The impact of a medically directed student registered nurse anesthesia staffing model on Postprocedural patient outcomes
Main findingResult — go to the resultRelative risk 1.02 95% CI 0.94–1.11Authors' conclusion
Among 30,730 patients undergoing inpatient surgery at a single hospital, findings were inconclusive regarding whether exclusive medically directed SRNAs as in-room providers were noninferior to other providers.
Study context
- Population
- Adults (≥18 years) undergoing inpatient surgery 2000–2017 at a tertiary academic medical centermatched cohort
- Participants
- 30,730 adults
- Exposure
- SRNA vs certified registered nurse anesthetists (CRNAs), residents and/or fellows
- SRNAn = 15,365
- CRNAs, residents and/or fellowsn = 15,365reference
- Outcome
- Composite of:
- Postoperative in-hospital mortality
- Six categories of major morbidities (infectious, bleeding, serious cardiac, gastrointestinal, respiratory, urinary complications)
Methodological detailspropensity-score matched, single-centre, non-inferiority
- Propensity-score matched
- Single-centre
- Non-inferiority
Main finding
As reported in the abstract
Relative risk
1.02
95% CI 0.94–1.11
P = 0.07
By group
SRNA vs CRNAs, residents and/or fellows
RR 1.02 (95% CI 0.94–1.11); P = 0.07
Observational data: associations, not effects.
Secondary outcomes
| Outcome | SRNA | CRNAs, residents and/or fellows | RR (95% CI) | P value | |
|---|---|---|---|---|---|
| In-hospital mortalityNoninferior | 0.8% | 1.0% | 0.75 (0.59–0.96) | P < 0.001 | |
| 0.512Relative risk (log scale) |
Original publication
The impact of a medically directed student registered nurse anesthesia staffing model on Postprocedural patient outcomes. J Clin Anesth. Published 15 February 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →