THE CHALLENGES OF INTENSIVE CARE

The sudden outburst of the Covid-19 pandemic, by putting the world's intensive care units under pressure, has brought the crucial importance of these units to the public's attention.

For months, intensive care professionals have been facing a massive influx of the most severely infected Covid-19 patients that developping an acute respiratory distress syndrome : intensive care is their last chance of survival.

But beyond the Covid-19 pandemic, in a rapidly changing world, intensive care is facing 3 major challenges, which are the purpose of 101 and make our mission to give each patient the best chances even more vital.

 
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FACING INCREASING NEEDS

Between now and 2030, it is estimated that the need for intensive care will increase by almost 40%, due to 3 main factors:

  • Ageing of the population

  • Increasing incidence of co-morbidities under the pressure of environmental factors (natural disasters, pandemics such as Covid-19, etc.)

  • Significant changes in lifestyles (malnutrition, road accidents in developing countries, etc.)

In the face of difficulties in recruiting qualified personnel and the major economic constraints imposed on health systems worldwide, it is essential to improve the effectiveness of resuscitation.

 
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ENSURING QUALITY CARE FOR ALL

In intensive care, treatment protocols are complex and constantly evolving, but established good practices are incompletely applied and care givers are not sufficiently supported and accompanied.

This heterogeneity of practices alters the probability of survival of patients admitted to intensive care, which varies from 1 to 3 depending on the unit.

It is necessary to support intensive care teams in the continuous self-evaluation of their performance and the implementation of processes to improve the quality of care in order to reduce practice gaps between units and accelerate the implementation of research findings.

 
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ACCELERATE RESEARCH AND ITS IMPACT

One in four patients entering intensive care is likely to die after hospitalization and mortality can reach 40 to 50% for infectious shock or severe forms of respiratory failure.

These unacceptable figures are linked to the fact that too many diseases leading to intensive care are today poorly understood.

In order to merge care and clinical research, accelerate discovery and improve the efficiency of clinical research, it is necessary to turn to new research strategies based on Bayesian statistical methodologies and the modelization of the effects of the treatments studied.