Outcomes of nurse practitioner-delivered critical care: A prospective cohort study

Chest

Volumn 149, Issue 5, 2016, Pages 1146-1154

  Landsperger, Janna S ^a   Semler, Matthew W ^a   Li, Wang ^b   Byrne, Daniel W ^b   Wheeler, Arthur P ^a  

^a VANDERBILT UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Acute care nurse practitioner; Critical care; Critical care manpower standards; Intensive care units; Nurse practitioner; Outcome assessment (health care); Patient care team; Physician assistant; Quality of health care; Retrospective studies

Indexed keywords

HYPERTENSIVE FACTOR; ARABIDOPSIS PROTEIN; DNA BINDING PROTEIN; MUTM HOMOLOGUE-1 PROTEIN, ARABIDOPSIS;

ACUTE CARE NURSE PRACTITIONER; ADULT; AGED; ARTICLE; BODY MASS; COHORT ANALYSIS; CONTROLLED STUDY; CRITICALLY ILL PATIENT; DRUG USE; FEMALE; HOSPITAL ADMISSION; HOSPITAL MORTALITY; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PROPENSITY SCORE; PROPORTIONAL HAZARDS MODEL; PROSPECTIVE STUDY; RESIDENT; SURVIVAL; TERTIARY CARE CENTER; VENTILATOR; ARTIFICIAL VENTILATION; COMPARATIVE STUDY; GASTROINTESTINAL HEMORRHAGE; HEALTH CARE DELIVERY; MEDICAL EDUCATION; MEDICAL STAFF; MIDDLE AGED; MORTALITY; NURSE PRACTITIONER; OUTCOME ASSESSMENT; RESPIRATORY INSUFFICIENCY; SEPSIS; STATISTICAL MODEL; SURVIVAL RATE; UNIVERSITY HOSPITAL;

ACADEMIC MEDICAL CENTERS; ADULT; AGED; ARABIDOPSIS PROTEINS; COHORT STUDIES; CRITICAL CARE; DELIVERY OF HEALTH CARE; DNA-BINDING PROTEINS; FEMALE; GASTROINTESTINAL HEMORRHAGE; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; INTERNSHIP AND RESIDENCY; LENGTH OF STAY; LOGISTIC MODELS; MALE; MEDICAL STAFF, HOSPITAL; MIDDLE AGED; NURSE PRACTITIONERS; OUTCOME ASSESSMENT (HEALTH CARE); PROPORTIONAL HAZARDS MODELS; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; RESPIRATORY INSUFFICIENCY; SEPSIS; SURVIVAL RATE; TERTIARY CARE CENTERS;

EID: 84966668162     PISSN: 00123692     EISSN: 19313543     Source Type: Journal    
DOI: 10.1016/j.chest.2015.12.015     Document Type: Article

References (29)

