AI Article Synopsis
- The study assessed the influence of critical care medicine fellows (CCMFs) on patient outcomes in adult ICUs, comparing their impact to that of attending physicians over a three-year period.
- No significant differences were found in ICU or in-hospital mortality rates or length of stay (LOS) for patients assigned to CCMFs versus those treated solely by attending physicians.
- The findings suggest that better patient outcomes in academic settings may not be directly linked to the presence of CCMFs, but rather influenced by other institutional or patient-related factors.
Article Abstract
Background: The impact that physician trainees have on patient outcomes in academic adult medical/surgical intensive care units (ICUs) has not been adequately assessed.
Method: All admissions to adult ICUs within the Calgary Health Region over a three-year period when a critical care medicine fellow (CCMF) was on service were compared to when an attending physician was alone on service. Primary outcomes were ICU and in-hospital mortality and length of stay (LOS).
Results: CCMFs and attending physicians admitted 3,341 patients, while attending physicians alone admitted 3,224 patients. There was no difference in ICU or in-hospital mortality between the two groups; regression analysis determined CCMFs did not affect patient LOS.
Conclusion: In teaching hospitals with adult mixed medical/surgical ICUs, CCMFs do not have an effect on patient outcome or LOS. Improved patient outcomes at academic institutions previously attributed to the presence of CCMFs may instead be due to institution and patient-related factors.
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| http://dx.doi.org/10.1097/00001888-200610001-00002 | DOI Listing |
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