When It Comes To The ICU, Less is Better

A recent New England Journal of Medicine article suggests perhaps less is better in the Intensive Care Unit (ICU). This came from the June 6, 2013  publication.Image

The article analyzes the effectiveness of having a night-time ICU specialist in attendance during the night shift.  This study is relevant because there is an increasing trend of adopting the practice of nighttime physicians as part of the hospital team.

This was a one-year randomized trial in an academic center. The primary outcome was length of stay in the hospital and secondary outcomes included in-hospital mortality, discharge disposition, and recent readmission to the intensive care unit.

Despite the nighttime physician patient’s being seen 100% of the night’s versus 0% in the control group which did not have on-site nighttime physicians in attendance there was no statistical difference in the 2 different care models.

Bottom-line: This study suggests no benefit to hiring a nighttime doctor to see patients in the intensive care unit. The cost and resource utilization implications of this information is dramatic. In this case, less care appears to be better

2 thoughts on “When It Comes To The ICU, Less is Better”

  1. less doctoring at night does not mean less attenton to patient needs,attention & comfortm I hope
    Also i suggest all doctors and medical people be more atteentive to seniors (and itgers) who complain about their care in senior facilities and medical facilities. If a patient complains about poor care, abusive care, physical or other, be aware of their responsibility to report these complaints for investigation with the proper organizations. I think medical responsibility would also have them, with their concern, check with the facility to correct it, and of course, still report the problem for investigation. I did feel very poorly treated in Indepent living at Calusa Harbour. Fortunate for me,with help and support I was able to leave Independet Living at Calusa Harbour. I found a more suitable place, not a similar residence. Can one be too independent living for independent living in such a facility? any other opinions, re: this or questions, contact me at HertzRobert@aol.com. I am to share and listen, as much as I can. My phone:239-561-0167
    Mayb we can start a support group? Maye Dr. K who I appreciate and think very well of, will help us help seniors.

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