1. Angus DC, Kelley MA, Schmitz RJ, et al. Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA. 2000;284(21): 2762-2770.
2. Prasad M, Iwashyna TH, Christie JD, et al. Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals. Crit Care Med. 2009;37(9):2564-2569.
3. Pastores SM, O'Connor MF, Kleinpell RM, et al. The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. Crit Care Med. 2011;39(11):2540-2549.
4. Ewart GW, Marcus L, Gaba MM, et al. The critical care medicine crisis: a call for federal action: a white paper from the critical care professional societies. Chest. 2004;125(4):1518-1521.
5. Kleinpell RM, Ely EW, Grabenkort R. Nurse practitioners and physician assistants in the intensive care unit: an evidence-based review. Crit Care Med. 2008;36(10):2888-2897.
6. Gershengorn HB, Wunsch H, Wahab R, et al. Impact of non-physician staffing on outcomes in a medical ICU. Chest. 2011;139(6):1347-1353.
7. Kawar E, DiGiovine B. MICU care delivered by PAs versus residents: do PAs measure up? JAAPA. 2011;24(1):36-41.
8. Costa D, Wallace D, Barnato A, Kahn J. Nurse practitioner/physician assistant staffing and critical care mortality. Chest. 2014;146(6):1566-1573.
9. D'Agostino R, Halpern N. Acute care nurse practitioners in oncologic critical care: the Memorial Sloan-Kettering Cancer Center experience. Crit Care Clin. 2010;26(1):207-217.
10. Iglehard J. Expanding the role of advanced nurse practitioners-risks and rewards. N Engl J Med. 2013;368(20): 1935-1941.
11. Gershengorn HB, Johnson MP, Factor P. The use of nonphysician providers in adult intensive care units. Am J Respir Crit Care Med. 2012;185(6):600-605.
12. Kleinpell R, Ward NS, Kelso LA, Mollenkopf FP Jr., Houghton D. Provider to patient ratios for nurse practitioners and physician assistants in critical care units. Am J Crit Care. 2015;24(3): e16-e21.
13. Landsperger J, Williams K, Hellervik S, et al. Implementation of a medical intensive care unit acute care nurse practitioner service. Hosp Pract. 2011; 39(2):32-39.
14. Paton A, Stein DE, D'Agostino R, Pastores SM, Nalpern NA. Critical care medicine advanced practice provider model at a comprehensive cancer center: successes and challenges. Am J Crit Care. 2013;22(5):439-443.
15. Cox DR. Regression models and life tables. J Royal Stat Soc Series B (Methodological). 1972;34(2):187-220.
16. Meur S. Mortality measurement: mortality risk adjustment methodology for university health system consortium. http://archive.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/mortality/Meurer.html. Accessed February 1, 2015.
17. Shine D. Risk-Adjusted mortality: problems and possibilities. Comput Math Methods Med. 2012;2012:829465.
18. Nicholas J, Gulliford MC. Commentary: what is a propensity score? Br J Gen Pract. 2008;58(555):687.
19. Harrell F. Regression Modelling Strategies. New York, NY: Springer Science; 2001.
20. Katz MH. Multivariate Analysis: A Practical Guide for Clinicians. New York, NY: Cambridge University Press; 1999.
21. Pandharipande PP, Girard TD, Jackson JC, et al. Long-term cognitive impairment after critical illness. N Engl J Med. 2013; 369:1306-1316.
22. Peake SL, Delaney A, Bailey M, et al. Goaldirected resuscitation for patients with early septic shock. N Engl J Med. 2014; 371(16):1496-1506.
23. Hackner D, Shufelt CL, Balfe DD. Do faculty intensivists have better outcomes when caring for patients directly in a closed ICU versus consulting in an open ICU? Hosp Pract. 2009;37(1):40-50.
24. Reineck LA, Wallace DJ, Barnado AE, Kahn JM. Nighttime intensivist staffing and the timing of death among ICU decedents: a retrospective cohort study. Crit Care. 2013;17(5): R216.
25. Ward NS, Read R, Afessa B, Kahn JM. Perceived effects of attending physician workload in academic intensive care units: a national survey of training program directors. Crit Care Med. 2012;40(2): 400-405.
26. Gajic O, Afessa B. Physician staffing models and patient safety in the ICU. Chest. 2009;135(4):1038-1044.
27. Arbabi S, Jurkovich GJ, Rivara FP, et al. Patient outcomes in academic medical centers: influence of fellowship programs and in-house on-call attending surgeon. Arch Surg. 2003;138(1):47-51.
28. Pollack MM, Patel KM, Ruttimann E. Pediatric critical care training programs have a positive effect on pediatric intensive care mortality. Crit Care Med. 1997;25(10):1637-1642.
29. Wilcox ME, Chong CA, Niven DJ, et al. Do intensivist staffing patterns influence hospital mortality following ICU admission? A systematic review and meta-Analyses. Crit Care Med. 2013;41(10):2253-2274.