Countries With Most Critical Care Beds Per Capita

As 2020 dawned, COVID-19 began taking the world by storm and in many cases overwhelming intensive and critical care capacities of health networks across the globe. By March, Italy had been pushed to the breaking point in its hospitals as the virus ran rampant through the small European country. As the novel coronavirus made its way into other jurisdictions, governments and health officials were forced to look closely at their abilities to provide acute care for those hit hardest by COVID-19.

Some countries were ill equipped to handle the pandemic and began scrambling to provide the necessary beds, physicians, and equipment to care for patients suffering from the virus. This led to a microscopic look at the number of beds available in various countries and which regions of the world could be rendered helpless in the wake of COVID-19.

A study found the United States had the most intesive care unit (ICU) beds per capita, at 34.7 per 100,000 citizens, with Germany not far behind with 29.2. On the other end of the spectrum, countries like China and India found themselves ill-equipped with only 3.6 and 2.3 ICU beds per 100,000 people respectively.

What Is Critical Care?

Critical care is a relatively new aspect of medical practice, developed from the acute care models established to treat wounded soldiers during the Second World War. Over the course of the next 70 to 80 years, ICUs became common in hospitals - specialized units containing sophisticated life-saving equipment, usually with a high ratio of medical staff to the number of patients. The ICU serves patients in immediate life-threatening condition.

Ordinarily, hospitals do not require extensive numbers of critical care beds. However, during epidemics and pandemics like the COVID-19 crisis, the need increases manifold. For example, during the COVID-19 crisis many countries realized that their capacities to care for growing numbers of patients in dire condition were lacking. In many cases, makeshift ICUs were set up in other wards of hospitals with any additional equipment health care authorities could possibly attain.

Which Countries Are Best Equipped? United States (34.7 beds per 100,000 people)

Just three weeks into the pandemic in Italy, unused hospital wards were being transformed into ICUs to accommodate a surging number of critical COVID-19 patients requiring ventilation and intensive treatment, while tented field hospitals were erected to conduct tests for infection. The trajectory of cases matched that of China and left the country's hospitals failing as they tried to keep up with the number of people in critical condition. The public health system of Italy was overwhelmed quickly and scrambled to create bed space for its citizens in need.

Italy's critical care system had not been upgraded for years, with only 350 ICU beds being added to hospitals since 2010, but in the first two weeks of the pandemic hospitals were able to increase capacity by more than 15%. As the number of patients being admitted rose exponentially, hospitals were mandated to increase critical care by 50%. To do so, elective surgeries were put on hold and operating rooms were transformed into ICUs, semi-intensive care beds were upgraded to full intensive care, specialists in respiratory and emergency care were recruited - including those completing their third year of medical school or recently retired, patients on ventilators were weaned quickly off the machines so they could be put to use on other patients, and some hospitals were dedicated to the treatment of COVID-19 patients who did not require full ventilation support any longer. In total, nearly 500 ICU beds were created to help in the fight against the novel coronavirus.

However, the country still struggled to keep up with increasing numbers of infected individuals, forcing doctors to triage in a new way and determine who needed ventilation most - essentially deciding which patients to save and which to potentially leave to die of acute respiratory failure.

All this happened despite Italy having a relatively high number of critical care beds per capita. 

Ill-equipped Countries: Good Emergency Response Can Come To The Rescue China (3.6 beds per 100,000 people)

When the COVID-19 pandemic first arose in China with a steep spike in the number of infected patients, medical officials took on aggressive measures to contain its spread and treat those affected. These tactics included quickly building makeshift hospitals - two in Wuhan, where the virus originated - that were able to provide 2,000 additional critical care beds within two weeks. The facilities were built by crews of more than 7,000 to have them up and running within 14 days, and they were used exclusively for those with confirmed cases of COVID-19.

This fast-paced initiative was touted as the key to saving Chinese lives by the World Health Organization. However, reports on the ground claimed the number of critical care beds was still inadequate and hospitals were being overwhelmed. Chinese health officials designated 46 hospitals in the Wuhan province specifically for COVID-19 treatment and repurposed facilities like exhibition centers into temporary ICUs and triage units. Thus, despite having one of the lowest numbers of critical care beds, China's fast-paced response to the emergency situation helped to deal with the pandemic in a more effective manner.

Critical Care Bed Capacity In Select Countries Across The World