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外聘重症医学专家与院内重症医学专家:对外聘随叫随到重症医学专家和院内随叫随到重症医学专家夜间负责重症监护病房情况的结果分析。

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

作者信息

Ramakrishnan Madhuri, Taduru Siva Sagar, Patel Parth, Younis Mustafa, Hamarshi Majdi

机构信息

Madhuri Ramakrishnan, MD, Siva Sagar Taduru, MD, Parth Patel, MD, and Mustafa Younis, MD, are residents in the Department of Internal Medicine, University of Missouri - Kansas City. Majdi Hamarshi, MD, is Staff, Critical Care Medicine and Geriatric Medicine, Saint Luke's Health System, Kansas City, Mo.

出版信息

Mo Med. 2019 Jul-Aug;116(4):331-335.

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).

摘要

全天候重症监护医生模式可能会改善诸如死亡率、住院时间和呼吸机使用天数等重要指标。在密苏里州堪萨斯城圣卢克医院进行的这项回顾性单中心研究中,我们调查了2014年至2016年采用全天候模式前后的患者治疗结果。增加夜间重症监护医生并未使死亡率(医院和重症监护病房)和住院时间(医院和重症监护病房)得到统计学上的显著改善。

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