N/A
N=1,609
24 Hour Intensivist Coverage in the Medical Intensive Care Unit
Critically Ill
Bottom Line
View on ClinicalTrials.gov: NCT01434823 ↗Enrolled (actual)
1,609
Serious AEs
0.0%
Results posted
Jan 2016
Primary outcome: Primary: MICU Length of Stay — 52.8; 52.6 hours
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Nocturnal coverage (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Pennsylvania
- Primary completion
- Dec 2012
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY MICU Length of Stay |
52.8; 52.6 | — |
| SECONDARY MICU Mortality |
154; 139 | — |
| SECONDARY In-hospital Mortality |
203; 177 | — |
| SECONDARY Re-admission to the MICU Within 48 Hours |
32; 21 | — |
| SECONDARY Discharge Home From Hospital |
317; 314 | — |
| SECONDARY Daytime Intensivist Daily Sleep Duration |
6.69; 6.37 | — |
Summary
The Hospital of the University of Pennsylvania's Medical ICU (MICU) is implementing a model of 24-hour intensivist staffing in September 2011. Funds and resources are not available to cover the entire year, only certain weeks will be covered. The investigators propose a randomized clinical trial to study the comparative effectiveness of nocturnal intensivist staffing in the HUP MICU on patient outcomes. The investigators will be collecting and analyzing patient data of all patients admitted to the MICU from September 12, 2011, to September 11, 2012.
Eligibility Criteria
Inclusion Criteria
- Patients, 18 years and older, who are admitted to the HUP MICU during the 12-month study period will be included in the study.
Exclusion Criteria
- No patients who meet these inclusion criteria will be excluded from this study.
- For patients admitted more than once to the MICU during the same hospitalization, we will include only their first admission to the MICU for all analyses.
- Subjects under 18 are very rarely seen at the HUP MICU because they are generally treated at the Children's Hospital of Philadelphia.
- In the rare event that a subject under the age of 18 receives care in the MICU his or her data will be excluded from this study.
For the Intensivist Sleep and Work sub-study looking at sleep, work hours, and attention of Daytime Intensivists during their MICU rotations:
- All University of Pennsylvania faculty members and fellows from the Division of Pulmonary, Allergy and Critical Care will be eligible for inclusion in the study if they rotate through the MICU during the study period (January, 2012 through December, 2012).
Exclusion Criteria
- There are no exclusion criteria for this sub-study.
Data sourced from ClinicalTrials.gov (NCT01434823). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.