Process and Outcome Differences in Care Provided in Intensive Care Units (ICUs) With Physician Versus Nurse Practitioner First Responders
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Critical Illness
- Sponsor
- Naeem Ali, MD
- Enrollment
- 3659
- Locations
- 1
- Primary Endpoint
- Life-years hospital costs
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
The purpose of this study is to evaluate and compare outcomes of patients that have received care in medical intensive care units in a tertiary care facility with two different models; the traditional model including resident, pulmonary fellow and attending physician and a nontraditional model which has Nurse Practitioners as the direct care deliverer, a pulmonary fellow, and an attending.
Detailed Description
This will be a retrospective cohort study that is performed between two medical intensive care units (ICU). The goal is to compare outcomes of patients that have received care in medical intensive care units in a tertiary care facility with two different models; the traditional model including a resident, pulmonary fellow and attending and a nontraditional model which has Nurse Practitioners as the direct care deliverer, a pulmonary fellow, and an attending. Outcomes that will be measured include ICU length of stay, hospital length of stay after ICU discharge, ventilator days, daily spontaneous breathing trials, and daily awakening trials, as well as mortality in hospital and after discharge.
Investigators
Naeem Ali, MD
Medical Director, Medical Intensive Care Unit (MICU);
Ohio State University
Eligibility Criteria
Inclusion Criteria
- •Patients admitted to designated ICU between September 1, 2007 and September 30, 2010.
Exclusion Criteria
- •Not admitted to designated ICU.
Outcomes
Primary Outcomes
Life-years hospital costs
Time Frame: 2007 - 2010
Life-years per $10,000 hospital costs - defined as the sum of days of survival after ICU admission for all patients admitted to each ICU/sum of all hospital costs for all patients admitted to each ICU
Secondary Outcomes
- Hospital Length of Stay (LOS)(2007 - 2010)
- Hospital costs(2007 - 2010)
- Intensive Care Unit (ICU) mortality(2007 - 2010)
- Hospital mortality(2007 - 2010)
- Time to death(2007 - 2010)
- Ventilator Days(2007 - 2010)
- Ventilator-free days(2007 - 2010)
- Intensive Care Unit (ICU)-free days(2007 - 2010)
- Evidence-based care(2007 - 2010)
- Discharge location among survivors(2007 - 2010)
- Intensive Care Unit (ICU)Length of Stay (LOS)(2007 - 2010)
- Hospital charges(2007 - 2010)
- Patient Satisfaction Survey Results(2007 - 2010)