ICU sedation, delirium & recovery
Association Between Nurse Copatient Illness Severity and Mortality in the ICU
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 = 0.02Vasoactive support alone
1.82(1.39–2.38)
P < 0.001Mechanical ventilation aloneno significant increase in risk of death
1.03(0.86–1.23)
P = 0.78Observational 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 →