President of Seoul Medical Association (since 2018 to present)
Vice President of the Korean Society of Critical Care Medicine (since 2016 to 2018)
Director of Publication in the Korean Society of Critical Care Medicine/ Editor- in-Chief of the Korean Journal of Critical Care Medicine (since 2008 to 2016)
Director of Social Communication in the Korean Society of Anesthesiologists (since 2014 to 2016)
Director of Medicolegal Affairs in the Korean Society of Anesthesiologists (since 2010 to 2012)
Director of Scientific Affairs in Seoul Medical Association (since 2009 to 2012)
It was in the early 1960s that ICU opened in Korea and the Korean Society of Critical Care Medicine was founded in 1980. Over the past 30 years, medicine has made remarkable progress, however, the severity of diseases also has increased due to social changes. The need for systematic management of ICUs is heightening.
This presentation is aimed to figure out the current status of ICU and the right direction of critical care performance in Korea. The research reports based on the national big data were reviewed.
About 300,000 patients are admitted to the ICU and the total usage of ICU is over 2 million every year. ICU use is steadily increasing. Total amount of ICU admission fee is KRW 510 billion ($ 446 million) in a year. The proportion of ICU patients peaked in 70s and 80s of age, and the patients over 70 years old is 43.8% of all ICU patients. The male to female ratio is 56.9%: 43.1%.
Most ICUs in Korea are operated as open type, and 40% of the ICU is staffed by the intensivists. One Intensivist is responsible for 24.7 beds in average. The intensivists’ specialties are: internal medicine (39.8 %), surgery (29.6 %), anesthesiology (13.4 %), and emergency medicine (7.7 %). The number of beds per nurse varies by hospital level, but mean value is 1.01.
The length of stay in ICU is 8.9 days (55.4% of patients stay in 3-6 days). ICU mortality and hospital mortality are 14.2% and 18 % respectively. The proportion of patients requiring mechanical ventilation is 21.4% and their hospital mortality is 48%.
There is a serious difference in level of care between ICUs by region and institution. The role of intensivists should be defined more concretely, and consensus should be established within the medical community. In addition, the government should introduce the policy to improve quality and standardization of intensive care.
This presentation is aimed to figure out the current status of ICU and the right direction of critical care performance in Korea. The research reports based on the national big data were reviewed.
About 300,000 patients are admitted to the ICU and the total usage of ICU is over 2 million every year. ICU use is steadily increasing. Total amount of ICU admission fee is KRW 510 billion ($ 446 million) in a year. The proportion of ICU patients peaked in 70s and 80s of age, and the patients over 70 years old is 43.8% of all ICU patients. The male to female ratio is 56.9%: 43.1%.
Most ICUs in Korea are operated as open type, and 40% of the ICU is staffed by the intensivists. One Intensivist is responsible for 24.7 beds in average. The intensivists’ specialties are: internal medicine (39.8 %), surgery (29.6 %), anesthesiology (13.4 %), and emergency medicine (7.7 %). The number of beds per nurse varies by hospital level, but mean value is 1.01.
The length of stay in ICU is 8.9 days (55.4% of patients stay in 3-6 days). ICU mortality and hospital mortality are 14.2% and 18 % respectively. The proportion of patients requiring mechanical ventilation is 21.4% and their hospital mortality is 48%.
There is a serious difference in level of care between ICUs by region and institution. The role of intensivists should be defined more concretely, and consensus should be established within the medical community. In addition, the government should introduce the policy to improve quality and standardization of intensive care.