Perioperative medicine & outcomes
Two Weeks Versus One Week of Maximal Patient-Intensivist Continuity for Adult Medical Intensive Care Patients: A Two-Center Target Trial Emulation*
Authors' conclusion
Two weeks of maximal patient-intensivist continuity was not associated with differences in clinical outcomes compared with 1 week in two medical ICUs.
Study context
- Population
- Adults (≥18 y) admitted to two US urban teaching medical ICUs with 2-week intensivist service blocks, March 2017–February 2020
- Participants
- 2,571 adults
- Exposure
- Admission during intensivist's first week vs second week
- 2 weeksn = 1,254
- 1 weekn = 1,317reference
- Outcome
- Hospital mortality and ICU LOS
Methodological detailstarget trial emulation, inverse probability weighting, two-centre
- Target trial emulation
- Inverse probability weighting
- Two-centre
Main finding
As reported in the abstract
2 weeks vs 1 weekOdds ratio (95% CI)
Adjusted mortality
1.01(0.96–1.06)
2 weeks vs 1 weekDifference, d (95% CI)
ICU LOS
−0.25(−0.82 d to +0.32 d)
Observational data: associations, not effects.
Further findings
| Outcome | OR (CI) | |
|---|---|---|
| Mechanically ventilated patients (subgroup): mortality, ICU LOS, duration of ventilation2 weeks vs 1 week · adjusted mortality | 1.00 (0.87–1.16) | |
| 0.512Odds ratio (log scale) |
| Outcome | Difference (d) (CI) |
|---|---|
| Mechanically ventilated patients (subgroup): mortality, ICU LOS, duration of ventilation2 weeks vs 1 week · ICU LOS | +0.06 (−0.78 d to +0.91 d) |
| Mechanically ventilated patients (subgroup): mortality, ICU LOS, duration of ventilation2 weeks vs 1 week · duration of mechanical ventilation | +0.37 (−0.46 d to +1.21 d) |
Mechanically ventilated patients (subgroup): mortality, ICU LOS, duration of ventilation
- No differences
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Two Weeks Versus One Week of Maximal Patient-Intensivist Continuity for Adult Medical Intensive Care Patients: A Two-Center Target Trial Emulation*. Crit Care Med. Published 7 May 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →