Intensive care medicine in Mongolia's 3 largest cities: outlining the needs

J Crit Care. 2009 Sep;24(3):469.e1-6. doi: 10.1016/j.jcrc.2008.06.014. Epub 2009 Jan 17.


Purpose: To evaluate intensive care resources, support, and personnel available in Mongolia's 3 largest cities.

Materials and methods: This prospective study was performed as a questionnaire-based survey evaluating intensive care units (ICUs) in Mongolia's 3 main cities.

Results: Twenty-one of 31 ICUs participated in the survey. The median number of beds per ICU was 7 (interquartile ranges, 6-10) with 0.7 (0.6-0.9) physicians and 1.5 (0.6-1.8) nurses per bed. A 24-hour physician service was available in 61.9% of the participating ICUs. A median number of 359 patients (250-500) with an average age of 39 (30-49) years were treated annually. Oxygen was available in all ICUs, but only for 60% (17-75) of beds. Pressurized air was available in 33% of the ICUs for 24% (0-15) of beds. Of the ICUs, 52.4% had a lung ventilator serving 20% (0-23) of beds. The most common admission diagnoses were sepsis, stroke, cardiac disease, postoperative or postpartum hemorrhage, and intoxication. Availability of medical equipment, disposables, and drugs was inadequate in all ICUs.

Conclusions: Intensive care medicine in Mongolia's 3 largest cities is an under-resourced and underdeveloped medical specialty. The main problems encountered are insufficient training of staff as well as lack of medical equipment, disposables, and drugs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Health Services Accessibility / organization & administration
  • Health Services Accessibility / statistics & numerical data
  • Humans
  • Intensive Care Units / organization & administration*
  • Intensive Care Units / statistics & numerical data*
  • Male
  • Middle Aged
  • Mongolia
  • Needs Assessment*
  • Oxygen / supply & distribution
  • Personnel, Hospital
  • Prospective Studies
  • Respiration, Artificial
  • Urban Population


  • Oxygen