Advanced Practice Provider-inclusive Staffing Models and Patient Outcomes in Pediatric Critical Care.

ABSTRACT:

Background

Pediatric intensive care units (PICUs) are increasingly staffed with advanced practice providers (APPs), supplementing traditional physician staffing models.

Objectives

We evaluate the effect of APP-inclusive staffing models on clinical outcomes and resource utilization in US PICUs.

Research design

Retrospective cohort study of children admitted to PICUs in 9 states in 2016 using the Healthcare Cost and Utilization Project's State Inpatient Databases. PICU staffing models were assessed using a contemporaneous staffing survey. We used multivariate regression to examine associations between staffing models with and without APPs and outcomes.

Measures

The primary outcome was in-hospital mortality. Secondary outcomes included odds of hospital acquired co

SUBMITTER: Gigli KH 

PROVIDER: S-EPMC8187846 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature