Cardiology and the critical care crisis: a perspective.

Journal Article (Journal Article;Review)

With an aging U.S. population and a declining physician supply, the care of critically ill patients will soon be reaching a level of crisis. At the same time, the evidence continues to mount in support of intensivist staffing to improve both patient outcomes and resource utilization in intensive care units (ICUs). Whereas the vast majority of medical and surgical ICUs are staffed by physicians trained in critical care medicine, that is not commonly the case in coronary care units (CCUs) in this country. Despite that, the breadth and diversity of comorbidities in patients that occupy our CCU beds is continuously growing. No longer is the CCU merely an observation unit for peri-infarction complications, but rather it has truly become an ICU for patients with cardiovascular disease. With this in mind, there becomes a growing need for intensivist-trained cardiologists and a push for the development of critical care training pathways in our cardiovascular fellowship programs.

Full Text

Duke Authors

Cited Authors

  • Katz, JN; Turer, AT; Becker, RC

Published Date

  • March 27, 2007

Published In

Volume / Issue

  • 49 / 12

Start / End Page

  • 1279 - 1282

PubMed ID

  • 17394958

Electronic International Standard Serial Number (EISSN)

  • 1558-3597

Digital Object Identifier (DOI)

  • 10.1016/j.jacc.2006.11.036


  • eng

Conference Location

  • United States