Nighttime Intensivist Staffing Not Linked to ICU Mortality

Share this content:
Nighttime Intensivist Staffing Not Linked to ICU Mortality
Nighttime Intensivist Staffing Not Linked to ICU Mortality

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- Nighttime intensivist staffing is not associated with reduced intensive care unit (ICU) patient mortality, according to a review and meta-analysis published in the Feb. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

Meeta Prasad Kerlin, M.D., from the University of Pennsylvania in Philadelphia, and colleagues conducted a systematic review to examine the association between nighttime intensivist staffing and outcomes in ICU patients. Data were included from 18 studies that met inclusion criteria: one randomized controlled trial and 17 observational studies.

The researchers observed no correlation with mortality (odds ratio, 0.99; 95 percent confidence interval, 0.75 to 1.29) in meta-analysis that included one randomized controlled trial and three nonrandomized studies with exposure limited to nighttime intensivist staffing. Similar results were seen in secondary analyses that included studies without risk adjustment, with a composite exposure of organizational factors, and stratified by intensity of daytime staffing and by ICU type. In ICU and hospital length of stay and other secondary outcomes there were minimal or no differences.

"Notwithstanding limitations of the predominantly observational evidence, our systematic review and meta-analysis suggests nighttime intensivist staffing is not associated with reduced ICU patient mortality," the authors write.

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions


Sign up for myCME e-newsletters


More in Home

Aspirin, Rivaroxaban Similar After Total Hip, Knee Arthroplasty

Aspirin, Rivaroxaban Similar After Total Hip, Knee Arthroplasty

Extended prophylaxis with aspirin no different from rivaroxaban for preventing venous thromboembolism

Odds of ARDS Up After Cardiac Surgery During Flu Season

Odds of ARDS Up After Cardiac Surgery During ...

Cardiac surgery during flu season is independent risk factor for acute respiratory distress syndrome

In A-Fib Patients, Stroke Risk Higher for Blacks Than Whites

In A-Fib Patients, Stroke Risk Higher for Blacks ...

Higher risk of ischemic stroke seen before, after atrial fibrillation diagnosis compared with whites

is free, fast, and customized just for you!

Already a member?

Sign In Now »