Two Weeks Versus One Week of Maximal Patient-Intensivist Continuity for Adult Medical Intensive Care Patients: A Two-Center Target Trial Emulation.

ABSTRACT:

Objectives

To compare outcomes for 2 weeks vs. 1 week of maximal patient-intensivist continuity in the ICU.

Design

Retrospective cohort study.

Setting

Two U.S. urban, teaching, medical ICUs where intensivists were scheduled for 2-week service blocks: site A was in the Midwest and site B was in the Northeast.

Patients

Patients 18 years old or older admitted to a study ICU between March 1, 2017, and February 28, 2020.

Interventions

None.

Measurements and main results

We applied target trial emulation to compare admission during an intensivist's first week (as a proxy for 2 wk of maximal continuity) vs. admission during their second week (as a proxy for 1 wk of maximal continuity). Outcomes included hospital mortality, ICU length of stay, and, for me

SUBMITTER: Admon AJ 

PROVIDER: S-EPMC11326999 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature