Table 3.
Responses to Questions Regarding Access to Space, Equipment, and Services
| Variables | High-Income Economies (n = 431), n (%) (95% CI) | Upper-Middle-Income Economies (n = 228), n (%) (95% CI) | Lower-Middle-Income Economies (n = 255), n (%) (95% CI) | Low-Income Economies (n = 39), n (%) (95% CI) | Total (n = 953), n (%) (95% CI) | P Value |
|---|---|---|---|---|---|---|
| Number of hospital beds | <0.001 | |||||
| ≤500 | 104 (24.1) (20.3–28.4) | 111 (48.7) (42.3–55.1) | 116 (45.5) (39.5–51.6) | 18/39 (46.2) (31.6–61.4) | 349 (36.6) (33.6–39.7) | |
| 500–1000 | 173 (40.1) (35.6–44.8) | 78 (34.2) (28.4–40.6) | 75 (29.4) (24.2–35.3) | 18 (46.2) (31.6–61.4) | 344 (36.1) (33.1–39.2) | |
| >1000 | 154 (35.7) (31.4–40.4) | 39 (17.1) (12.8–22.5) | 64 (25.1) (20.2–30.8) | 3 (7.7) (2.7–20.3) | 260 (27.3) (24.6–30.2) | |
| Dedicated neurosurgical wards | 371 (86.1) (86.1–89) | 163 (71.5) (65.3–77) | 184 (72.2) (66.4–77.3) | 25 (64.1) (48.4–77.3) | 743 (78) (75.2–80.5) | <0.001 |
| Number of neurosurgical beds | 0.966 | |||||
| <25 | 97 (22.5) (18.8–26.7) | 77 (33.8) (28–40.1) | 70 (27.5) (22.3–33.2) | 17 (43.6) (29.3–59) | 261 (27.4) (24.7–30.3) | |
| 25–50 | 182 (42.2) (37.7–46.9) | 83 (36.4) (30.4–42.8) | 82 (32.2) (26.7–38.1) | 13 (33.3) (20.6–49) | 360 (37.8) (34.8–40.9) | |
| 50–75 | 89 (20.7) (17.1–24.7) | 30 (13.2) (9.4–18.2) | 44 (17.3) (13.1–22.4) | 7 (18) (9–32.7) | 170 (17.8) (15.5–20.4) | |
| 75–100 | 35 (8.1) (5.9–11.1) | 18 (7.9) (5.1–12.1) | 24 (9.4) (6.4–13.6) | 2 (5.1) (1.4–16.9) | 79 (8.3) (6.7–10.2) | |
| >100 | 28 (6.5) (4.5–9.2) | 20 (8.8) (5.8–13.2) | 35 (13.7) (10–18.5) | 0 (0) (0–9) | 83 (8.7) (7.1–10.7) | |
| Equipment and services access | ||||||
| Computed tomography | 426 (98.8) (97.3–99.5) | 225 (98.7) (96.2–99.6) | 250 (98) (95.5–99.2) | 39 (100) (91–100) | 940 (98.6) (97.7–99.2) | 0.690 |
| Magnetic resonance imaging | 425 (98.6) (97–99.4) | 198 (86.8) (81.8–90.6) | 229 (89.8) (85.5–92.9) | 26 (66.7) (51–79.4) | 878 (92.1) (90.3–93.7) | <0.001 |
| Catheter angiography | 389 (90.3) (87.1–92.7) | 149 (65.4) (59–71.2) | 141 (55.3) (49.2–61.3) | 4 (10.3) (4.1–23.6) | 683 (71.7) (68.7–74.4) | <0.001 |
| Operating microscope | 427 (99.1) (97.6–99.6) | 212 (93) (88.9–95.6) | 212 (83.1) (78.1–87.2) | 24 (61.5) (45.9–75.1) | 875 (91.8) (89.9–93.4) | <0.001 |
| Image guidance system (navigation) | 388 (90) (86.8–92.5) | 96 (42.1) (35.9–48.6) | 86 (33.7) (28.2–39.7) | 5 (12.8) (5.6–26.7) | 575 (60.3) (57.2–63.4) | <0.001 |
| High-speed drill | 423 (98.1) (96.4–99.1) | 198 (86.8) (81.8–90.6) | 186 (72.9) (67.2–78) | 17 (43.6) (29.3–59) | 824 (86.5) (84.1–88.5) | <0.001 |
| Intensive care unit | 429 (99.5) (98.3–99.9) | 225 (98.7) (96.2–99.6) | 245 (96.1) (92.9–97.9) | 36 (92.3) (79.7–97.4) | 935 (98.1) (97–98.8) | <0.001 |
| Mechanical ventilators in the intensive care unit | 409 (95.3) (92.9–97) | 222 (98.7) (96.2–99.6) | 235 (95.9) (92.7–97.8) | 35 (97.2) (85.8–99.5) | 901 (96.4) (95–97.4) | 0.083 |
| Rehabilitation specialists | 397 (92.1) (89.2–94.3) | 176 (77.2) (71.3–82.2) | 178 (69.8) (63.9–75.1) | 19 (48.7) (33.9–63.8) | 770 (80.8) (78.2–83.2) | <0.001 |
Summary of young neurosurgery respondents (n = 953) as it relates to access to space, equipment, and services by World Bank income classification.
CI, confidence interval.