OBJECTIVE: The purpose of this study was to examine the association between intensive care unit nurse (ICU) staffing and the likelihood of complications for patients undergoing abdominal aortic surgery. DESIGN: The study is a retrospective review of hospital discharge data linked to data on ICU organizational characteristics. SETTING: Research took place in ICUs in non-federal, short-stay hospitals in Maryland. PATIENTS: Study included 2606 patients undergoing abdominal aortic surgery in Maryland between January 1994 and December 1996. OUTCOME MEASURES: Outcome measures included cardiac, respiratory, and other complications. RESULTS: Cardiac complications occurred in 13% of patients, respiratory complications occurred in 30%, and other complications occurred in 8% of patients. Multiple logistic regression revealed a statistically significant increased likelihood of respiratory complications (odds ratio [OR], 2.33; 95% confidence interval [CI], 1.50-3.60) in abdominal aortic surgery patients cared for in ICUs with low- versus high-intensity nurse staffing, an increased likelihood of cardiac complications (OR, 1.78; CI, 1.16-2.72) and other complications (OR, 1.74; CI, 1.15-2.63) in ICUs with medium- versus high-intensity nurse staffing, after controlling for patient and organizational characteristics. CONCLUSIONS: Within the range of ICU nurse staffing levels present in Maryland hospitals, decreased nurse staffing was significantly associated with an increased risk of complications in patients undergoing abdominal aortic surgery.
OBJECTIVE: The purpose of this study was to examine the association between intensive care unit nurse (ICU) staffing and the likelihood of complications for patients undergoing abdominal aortic surgery. DESIGN: The study is a retrospective review of hospital discharge data linked to data on ICU organizational characteristics. SETTING: Research took place in ICUs in non-federal, short-stay hospitals in Maryland. PATIENTS: Study included 2606 patients undergoing abdominal aortic surgery in Maryland between January 1994 and December 1996. OUTCOME MEASURES: Outcome measures included cardiac, respiratory, and other complications. RESULTS:Cardiac complications occurred in 13% of patients, respiratory complications occurred in 30%, and other complications occurred in 8% of patients. Multiple logistic regression revealed a statistically significant increased likelihood of respiratory complications (odds ratio [OR], 2.33; 95% confidence interval [CI], 1.50-3.60) in abdominal aortic surgery patients cared for in ICUs with low- versus high-intensity nurse staffing, an increased likelihood of cardiac complications (OR, 1.78; CI, 1.16-2.72) and other complications (OR, 1.74; CI, 1.15-2.63) in ICUs with medium- versus high-intensity nurse staffing, after controlling for patient and organizational characteristics. CONCLUSIONS: Within the range of ICU nurse staffing levels present in Maryland hospitals, decreased nurse staffing was significantly associated with an increased risk of complications in patients undergoing abdominal aortic surgery.
Authors: Dieter P Debergh; Dries Myny; Isabelle Van Herzeele; Georges Van Maele; Dinis Reis Miranda; Francis Colardyn Journal: Intensive Care Med Date: 2012-08-09 Impact factor: 17.440
Authors: Koen Van den Heede; Emmanuel Lesaffre; Luwis Diya; Arthur Vleugels; Sean P Clarke; Linda H Aiken; Walter Sermeus Journal: Int J Nurs Stud Date: 2009-02-07 Impact factor: 5.837
Authors: Jie Xu; Carrie Reale; Jason M Slagle; Shilo Anders; Matthew S Shotwell; Timothy Dresselhaus; Matthew B Weinger Journal: Nurs Res Date: 2017 Sep/Oct Impact factor: 2.364
Authors: Narendra Rungta; Kapil Gangadhar Zirpe; Subhal B Dixit; Yatin Mehta; Dhruva Chaudhry; Deepak Govil; Rajesh C Mishra; Jeetendra Sharma; Pravin Amin; B K Rao; G C Khilnani; Kundan Mittal; Pradip Kumar Bhattacharya; A K Baronia; Yash Javeri; Sheila Nainan Myatra; Neena Rungta; Ranvir Tyagi; Sanjay Dhanuka; Mahesh Mishra; Srinivas Samavedam Journal: Indian J Crit Care Med Date: 2020-01