Impact of Resident Rotations on Critically Ill Patient Outcomes: Results of a French Multicenter Observational Study.

ABSTRACT:

Purpose

The impact of resident rotation on patient outcomes in the intensive care unit (ICU) has been poorly studied. The aim of this study was to address this question using a large ICU database.

Methods

We retrospectively analyzed the French CUB-REA database. French residents rotate every six months. Two periods were compared: the first (POST) and fifth (PRE) months of the rotation. The primary endpoint was ICU mortality. The secondary endpoints were the length of ICU stay (LOS), the number of organ supports, and the duration of mechanical ventilation (DMV). The impact of resident rotation was explored using multivariate regression, classification tree and random forest models.

Results

262,772 patients were included between 1996 and 2010 in the database. The patient

SUBMITTER: Chousterman BG 

PROVIDER: S-EPMC5023104 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature