Intensive care in the United Kingdom : report from the King's Fund Panel

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In 1988 the King's Fund covered a multi-disciplinary panel to consider the following questions and to prepare a statement for discussion at a consensus conference: is there scientific evidence that ICUs cause a decrease in morbidity and mortality; what criteria should be set for admission and discharge to intensive care units (ICU); which classes of patients are likely to benefit most from which procedures that are carried out in an ICU; for what extra cost is therapeutic benefit gained by using intensive care; what scale of provision is needed in the NHS; what are the pros and cons of a large multi-specialty unit or small sub-specialty units. Lack of data made it impossible to answer the questions posed and a consensus conference was not held. This is a report summarising the current state of knowledge.

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