Amina Saqib1, Uroosa Ibrahim2, Parshva Patel3, Abhyudaya Joshi4, Michel Chalhoub5. 1. Department of Pulmonary/Critical Care, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA. Electronic address: saqib.amina@gmail.com. 2. Department of Hematology/Oncology, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA. 3. Department of Medicine, Drexel University College of Medicine, 2900 W Queen Ln, Philadelphia, PA 19129, USA. 4. Department of Medicine, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA. 5. Department of Pulmonary/Critical Care, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
Abstract
BACKGROUND: The 'July effect' is a phenomenon of inferior delivery of care at teaching hospitals during July because of relative inexperience of new physicians. OBJECTIVE: To study the difference in mortality among septic shock patients during July and another month. METHODS: Using the U.S. Nationwide Inpatient Sample, we estimated the difference in mortality among septic shock patients admitted during May and July from 2003 to 2011. RESULTS: 117,593 and 121,004 patients with septic shock were admitted to non-teaching and teaching hospitals, respectively, in May and July. High-risk patients had similar mortality rates in non-teaching hospitals and teaching hospitals. Mortality rates were higher in teaching versus non-teaching hospitals in high-risk patients both in May and July. Overall, mortality rates were higher in teaching versus non-teaching hospitals both in May and July. CONCLUSION: Similar trends in mortality are observed in both settings in May and July and no "July effect" was observed.
BACKGROUND: The 'July effect' is a phenomenon of inferior delivery of care at teaching hospitals during July because of relative inexperience of new physicians. OBJECTIVE: To study the difference in mortality among septic shockpatients during July and another month. METHODS: Using the U.S. Nationwide Inpatient Sample, we estimated the difference in mortality among septic shockpatients admitted during May and July from 2003 to 2011. RESULTS: 117,593 and 121,004 patients with septic shock were admitted to non-teaching and teaching hospitals, respectively, in May and July. High-risk patients had similar mortality rates in non-teaching hospitals and teaching hospitals. Mortality rates were higher in teaching versus non-teaching hospitals in high-risk patients both in May and July. Overall, mortality rates were higher in teaching versus non-teaching hospitals both in May and July. CONCLUSION: Similar trends in mortality are observed in both settings in May and July and no "July effect" was observed.