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Critical Care: Critical Care - ICU Management |

Out-House Intensivists vs In-House Intensivists: Analysis of Outcomes With Night-Time Coverage of ICUs by Out-House on Call and In-House on Call Intensivists

Majdi Hamarshi, MD; Madhuri Ramakrishnan, MD; Siva Sagar Taduru, MD; Mahathi Indaram, MD
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UMKC, Kansas City, MO


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):220A. doi:10.1016/j.chest.2016.08.233
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SESSION TITLE: Critical Care - ICU Management

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Most ICUs in the country currently follow the high-intensity staffing system/“closed” ICU system, with mandatory intensivist staffing, compared to low-intensity staffing system/ “open” ICU system, without mandatory intensivist consult or staffing. Addition of a night-time intensivist for 24-hour coverage, however, has not improved outcomes any further. In this before and after study we investigated the impact of moving from an on-call out-house intensivist during the night to having an in-house nocturnal intensivist in academic settings. Our primary outcomes were ICU and hospital mortality, and secondary outcomes were ICU and hospital length of stay and days on mechanical ventilation of patients admitted to our ICUs before and after the adoption of the in-house nocturnal intensivist model.

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