The Association Between Daytime Intensivist Physician Staffing and Mortality in the Context of Other ICU Organizational Practices: A Multicenter Cohort Study.

ABSTRACT:

Objective

Daytime intensivist physician staffing is associated with improved outcomes in the ICU. However, it is unclear whether this association persists in the era of interprofessional, protocol-directed critical care. We sought to reexamine the association between daytime intensivist physician staffing and ICU mortality and determine if interprofessional rounding and protocols for mechanical ventilation in part mediate this relationship.

Design

Retrospective cohort study of ICUs in the Acute Physiology and Chronic Health Evaluation clinical information system from 2009 to 2010.

Setting

Forty-nine ICUs in 25 U.S. hospitals.

Patients

Adults (17 yr and older) admitted to a study ICU.

Interventions

None.

Measurements and main results

We defined hig

SUBMITTER: Costa DK 

PROVIDER: S-EPMC4721231 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature