Comparing mortality among adult, general intensive care units in England with varying intensivist cover patterns: A retrospective cohort study

Critical Care

Volumn 18, Issue 1, 2014, Pages

  Wilcox, M Elizabeth ^a   Harrison, David A ^b   Short, Alasdair ^c   Jonas, Max ^d   Rowan, Kathryn M ^b  

^a TORONTO WESTERN HOSPITAL   (Canada)

^b King's College London   (United Kingdom)

^c Faculty of Intensive Care Medicine (FICM Workforce Advisory Group) Churchill House   (United Kingdom)

^d UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL HANDOVER; CLINICAL PRACTICE; COHORT ANALYSIS; COMPARATIVE STUDY; EMERGENCY CARE; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; INTENSIVIST; LENGTH OF STAY; MAJOR CLINICAL STUDY; MORTALITY; NIGHT WORK; OUTCOME ASSESSMENT; PERSONNEL MANAGEMENT; PHYSICIAN; RETROSPECTIVE STUDY; UNITED KINGDOM; CLASSIFICATION; CRITICAL ILLNESS; DIAGNOSIS RELATED GROUP; EPIDEMIOLOGY; HEALTH CARE SURVEY; HOSPITAL BED CAPACITY; MANPOWER; MEDICAL AUDIT; MEDICAL STAFF; ORGANIZATION AND MANAGEMENT; PATIENT CARE; REGRESSION ANALYSIS; STATISTICS AND NUMERICAL DATA;

ADULT; CLINICAL AUDIT; CRITICAL ILLNESS; DIAGNOSIS-RELATED GROUPS; ENGLAND; HEALTH CARE SURVEYS; HOSPITAL BED CAPACITY; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MEDICAL STAFF, HOSPITAL; NIGHT CARE; PERSONNEL STAFFING AND SCHEDULING; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES;

EID: 84908142390     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/s13054-014-0491-3     Document Type: Article

References (29)

