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Completed

NCT Number: NCT01323816

Differences in Care Provided in Intensive Care Units (ICUs) With Physician Versus Nurse Practitioner First Responders

The purpose of this study is to evaluate and compare outcomes of patients that have received care in medical intensive care units in a tertiary care facility with two different models; the traditional model including resident, pulmonary fellow and attending physician and a nontraditional model which has Nurse Practitioners as the direct care deliverer, a pulmonary fellow, and an attending.

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Key information

Conditions

Critical Illness Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

The Ohio State University

Columbus, Ohio, 43015, United States

About this study

This will be a retrospective cohort study that is performed between two medical intensive care units (ICU). The goal is to compare outcomes of patients that have received care in medical intensive care units in a tertiary care facility with two different models; the traditional model including a resident, pulmonary fellow and attending and a nontraditional model which has Nurse Practitioners as the direct care deliverer, a pulmonary fellow, and an attending. Outcomes that will be measured include ICU length of stay, hospital length of stay after ICU discharge, ventilator days, daily spontaneous breathing trials, and daily awakening trials, as well as mortality in hospital and after discharge.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients admitted to designated ICU between September 1, 2007 and September 30, 2010.

Exclusion criteria

  • Not admitted to designated ICU.

Treatment and study plan

Medically directed care

Other

There is no research directed care. Patients are treated as medically indicated.

Primary outcomes

  1. Life-years hospital costs

    Time frame: 2007 - 2010

    Life-years per $10,000 hospital costs - defined as the sum of days of survival after ICU admission for all patients admitted to each ICU/sum of all hospital costs for all patients admitted to each ICU

Secondary outcomes

  1. Intensive Care Unit (ICU) mortality

    Time frame: 2007 - 2010

  2. Hospital mortality

    Time frame: 2007 - 2010

  3. Time to death

    Time frame: 2007 - 2010

  4. Ventilator Days

    Time frame: 2007 - 2010

  5. Ventilator-free days

    Time frame: 2007 - 2010

    Days alive and not requiring mechanical ventilation in first 28 days after ICU admission

  6. Intensive Care Unit (ICU)-free days

    Time frame: 2007 - 2010

    Days alive and not in the ICU in first 28 days after ICU admission

  7. Evidence-based care

    Time frame: 2007 - 2010

    % of ICU days receiving evidence-based care will also be explored as mediators of other outcomes)

    • Sedation holidays
    • Spontaneous breathing trials
    • Days with continuous infusions of sedatives
    • Head of bed elevation

  8. Discharge location among survivors

    Time frame: 2007 - 2010

  9. Intensive Care Unit (ICU)Length of Stay (LOS)

    Time frame: 2007 - 2010

  10. Hospital Length of Stay (LOS)

    Time frame: 2007 - 2010

  11. Hospital costs

    Time frame: 2007 - 2010

  12. Hospital charges

    Time frame: 2007 - 2010

  13. Patient Satisfaction Survey Results

    Time frame: 2007 - 2010

Sponsors and collaborators

Lead sponsor

Naeem Ali, MD

Other

Registry information

Official study title

Process and Outcome Differences in Care Provided in Intensive Care Units (ICUs) With Physician Versus Nurse Practitioner First Responders

Important dates

Study start
2011
Primary completion
2014
Study completion
2014
First posted
Mar 28, 2011
Registry last updated
Jun 27, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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