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Báo cáo y học: " Off hour admission to an intensivist-led ICU is not associated with increased mortality"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Off hour admission to an intensivist-led ICU is not associated with increased mortality. | Available online http ccforum.eom content 13 3 R84 Research Off hour admission to an intensivist-led ICU is not associated with increased mortality Iwan A Meynaar1 Johan I van der Spoel2 Johannes H Rommes3 Margot van Spreuwel-Verheijen1 Rob J Bosman2 and Peter E Spronk3 4 1ICU Reinier de Graaf Groep Reinier de Graafweg 3-11 2625 AD Delft Netherlands 2ICU Onze Lieve Vrouwe Gasthuis Oosterpark 9 1091 AC Amsterdam Netherlands 3ICU Gelre Hospitals Albert Schweitzerlaan 31 7334 DZ Apeldoorn Netherlands 4ICU Academic Medical Centre Meibergdreef 9 1105 AZ Amsterdam Netherlands Corresponding author Iwan A Meynaar meynaar@rdgg.nl Received 13 Feb 2009 Revisions requested 25 Mar 2009 Revisions received 27 Apr 2009 Accepted 5 Jun 2009 Published 5 Jun 2009 Critical Care 2009 13 R84 doi 10.1186 cc7904 This article is online at http ccforum.com content 13 3 R84 2009 Meynaar et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Caring for the critically ill is a 24-hour-a-day responsibility but not all resources and staff are available during off hours. We evaluated whether intensive care unit ICU admission during off hours affects hospital mortality. Methods This retrospective multicentre cohort study was carried out in three non-academic teaching hospitals in the Netherlands. All consecutive patients admitted to the three ICUs between 2004 and 2007 were included in the study except for patients who did not fulfil APACHE II criteria readmissions burns cardiac surgery younger than 16 years length of stay less than 8 hours . Data were collected prospectively in the ICU databases. Hospital mortality was the primary endpoint of the study. Off hours was defined as the interval between 10 pm and 8 am during .