ICU sedation, delirium & recovery
Nurse-to-Nurse Familiarity and Mortality in the Critically Ill: A Multicenter Observational Study
Main finding · Shift with at least one inpatient deathResult — go to the resultRelative risk 0.90 95% CI 0.82–0.98Authors' conclusion
Shifts with low nurse-to-nurse familiarity were associated with an increased risk of patient deaths.
Study context
- Population
- Patients admitted to 8 adult academic ICUs, 2011–20163,311 (8%) died
- Participants
- 43,479 patients
- Exposure
- Higher vs lower nurse-to-nurse familiarity per shift
- Outcome
- Shift with ≥1 inpatient death, excluding deaths after a decision to forego life-sustaining therapy
Methodological detailsmulticentre, 8 adult academic ICUs
- Multicentre
- 8 adult academic ICUs
Main finding
Shift with at least one inpatient death
Relative risk
0.90
95% CI 0.82–0.98
P = 0.012
Nurse-to-nurse familiarity increased in the shift
relative risk 0.90 (95% CI 0.82–0.98); P = 0.012
Per 10 shifts, as printed
As reported in the abstract
Observational data: associations, not effects.
Further findings
Low familiarity combined with suboptimal patient-to-nurse (>2.5) and patient-to-assistant nurse (>4) ratios
| RR (95% CI) | P value | ||
|---|---|---|---|
| Low familiarity + suboptimal ratios | 1.84 (1.15–2.96) | P < 0.001 | |
| 0.20.5125Relative risk (log scale) |
Original publication
Nurse-to-Nurse Familiarity and Mortality in the Critically Ill: A Multicenter Observational Study. Am J Respir Crit Care Med. Published 15 April 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →