Weekend and weeknight admissions have the same outcome of weekday admissions to an intensive care unit with onsite intensivist coverage

Critical Care Medicine
Yaseen ArabiSaadi Taher

Abstract

Several reports have indicated increased mortality for weekend and nighttime admissions to the intensive care unit. This increase has been attributed to differences in staffing levels. The impact of onsite 24-hr/7-day intensivist staffing on weekend and weeknight outcomes has not been examined before. The objective of this study was to determine whether weekend and nighttime admissions compromise patient outcome in an intensive care unit staffed by an onsite intensivist 24 hrs a day and 7 days a week. Cohort study. Tertiary care medical-surgical intensive care unit staffed 24 hrs/7 days by onsite consultant intensivists with predominantly North American Critical Care Board certifications. We included all emergency admissions over 4 yrs (March 1999 to February 2003) from a prospectively collected intensive care unit database. Admissions were grouped into weekday, weeknight, and weekend admissions. None. Predicted mortality rates were calculated using Mortality Probability Models II0 and II24. The primary outcome was hospital mortality. Standardized mortality ratios were calculated. Secondary end points included intensive care unit mortality, duration of mechanical ventilation, intensive care unit length of stay, and the need for...Continue Reading

References

Jun 1, 1978·Developmental Medicine and Child Neurology·F J Stanley, E V Alberman
May 1, 1987·British Journal of Obstetrics and Gynaecology·V M DowdingD W MacDonald
Oct 1, 1985·Critical Care Medicine·W A KnausJ E Zimmerman
Mar 1, 1983·Journal of Epidemiology and Community Health·C D Mathers
Jun 1, 1981·American Journal of Public Health·W D Mangold
Dec 1, 1981·British Journal of Obstetrics and Gynaecology·R A Hendry
Nov 24, 1993·JAMA : the Journal of the American Medical Association·S LemeshowJ Rapoport
Dec 22, 1993·JAMA : the Journal of the American Medical Association·J R Le GallF Saulnier
May 29, 1998·American Journal of Respiratory and Critical Care Medicine·A S MultzS M Scharf
Aug 26, 1998·Critical Care Medicine·D R Goldhill, A Sumner
Apr 20, 1999·JAMA : the Journal of the American Medical Association·P J PronovostE Bass
Sep 8, 2001·The New England Journal of Medicine·C M Bell, D A Redelmeier
Jan 17, 2002·The New England Journal of Medicine·E RiversUNKNOWN Early Goal-Directed Therapy Collaborative Group
May 2, 2002·Critical Care : the Official Journal of the Critical Care Forum·Yaseen ArabiSalim Al-Malik
Nov 7, 2002·JAMA : the Journal of the American Medical Association·Peter J PronovostTammy L Young
Mar 11, 2003·Critical Care Medicine·Patricia A TennerRichard P Taylor
Nov 6, 2003·Intensive Care Medicine·Ari UusaroEsko Ruokonen
Dec 3, 2003·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Patti Hamilton, Elizabeth Restrepo
Mar 10, 2004·Intensive Care Medicine·Hannah WunschKathryn Rowan
Jul 28, 2004·The American Journal of Medicine·Peter CramGary E Rosenthal
Oct 16, 2004·Chest·S Allen EnsmingerBekele Afessa
Nov 3, 2004·International Journal of Antimicrobial Agents·Octavian C IoachimescuPaul B Iannini

❮ Previous
Next ❯

Citations

Feb 27, 2007·Intensive Care Medicine·Charles-Edouard LuytJean Chastre
Apr 19, 2011·Journal of General Internal Medicine·Hannah J Wong, Dante Morra
Mar 27, 2007·American Journal of Respiratory and Critical Care Medicine·Eric B MilbrandtDerek C Angus
Jun 19, 2010·American Journal of Respiratory and Critical Care Medicine·Rodrigo Cartin-Ceba, Ednan K Bajwa
Aug 18, 2010·American Journal of Respiratory and Critical Care Medicine·Dominique PiquetteArthur S Slutsky
Aug 9, 2011·BMC Clinical Pharmacology·Shmeylan A Al HarbiYaseen M Arabi
Nov 22, 2011·BMC Medical Informatics and Decision Making·Hasan M Al-DorziYaseen M Arabi
Jul 29, 2009·Journal of Trauma Management & Outcomes·Kevin B LauplandAndrew W Kirkpatrick
Jun 19, 2008·Critical Care : the Official Journal of the Critical Care Forum·Yaseen Arabi
Nov 5, 2008·Critical Care : the Official Journal of the Critical Care Forum·Colin R CookeGordon D Rubenfeld
Jun 9, 2009·Critical Care : the Official Journal of the Critical Care Forum·Iwan A MeynaarPeter E Spronk
Nov 10, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Yaseen M ArabiAntoine Cherfan
Apr 8, 2014·The Journal of Thoracic and Cardiovascular Surgery·Kanwal KumarUNKNOWN Cardiovascular Health Research in Manitoba Investigator Group
Jun 16, 2010·Intensive Care Medicine·Hans A J M KuijstenDylan W de Lange
Sep 23, 2014·Nigerian Journal of Clinical Practice·J N Al-Asadi, F N Kadhim
Sep 3, 2013·The Journal of Emergency Medicine·Emilie S PowellJoe Feinglass
Jan 2, 2013·Chest·Allan Garland, Hayley B Gershengorn
Mar 31, 2012·Chest·Rahul NanchalUNKNOWN from the Milwaukee Initiative in Critical Care Outcomes Research (MICCOR) Group of Investigators
Apr 8, 2009·Chest·Ognjen Gajic, Bekele Afessa
Oct 2, 2015·ANZ Journal of Surgery·Animesh A SinglaGuy J Maddern
Mar 12, 2011·Chest·Hayley B GershengornPhillip Factor
Jun 10, 2009·Chest·Bekele AfessaRolf D Hubmayr
Jun 4, 2013·American Journal of Surgery·Denis M GilmoreVitaliy Poylin
May 3, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Kun FangBernard Yan
Oct 5, 2010·American Journal of Infection Control·Samir HaddadYaseen Arabi
Sep 22, 2009·The Annals of Thoracic Surgery·Kanwal KumarUNKNOWN Cardiovascular Health Research in Manitoba Investigator Group
Feb 19, 2014·Critical Care Medicine·Yaseen M Arabi, Saad Al-Qahtani
Aug 22, 2006·Critical Care Medicine·Jack J M LigtenbergJan G Zijlstra
Jan 2, 2007·Critical Care Medicine·Eddy Fan, Dale M Needham
Mar 1, 2006·Critical Care Medicine·Bekele Afessa
Aug 8, 2014·BJU International·Marianne SchmidQuoc-Dien Trinh
Dec 17, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Ashwin N AnanthakrishnanKia Saeian

❮ Previous
Next ❯

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