ICU sedation, delirium & recovery

Association Between Nurse Copatient Illness Severity and Mortality in the ICU

Crit Care MedPublished Retrospective cohort study

Study context

Population
Patients hospitalized in 24 ICUs in 8 hospitals, January 1, 2018 to August 31, 202084,544 patient-shifts
Participants
20,650 patients
Exposure
Copatient illness severity vs copatient on neither
Outcome
28-day ICU mortality
Methodological detailsmultihospital health system, proportional hazards regression with time-varying covariates, Nurse-to-patient assignments for each 12-hour shift identified using a validated algorithm
  • Multihospital health system
  • Proportional hazards regression with time-varying covariates
  • Nurse-to-patient assignments for each 12-hour shift identified using a validated algorithm

Main finding

As reported in the abstract

Each group vs neitherHazard ratio (95% CI)P value
Both
1.30(1.05–1.61)
P = 0.02
Vasoactive support alone
1.82(1.39–2.38)
P < 0.001
Mechanical ventilation aloneno significant increase in risk of death
1.03(0.86–1.23)
P = 0.78

Observational data: associations, not effects.

Further findings

Sensitivity analyses in cohorts with varying numbers of copatients

Consistently increased risk of death when a copatient received vasoactive support

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association Between Nurse Copatient Illness Severity and Mortality in the ICU. Crit Care Med. Published 19 January 2024. doi:10.1097/ccm.0000000000006066

Composed by AI from the published abstract and checked against it. How Briefs are made →

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