Titre :
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Out-of-hours consultant cover and case-mix-adjusted mortality in intensive care. (2000)
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Auteurs :
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M.C. BLUNT ;
K.R. BURCHETT ;
Intensive Care Unit. Queen Elizabeth Hospital. King s Lynn Norfolk. GBR
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Type de document :
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Article
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Dans :
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Lancet (The) (vol. 356, n° 9231, 2000)
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Pagination :
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735-736
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Langues:
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Anglais
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Mots-clés :
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Médecin
;
Spécialité médicale
;
Réanimation
;
Mortalité
;
Epidémiologie
;
Qualité
;
Soins
;
Etude comparée
;
Royaume Uni
;
Europe
;
Adulte
;
Homme
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Résumé :
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[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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