Navigation Links
Nighttime Docs at ICUs Don't Boost Patient Outcomes: Study
Date:5/20/2013

MONDAY, May 20 (HealthDay News) -- Although many hospital intensive care units have a nighttime attending physician on staff to help improve outcomes, new research suggests this may have no clear benefit to patients.

Since one-third of teaching hospitals in the United States and three-quarters of hospitals in Europe staff a nighttime physician in the ICU, the practice may unnecessarily increase health-care costs while siphoning doctors away from hospitals with fewer resources, the study authors said.

"Based on these results, if an academic hospital's primary goal is to improve patient outcomes, then I don't think having an attending physician physically there overnight in a medical ICU is necessary," said the study's first author, Dr. Meeta Prasad Kerlin.

"This is an important finding that affects a lot of stakeholders. Staffing an intensivist [attending physician] at night is probably quite costly, because the total billing will likely be at a higher rate, which could trickle down to the insurance provider or patient. There's also the operating cost associated with staffing that impacts hospitals," said Kerlin, an assistant professor of medicine at the University of Pennsylvania School of Medicine's division of pulmonary, allergy and critical care.

The one-year study involved nearly 1,600 patients admitted to the ICU at the Hospital of the University of Pennsylvania.

The study's senior author, Dr. Scott Halpern, assistant professor of medicine, epidemiology, and medical ethics and health policy, and a team of researchers compared overnight ICU staffing. One staffing group included medical residents and an attending physician; the other group included an attending physician who was only available to medical residents by phone. The researchers also conducted in-hospital follow-up on the patients for 90 days.

The study found that nighttime physicians had no effect on how long patients stayed in the ICU, how long their hospital stay was, in-hospital death rates, ICU readmissions or discharge to home. The researchers said this held true even among the most critically ill patients or those admitted at night.

"This tells me that residents and nurses are well qualified and completely competent to handle these patients," Kerlin said in a news release from the medical school. "As long as nurses and residents have access to an on-call attending physician, then the patient will do as well as if the senior doctor was at their bedside."

The study also found that medical residents believe nighttime attending physicians provide needed support and enhance the doctors'-in-training learning experience. The researchers noted hospitals may want to consider residents' opinions when making a decision on this staffing issue.

The study was published online May 20 in the New England Journal of Medicine to coincide with a presentation at the American Thoracic Society International Conference in Philadelphia.

More information

The U.S. National Library of Medicine has more about critical care.

-- Mary Elizabeth Dallas

SOURCE: Hospital of the University of Pennsylvania, news release, May 20, 2013


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Household Chores May Ease Nighttime Menopausal Symptoms
2. Morning vs nighttime replacement affects adverse events with extended-wear contact lenses
3. Duncraft Tips—How to Keep Nighttime Predators Away from Bird Feeders
4. Can a standard vision test predict nighttime driving performance?
5. Berkeley, CA Periodontist, Dr. Keith Chertok Now Treats Gum Disease Patients With Laser Gum Surgery Prior to Placing Dental Implants
6. San Clemente, CA Periodontist, Dr. Allen J. Schultz, Now Provides Laser Gum Disease Treatment to Southern Orange County Periodontal Disease Patients
7. Board-Certified Periodontist Joins Coast Dental in Ocala and Lakeland
8. Delaware Periodontist, Dr. Leo J. Kituskie is Now Providing Laser Gum Disease Treatment for Patients in Wilmington
9. Demand for Dental Care Drives Growth in the Dental Orthodontic Supplies Market, According to New Report by Global Industry Analysts, Inc.
10. hCGTreatments / Diet Doc hCG Diets & Weight Loss Plans Announces New hCG Diet Plans Designed to Promote Fast Weight Loss to Lower Risk Of Periodontal Disease
11. Ueno Periodontics Offers New IV Sedation Process
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/24/2017)... ... 24, 2017 , ... Accordant Technology, a trusted IT solutions ... an analytics-first approach, layered with machine learning, that provides real-time visibility into the ... cloud to the edge. Through the new partnership, customers get the real-time situational ...
(Date:5/24/2017)... ... May 24, 2017 , ... Fiberstar, Inc., ... the food and beverage industry offers Citri-Fi®, a natural citrus fiber, to improve ... decision process. As a result, labels need to deliver simple, transparent and clear ...
(Date:5/23/2017)... , ... May 23, 2017 , ... Allegheny Health ... open The Alexis Joy D’Achille Center for Women’s Behavioral Health at West Penn ... in western Pennsylvania for women suffering from pregnancy-related depression. Construction of the Center ...
(Date:5/23/2017)... , ... May 23, 2017 , ... ... body for exercise professionals, is pleased to announce the organization’s Certified Strength Coach ... The NCSF Certified Strength Coach (CSC) program validates the competency of qualified candidates ...
(Date:5/23/2017)... York (PRWEB) , ... May 23, 2017 , ... ... LifeLabs, a leading equipment provider in the modern ART laboratory, to provide hands-on ... in Ft. Lauderdale, Florida. , NextGen LifeLabs, a MedTech Group Purchasing vendor ...
Breaking Medicine News(10 mins):
(Date:5/23/2017)...  Leaf Healthcare, recognized for developing one of ... ulcer prevention, will unveil its comprehensive mobility monitoring ... Nurses, National Teaching Institute and Critical Care Exposition ... Patient Monitoring System is the first mobility monitoring ... system seamlessly tracks patient movement throughout the mobility ...
(Date:5/15/2017)... May 15, 2017  Amy Baxter MD, chief executive ... in noninvasive pain relief, was awarded a 2017 Top ... Baxter was recognized at the MM&M Top 40 Healthcare ... City on May 10, 2017. The dinner ... industry go "beyond the pill."  "Innovation goes ...
(Date:5/10/2017)... Global Health Intelligence (GHI), the leading healthcare data analytics ... 2017 ranking of the Best-Equipped Hospitals in Latin America ... GHI,s hospitals database for Latin America , which is ... database covers 86% of the hospitals in Latin ... each institution in key areas such as beds, medical specialties, ...
Breaking Medicine Technology: