Literature DB >> 31527984

External Intensivists Versus In-House Intensivists: Analysis of Outcomes of Nighttime Coverage of ICUs by External On-Call and In-House On-Call Intensivists.

Madhuri Ramakrishnan1, Siva Sagar Taduru1, Parth Patel1, Mustafa Younis1, Majdi Hamarshi1.   

Abstract

A 24/7 intensivist model may improve important outcomes such as mortality, length of stay, and number of ventilator days. In this retrospective, single-center study at Saint Luke's Hospital in Kansas City, Missouri, we examined patient outcomes before and after adopting a 24/7 model from 2014 to 2016. The addition of a nighttime intensivist did not lead to a statistically significant improvement in mortality (hospital and ICU) and LOS (hospital and ICU).

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Mesh：

Year:  2019        PMID： 31527984      PMCID： PMC6699813     

Source DB:  PubMed          Journal:  Mo Med        ISSN： 0026-6620


  22 in total

1.  Twenty-four-hour intensivist presence: a pilot study of effects on intensive care unit patients, families, doctors, and nurses.

Authors:  Allan Garland; Dan Roberts; Lesley Graff
Journal:  Am J Respir Crit Care Med       Date:  2012-01-12       Impact factor: 21.405

2.  Impact of an intensive care unit telemedicine program on a rural health care system.

Authors:  Edward T Zawada; Patricia Herr; Deanna Larson; Robert Fromm; David Kapaska; David Erickson
Journal:  Postgrad Med       Date:  2009-05       Impact factor: 3.840

Review 3.  Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review.

Authors:  Peter J Pronovost; Derek C Angus; Todd Dorman; Karen A Robinson; Tony T Dremsizov; Tammy L Young
Journal:  JAMA       Date:  2002-11-06       Impact factor: 56.272

4.  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?

Authors:  D C Angus; M A Kelley; R J Schmitz; A White; J Popovich
Journal:  JAMA       Date:  2000-12-06       Impact factor: 56.272

5.  Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes.

Authors:  Craig M Lilly; Shawn Cody; Huifang Zhao; Karen Landry; Stephen P Baker; John McIlwaine; M Willis Chandler; Richard S Irwin
Journal:  JAMA       Date:  2011-05-16       Impact factor: 56.272

6.  Clinical outcomes after telemedicine intensive care unit implementation.

Authors:  Beth Willmitch; Susan Golembeski; Sandy S Kim; Loren D Nelson; Louis Gidel
Journal:  Crit Care Med       Date:  2012-02       Impact factor: 7.598

7.  Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital.

Authors:  Ognjen Gajic; Bekele Afessa; Andrew C Hanson; Tami Krpata; Murat Yilmaz; Shehab F Mohamed; Jeffrey T Rabatin; Laura K Evenson; Timothy R Aksamit; Steve G Peters; Rolf D Hubmayr; Mark E Wylam
Journal:  Crit Care Med       Date:  2008-01       Impact factor: 7.598

Review 8.  Guidelines on critical care services and personnel: Recommendations based on a system of categorization of three levels of care.

Authors:  Marilyn T Haupt; Carolyn E Bekes; Richard J Brilli; Linda C Carl; Anthony W Gray; Michael S Jastremski; Douglas F Naylor; Maria Rudis PharmD; Antoinette Spevetz Md; Suzanne K Wedel; Mathilda Horst Md
Journal:  Crit Care Med       Date:  2003-11       Impact factor: 7.598

9.  Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: an alternative paradigm for intensivist staffing.

Authors:  Michael J Breslow; Brian A Rosenfeld; Martin Doerfler; Gene Burke; Gary Yates; David J Stone; Paige Tomaszewicz; Rod Hochman; David W Plocher
Journal:  Crit Care Med       Date:  2004-01       Impact factor: 7.598

10.  Association of telemedicine for remote monitoring of intensive care patients with mortality, complications, and length of stay.

Authors:  Eric J Thomas; Joseph F Lucke; Laura Wueste; Lisa Weavind; Bela Patel
Journal:  JAMA       Date:  2009-12-23       Impact factor: 56.272
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  1 in total

1.  Operation analysis of the tele-critical care service demonstrates value delivery, service adaptation over time, and distress among tele-providers.

Authors:  Krzysztof Laudanski; Ann Marie Huffenberger; Michael J Scott; Maria Williams; Justin Wain; Juliane Jablonski; C William Hanson
Journal:  Front Med (Lausanne)       Date:  2022-08-05
  1 in total

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