Out-of-hours consultant cover and case-mix-adjuste... Catalogue en ligne

Titre :	Out-of-hours consultant cover and case-mix-adjusted mortality in intensive care. (2000)
Auteurs :	M.C. BLUNT ; K.R. BURCHETT ; Intensive Care Unit. Queen Elizabeth Hospital. King s Lynn Norfolk. GBR
Type de document :	Article
Dans :	Lancet (The) (vol. 356, n° 9231, 2000)
Pagination :	735-736
Langues :	Anglais
Mots-clés :	Médecin ; Spécialité médicale ; Réanimation ; Mortalité ; Epidémiologie ; Qualité ; Soins ; Etude comparée ; Royaume Uni ; Europe ; Adulte ; Homme
Résumé :	[BDSP. Notice produite par INIST R0xweMBm. Diffusion soumise à autorisation]. UK national recommendations Include 24 h non-resident availability of consultants with a sessional commitment to Intensive care (intensivists). We tested whether continual availability of such specialists Improved standardised mortality ratios compared with non-speclallst cover by anaesthetists who also cover other hospital departments. The case-mix-adJusted hospital mortality of Intensive-care patients Improved significantly In the intensivist group compared with the non-specialist group (standardised mortality ratios 0.81 vs 1.11 ratio 0.73 [95% Cl 0.55-0.97]). Introduction of 24 h Intensivist cover, therefore, seems to Improve outcomes in intensive-care units.

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