Researchers studied ICUs that participated in the Acute Physiology and Chronic Health Evaluation clinical information system from 2009 to 2010. Low-intensity staffing was defined as offering optional consultation with the intensivist, while high-intensity staffing was defined as having mandatory consultation with the intensivist or primary transfer of care to the intensivist.
Results showed for ICUs with low-intensity daytime staffing, the addition of nighttime intensivist staffing was associated with decreased in-hospital mortality. ICUs with high-intensity daytime staffing, however, did not have reduced in-hospital mortality with the addition of nighttime intensivist staffing.
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