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The Critical Care Crisis in the United States*: A Report From the Profession

Mark A. Kelley; Derek Angus; Donald B. Chalfin; Edward D. Crandall; David Ingbar; Wanda Johanson; Justine Medina; Curtis N. Sessler; Jeffery S. Vender
Author and Funding Information

*From the Department of Medicine (Dr. Kelley), Henry Ford Hospital, Detroit, MI; Department of Critical Care Medicine (Dr. Angus), University of Pittsburgh, Pittsburgh, PA; Department of Critical Care Medicine (Dr. Chalfin), Montefiore Medical Center, Brooklyn, NY; Keck School of Medicine (Dr. Crandall), University of Southern California, Los Angeles, CA; Department of Medicine (Dr. Ingbar), University of Minnesota, Minneapolis, MN; American Association of Critical-Care Nurses (Ms. Johanson and Ms. Medina), Aliso Viejo, CA; Division of Pulmonary and Critical Care Medicine (Dr. Sessler), Virginia Commonwealth University Health System, Richmond, VA; and Evanston Northwestern Healthcare (Dr. Vender), Evanston, IL.

Correspondence to: Mark A. Kelley, MD, Henry Ford Hospital, One Ford Place, 5B, Detroit, MI 48202; e-mail: Mkelley1@hfhs.org



Chest. 2004;125(4):1514-1517. doi:10.1378/chest.125.4.1514
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The care of the critically ill patients accounts for 1% of the gross domestic product in the United States.1 The aging of the American population in the next 2 decades will increase the burden of acute and chronic illness and the demand for critical care services.2 The Leapfrog Group, a consortium of Fortune 500 companies, has identified critical care as a major factor in health-care quality.3 Leapfrog has promoted wider use of critical care physicians because such staffing improves patient outcome.4

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