Differences in Care Provided in Intensive Care Units (ICUs) With Physician Versus Nurse Practitioner First Responders

Naeem Ali, MD

Status: Completed

Conditions: Critical Illness

Treatments: Other: Medically directed care

Study type: Observational

Funder types: Other

Identifiers

NCT01323816

2009H0145

Details and patient eligibility

About

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.

Full 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.

Enrollment: 3,659 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients admitted to designated ICU between September 1, 2007 and September 30, 2010.

Exclusion criteria

• Not admitted to designated ICU.

Trial design

3,659 participants in 2 patient groups

Traditional

Description:

ICU staffed by a resident, pulmonary fellow and attending

Treatment:

Other: Medically directed care

Non-Traditional

Description:

ICU staffed by Nurse Practitioners as the direct care deliverer, a pulmonary fellow, and an attending

Treatment:

Other: Medically directed care