1. Wilcox ME, Chong CAKY, Niven DJ, Rubenfeld GD, Rowan KM, Wunsch H, Fan E: Do intensivist staffing patterns influence hospital mortality following ICU admission? A systematic review and meta-analyses. Crit Care Med 2013, 41:2253-2274. doi:10.1097/CCM.0b013e318292313a.
2. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL: Physician staffing patterns and clinical outcomes in critically III patients: a systematic review. JAMA 2002, 288:2151-2162.
3. Young MP, Birkmeyer JD: Potential reduction in mortality rates using an intensivist model to manage intensive care units. Effect Clin Pac 2000, 3:284-289.
4. Valentin A, Ferdinande P, Improvement EWGoQ: Recommendations on basic requirements for intensive care units: structural and organizational aspects. Intensive Care Med 2011, 37:1575-1587.
5. Kahn JM, Brake H, Steinberg KP: Intensivist physician staffing and the process of care in academic medical centres. Qual Saf Health Care 2007, 16:329-333.
6. National Audit Commission; Critical to success: The place of efficient and effective critical care services within the acute hospital; 1999. http://www.audit-commission.gov.uk.
7. Royle P, Bramall J, Norrington A: The effect of introducing a consultant weekly working pattern on mortality in a critical care unit. J Intensive Care Med 2008, 9:26-29.
8. Kalman S, Szakmany T: Consultant working patterns could impact significantly on ICU length of stay: evaluation of daily vs weekly cover. In Intensive Care Medicine Conference: 23rd Annual Congress of the European Society of Intensive Care Medicine, ESICM Barcelona Spain Conference Start, Volume 36. 2010:S324.
9. Gunning K, Gillbe C, on behalf of the Council of Intensive Care Society and the Intercollegiate Board of Training in Intensive Care Medicine: Standards for Consultant Staffing of Intensive Care Units. 2006. Available; http://www.ics.ac.uk.
10. Burns KEA, Duffett M, Kho ME, Meade MO, Adhikari NKJ, Sinuff T, Cook DJ, Group A: A guide for the design and conduct of self-administered surveys of clinicians. CMAJ 2008, 179:245-252.
11. Harrison DA, Parry GJ, Carpenter JR, Short A, Rowan K: A new risk prediction model for critical care: the Intensive Care National Audit & Research Centre (ICNARC) model. Crit Care Med 2007, 35:1091-1098.
12. Knaus WA, Draper EA, Wagner DP, Zimmerman JE: APACHE II: a severity of disease classification system. Crit Care Med 1985, 13:818-829.
13. Harrison DA, Brady AR, Rowan K: Case mix, outcome and length of stay for admissions to adult, general critical care units in England, Wales and Northern Ireland: the Intensive Care National Audit & Research Centre Case Mix Programme Database. Crit Care (London) 2004, 8:R99-111.
14. The Information Centre. List of databases: The Information Centre. List of databases. 2010. Available: http://www.icapp.nhs.uk.
15. Lilly CM, Zuckerman IH, Badawi O, Riker RR: Benchmark data from more than 240,000 adults that reflect the current practice of critical care in the United States. Chest 2011, 140:1232-1242.
16. Angus DC, Shorr AF, White A, Dremsizov TT, Schmitz RJ, Kelley MA, on behalf of the Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS): Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med 2006, 34:1016-1024.
17. Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J: Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease. JAMA 2000, 284:2762-2770.
18. Ali NA, Hammersley J, Hoffmann SP, O'Brien JM Jr, Phillips GS, Rashkin M, Warren E, Garland A, Midwest Critical Care C: Continuity of care in intensive care units: a cluster-randomized trial of intensivist staffing. Am J Respir Crit Care Med 2011, 184:803-808.
19. Amaral ACK-B, Barros BS, Barros CCPP, Innes C, Pinto R, Rubenfeld GD: nighttime cross-coverage is associated with decreased intensive care unit mortality: a single-center study. Am J Respir Crit Care Med 2014, 189:1395-1401.
20. Wallace DJ, Angus DC, Barnato AE, Kramer AA, Kahn JM: Nighttime intensivist staffing and mortality among critically ill patients. N Engl J Med 2012, 366:2093-2101.
21. Kerlin MP, Small DS, Cooney E, Fuchs BD, Bellini LM, Mikkelsen ME, Schweickert WD, Bakhru RN, Gabler NB, Harhay MO, Kerlin MP, Small DS, Cooney E, Fuchs BD, Bellini LM, Mikkelsen ME, Schweickert WD, Bakhru RN, Gabler NB, Harhay MO, Hansen-Flaschen J, Halperin SD: A randomized trial of nighttime physician staffing in an intensive care unit. N Engl J Med 2013, 368:2201-2209.
22. Kahn JM, Goss CH, Heagerty PJ, Kramer AA, O'Brien CR, Rubenfeld GD: Hospital volume and the outcomes of mechanical ventilation. N Engl J Med 2006, 355:41-50.
23. Shahin J, Harrison DA, Rowan KM: Relation between volume and outcome for patients with severe sepsis in United Kingdom: retrospective cohort study. BMJ 2012, 344:e3394.
24. Penoyer DA: Nurse staffing and patient outcomes in critical care: a concise review. Crit Care Med 2010, 38:1521-1528. quiz 1529.
25. Amaravadi RK, Dimick JB, Pronovost PJ, Lipsett PA: ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy. Intensive Care Med 2000, 26:1857-1862.
26. Hewson-Conroy KM, Burrell AR, Elliott D, Webb SAR, Seppelt IM, Taylor C, Glass P: Compliance with processes of care in intensive care units in Australia and New Zealand: a point prevalence study. Anaesth Intensive Care 2011, 39:926-935.
27. Wunsch H, Angus DC, Harrison DA, Linde-Zwirble WT, Rowan KM: Comparison of medical admissions to intensive care units in the United States and United Kingdom. Am J Respir Crit Care Med 2011, 183:1666-1673.
28. Hsieh C-C: The effect of non-differential outcome misclassification on estimates of the attributable and prevented fraction. Stat Med 1991, 10:361-373.
29. Blakely T, McKenzie S, Carter K: Misclassification of the mediator matters when estimating indirect effects. J Epidemiol Community Health 2013, 67:458-466.