Respiratory failure & ventilation

Shift-Level Team Familiarity Is Associated with Improved Outcomes in Mechanically Ventilated Adults

Am J Respir Crit Care MedPublished Retrospective cohort study

An erratum to this article was published (Am J Respir Crit Care Med, 1 Sep 2024 ↗)

Authors' conclusion

Interprofessional familiarity was associated with improved outcomes

Study context

Population
Mechanically ventilated adults in five ICUs of an academic medical center
Participants
4,485 encounters
Exposure
Greater vs lower interprofessional team familiarity
Outcome
Association of 1-SD increase in team coreness with outcomes
Methodological detailssingle academic medical centre, five ICUs, electronic health records, split-sample analysis
  • Single academic medical centre
  • Five ICUs
  • Electronic health records
  • Split-sample analysis

Main finding

As reported in the abstract

Greater probability of spontaneous breathing trial (SBT) implementation per 1-SD increase in team coreness
4.5%
Shorter mechanical ventilation (MV) duration per 1-SD increase in team coreness
23%
Lower probability of dying per 1-SD increase in team coreness
3.8%
Unadjusted mortality, whole cohort
12.9%
Average duration of MV, whole cohort (days)
2.32
SBT implementation, whole cohort
89%
Average team coreness (SD 96.15)
467.2
Average mean team value (SD 42.42)
87.02

Observational data: associations, not effects.

Further findings

Split-sample analysis (2018 familiarity predicting 2019 outcomes)

Results attenuated but congruent in direction and interpretation

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

Original publication

Shift-Level Team Familiarity Is Associated with Improved Outcomes in Mechanically Ventilated Adults. Am J Respir Crit Care Med. Published 1 August 2024. doi:10.1164/rccm.202310-1971oc

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

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