Mortality Among Older Adults Before Versus After Hospital Transition to Intensivist Staffing.

ABSTRACT:

Background

A large body of research suggests that hospitals with intensive care units staffed by board-certified intensivists have lower mortality rates than those that do not.

Objective

To determine whether hospitals can reduce their mortality by adopting an intensivist staffing model.

Design

Retrospective, longitudinal study using 2003-2010 Medicare data and the Leapfrog Group Hospital surveys.

Setting and patients

In total, 2,916,801 Medicare patients at 488 US hospitals.

Measurements

We studied 30-day and in-hospital mortality among patients with several common medical and surgical conditions. We first compared risk-adjusted mortality rates of 3 groups of hospitals: those that were intensivist staffed throughout this time period, those that were not

SUBMITTER: Nagendran M 

PROVIDER: S-EPMC4718837 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature