Table 5 Comparison of quality control indicators in low-, middle-, and high-income provinces
Indicators | 2016 | 2017 | 2018 |
|---|---|---|---|
Proportion of ICU in total in-patients (%) | |||
 Low GDP province | 1.77 (1.25, 2.53) | 1.66(1.14, 2.59) | 1.72(1.15, 2.51) |
 Middle GDP province | 1.54(1.15, 2.56) | 1.60(1.2, 2.68) | 1.57(1.16, 2.56) |
 High GDP province | 1.56(1.06, 2.26) | 1.60(1.08, 2.21) | 1.55(1.09, 2.26) |
Proportion of ICU in total inpatient bed occupancy(%) | |||
 Low GDP province | 1.12 (0.74, 1.58) | 1.16 (0.84, 1.76) | 1.15(0.77, 1.8) |
 Middle GDP province | 1.08 (0.72, 1.65) | 1.13 (0.73, 1.65) | 1.19(0.87, 1.63) |
 High GDP province | 1.27 (0.90, 1.87) | 1.35 (0.91, 1.97) § | 1.36(0.94, 1.85) |
Proportion of APACHE II score ≥ 15 in all ICU patients(%) | |||
 Low GDP province | 66.00 (40.07, 81.89) | 62.81 (41.87, 80.25) | 61.79 (39.94, 76.6) |
 Middle GDP province | 56.88 (34.12, 75.33) | 62.50 (42.31, 80.36) | 60.15 (35.01, 77.39) |
 High GDP province | 57.34 (37.44, 79.47) | 60.31 (39.57, 75.17) | 57.74 (36.55, 74.96) |
3 h SSC bundles compliance rate(%) | |||
 Low GDP province | 85.00 (61.22, 100) | 88.61 (66.67, 100) | 90.28 (70.42, 100) |
 Middle GDP province | 77.78 (60.00, 94.12) | 82.43 (58.82, 100) | 84.03 (67.33, 100) |
 High GDP province | 83.33 (62.41, 100) | 89.47 (66.67, 100) | 89.83 (71.76, 100) |
6 h SSC bundles compliance rate | |||
 Low GDP province | 66.67 (33.33, 95.16) | 72.84 (41.86, 96.49) | 77.14 (50.00, 95.77) |
 Middle GDP province | 65.15 (29.31, 87.18) | 67.86 (31.98, 90.12) | 71.01 (40.92, 93.05) |
 High GDP province | 64.04 (38.10, 93.33) | 77.78 (43.90, 100) | 78.93 (50.00, 99.09) |
Microbiology detection rate before antibiotics(%) | |||
 Low GDP province | 80.24 (46.69, 99.02) | 83.73 (60.81, 97.24) | 89.15 (70.02, 100) * |
 Middle GDP province | 85.90 (46.96, 97.32) | 84.50 (64.51, 97.36) | 87.95 (69.17, 98.09) |
 High GDP province | 85.71 (57.42, 98.33) | 82.78 (57.01, 97.09) | 91.34 (70.72, 100) *†|
DVT prophylaxis rate(%) | |||
 Low GDP province | 74.22 (30.74, 95.39) | 65.40 (32.78, 94.99) | 82.47 (47.02, 96.09) |
 Middle GDP province | 74.39 (32.48, 98.42) | 72.25 (33.00, 96.28) | 76.80 (40.89, 96.39) |
 High GDP province | 72.93 (41.96, 95.58) | 75.46 (42.48, 97.68) | 85.77 (55.62, 99.66) |
Unplanned endotracheal extubation rate(%) | |||
 Low GDP province | 1.20 (0.11, 3.37) | 1.32 (0.34, 3.33) | 1.19 (0.36, 3.19) |
 Middle GDP province | 1.44 (0.29, 4.17) | 1.29 (0.22, 4.10) | 1.41 (0.41, 3.50) |
 High GDP province | 0.96 (0.05, 3.00) | 1.23 (0.19, 2.78) | 1.34 (0.30, 3.79) * |
Reintubation rate within 48 h(%) | |||
 Low GDP province | 1.49 (0.44, 4.00) | 1.59 (0.64, 3.91) | 1.61 (0.56, 3.62) |
 Middle GDP province | 1.78 (0.43, 4.58) | 1.67 (0.56, 3.45) | 2.18 (0.73, 4.37) |
 High GDP province | 1.63 (0.59, 4.44) | 1.56 (0.44, 3.97) | 1.87 (0.66, 3.67) § |
Rate of unplanned transfer to ICU(%) | |||
 Low GDP province | 2.57 (0.50, 7.21) | 2.27 (0.68, 7.53) | 2.49 (0.87, 8.71) |
 Middle GDP province | 3.30 (0.74, 14.21) | 2.89 (0.68, 10.16) | 2.21 (0.62, 7.78) |
 High GDP province | 2.67 (0.76, 7.59) | 2.62 (0.70, 6.93) | 2.76 (0.93, 7.34) |
ICU readmission rate within 48 h(%) | |||
 Low GDP province | 0.97 (0.38, 2.00) | 0.93 (0.34, 1.97) | 1.11 (0.48, 2.16) |
 Middle GDP province | 1.13 (0.36, 2.49) | 0.84 (0.26, 2.00) | 1.34 (0.62, 2.38) †|
 High GDP province | 0.93 (0.42, 2.08) | 0.89 (0.37, 2.09) | 1.00 (0.38, 1.72) |
VAP incidence rate(%) | |||
 Low GDP province | 12.39 (4.86, 28.81) | 11.64 (4.28, 25.04) | 9.52 (3.27, 18.32) |
 Middle GDP province | 9.93 (3.71, 22.87) | 9.13 (3.96, 20.91) | 7.83 (3.13, 15.15) |
 High GDP province | 11.15 (4.13, 20.64) | 9.77 (4.32, 23.83) | 7.52 (3.02, 16.79) *†|
CRBSI incidence rate(%) | |||
 Low GDP province | 1.39 (0, 3.76) | 1.21 (0, 3.01) | 1.19 (0, 3.29) |
 Middle GDP province | 0.98 (0, 3.25) | 1.39 (0, 3.58) | 1.24 (0.11, 2.98) |
 High GDP province | 1.46 (0, 3.16) | 1.60 (0, 3.62) | 1.34 (0, 3.19) |
CAUTI incidence rate(%) | |||
 Low GDP province  Middle GDP province | 1.97 (0.47, 4.31) 2.13 (0.89, 4.97) | 1.40 (0.55, 3.48) 2.02 (0.83, 4.94) | 1.45 (0.59, 4.05) 2.14 (0.92, 4.59) |
 High GDP province | 2.17 (0.59, 4.42) | 1.93 (0.58, 4.55) | 1.92 (0.68, 3.78) |
ICU Mortality rate(%) | |||
 Low GDP province | 8.16 (4.60, 13.50) | 8.39 (4.57, 16.05) | 8.54 (4.65, 14.31) |
 Middle GDP province | 7.68 (4.39, 13.12) | 8.32 (4.91, 13.29) | 8.90 (5.27, 14.89) |
 High GDP province | 9.83 (4.31, 17.06) | 10.15 (5.21, 15.81) | 10.15 (5.67, 17.15) |