Intensive care physicians perceive that there is seasonal variation in the
number of admissions to critical care services. There is, however, little p
ublished evidence to support this belief. Data were therefore collected fro
m five adjacent critical care units in the eastern region over a period of
8 years, in order to quantify any seasonal variation that may exist. Data o
n 16 355 critically ill patients were obtained between 1992 and 2000. Analy
sis showed clear winter peaks; December had it 30% higher admission rate th
an the quietest month, February. There was a small, but increasing, summer
peak. The admission rate also exhibits an increasing linear trend, equivale
nt to a 6.6% annual increase in admissions per critical care bed. We conclu
de that there is significant seasonal variation in critical care activity,
and that this is important to consider when planning services.