Intensivist physician-to-patient ratios and mortality in the intensive care unit.

ABSTRACT:

Purpose

A high daily census may hinder the ability of physicians to deliver quality care in the intensive care unit (ICU). We sought to determine the relationship between intensivist-to-patient ratios and mortality among ICU patients.

Methods

We performed a retrospective cohort study of intensivist-to-patient ratios in 29 ICUs in 10 hospitals in the United States from 2018 to 2020. We used meta-data from progress notes in the electronic health record to determine an intensivist-specific caseload for each ICU day. We then fit a multivariable proportional hazards model with time-varying covariates to estimate the relationship between the daily intensivist-to-patient ratio and ICU mortality at 28 days.

Results

The final analysis included 51,656 patients, 210,698 patient

SUBMITTER: Kahn JM 

PROVIDER: S-EPMC10155655 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature