Navigation Links
Intensivists at night improve patient outcomes in some ICUs, says Pitt/UPMC team
Date:5/22/2012

SAN FRANCISCO, May 22 Intensive care units (ICUs) that have no or limited access to critical care doctors during the day can improve patient outcomes by having the specialists, called intensivists, staff the unit at night, according to a study led by researchers at the University of Pittsburgh School of Medicine and UPMC. However, the researchers were unable to find any incremental benefit of nighttime staffing in ICUs that were robustly staffed with the specialists during the day. The findings were published online today in the New England Journal of Medicine to coincide with the research team's presentation at the annual meeting of the American Thoracic Society in San Francisco.

Research has shown that daytime staffing with intensivists improves ICU patient outcomes, noted senior author Jeremy M. Kahn, M.D., associate professor, Department of Critical Care Medicine, Pitt School of Medicine. But fewer than half of all ICUs in the U.S. are manned by intensivists, while many large medical centers, particularly teaching hospitals such as UPMC, have adopted not only intensivist staffing but have extended it to a 24-hour intensivist staffing model.

"Intuition would suggest that that round-the-clock attention from an expert trained in critical care medicine would be of even greater benefit to these very ill patients," Dr. Kahn said. "But until this project, no one had carefully examined whether that assumption would hold true. As it turns out, having some access to intensivists, who are in great demand, is the key to better outcomes. Round-the-clock intensivist staffing is only helpful in some ICUs."

The research team reviewed admission details between 2009 and 2010 from 34 community and academic hospitals that use the Acute Physiology and Chronic Health Evaluation clinical information system, a database that collects details of patient outcomes as well as ICU staffing primarily for internal quality control monitoring. The researchers sent follow-up surveys to those hospitals and received responses from 25, which included 49 ICUs and nearly 66,000 patient admissions.

Dr. Kahn and his colleagues found that patient mortality was lower in ICUs where an intensivist was available at night only if there was no intensivist heavily involved in care during the day. In ICUs where intensivists were on duty during the day, mortality was unaffected by the presence of intensivists at night.

"There is a huge opportunity to improve survival rates in some ICUs by bringing an intensivist on board at night," Dr. Kahn said. "However, there aren't enough of us to staff all the ICUs that need intensivists, so hospitals with a strong intensivist presence during the day like most academic medical centers should consider whether additional intensivist coverage is needed at night."


'/>"/>
Contact: Anita Srikameswaran
SrikamAV@upmc.edu
412-720-2058
University of Pittsburgh Schools of the Health Sciences
Source:Eurekalert

Related medicine news :

1. Laser Spine Institute Honored at the Gridiron Greats Night of Champions
2. Severe sleep apnea decreases frequency of nightmare recall
3. Lack of morning light keeping teenagers up at night
4. Overnight My Ice Cream for the Olympics
5. NightHawk Radiology Services Expands Its Medical Executive Team
6. SpiderTech Rides the Night Train to Olympic Gold
7. Grinding Teeth at Night May Be a Sign of Daytime Stress
8. Nibble Fish Arrive in Arlington Just in Time for Beautiful Toes for Oscar Night
9. Sleepless Nights Plague America
10. American Cancer Society's Inaugural Starry Night Gala Premiers at Trump National Golf Club
11. Last-Minute Tax Tip: Get a Good Night's Sleep
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... On June 10-11, 2016, A ... 2016 Cereal Festival and World’s Longest Breakfast Table in Battle Creek, MI, where the ... history as home to some of the world’s leading providers of cereal and other ...
(Date:6/25/2016)... D.C. (PRWEB) , ... June 25, 2016 , ... ... discuss health policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, ... their work on several important health care topics including advance care planning, healthcare ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern ... Laude and his M.D from the David Geffen School of Medicine at UCLA. He ... Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced traumatic events may ... to unhealthy avenues, such as drug or alcohol abuse, as a coping mechanism. To ... for healthy coping following a traumatic event. , Trauma sufferers tend to feel a ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. ... accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, ... and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016 Research and Markets ... Medical Market Analysis 2016 - Forecast to 2022" report ... The report contains up to date financial data derived from ... of major trends with potential impact on the market during ... market segmentation which comprises of sub markets, regional and country ...
(Date:6/23/2016)... June 23, 2016 Bracket , a leading ... next generation clinical outcomes platform, Bracket eCOA (SM) 6.0, ... June 26 – 30, 2016 in Philadelphia ... Clinical Outcome Assessment product of its kind to fully integrate ... Bracket eCOA 6.0 is a flexible platform for electronic ...
(Date:6/23/2016)... -- Astellas today announced the establishment of Astellas Farma Colombia (AFC), a new affiliate with operations headquartered in ... . ... ... ... Astellas is ...
Breaking Medicine Technology: