ICU physician-based determinants of life-sustaining therapy during nights and weekends: French multicenter study from the Outcomerea Research Group.
Identifieur interne : 001D16 ( Ncbi/Checkpoint ); précédent : 001D15; suivant : 001D17ICU physician-based determinants of life-sustaining therapy during nights and weekends: French multicenter study from the Outcomerea Research Group.
Auteurs : Maïté Garrouste-Orgeas [France] ; Mouna Ben-Rehouma ; Michael Darmon ; Stéphane Ruckly ; Christophe Clec'H ; Christophe Adrie ; Alexis Tabah ; Aurélien Vesin ; Carole Schwebel ; Benoit Misset ; Jean-François TimsitSource :
- Critical care medicine [ 1530-0293 ] ; 2014.
Descripteurs français
- KwdFr :
- Admission du patient (), Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Bases de données factuelles, Femelle, France, Humains, Mâle, Permanence des soins (), Prise de décision, Rendez-vous et plannings, Soins de maintien des fonctions vitales (normes), Soins de maintien des fonctions vitales (tendances), Soins de réanimation (), Sujet âgé, Types de pratiques des médecins (normes), Types de pratiques des médecins (tendances), Unités de soins intensifs, Études de cohortes, Études prospectives, Évaluation de résultat (soins).
- MESH :
- normes : Soins de maintien des fonctions vitales, Types de pratiques des médecins.
- tendances : Soins de maintien des fonctions vitales, Types de pratiques des médecins.
- Admission du patient, Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Bases de données factuelles, Femelle, France, Humains, Mâle, Permanence des soins, Prise de décision, Rendez-vous et plannings, Soins de réanimation, Sujet âgé, Unités de soins intensifs, Études de cohortes, Études prospectives, Évaluation de résultat (soins).
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult, After-Hours Care (methods), Aged, Appointments and Schedules, Attitude of Health Personnel, Cohort Studies, Critical Care (methods), Databases, Factual, Decision Making, Female, France, Humans, Intensive Care Units, Life Support Care (standards), Life Support Care (trends), Male, Middle Aged, Outcome Assessment (Health Care), Patient Admission (statistics & numerical data), Practice Patterns, Physicians' (standards), Practice Patterns, Physicians' (trends), Prospective Studies.
- MESH :
- geographic : France.
- methods : After-Hours Care, Critical Care.
- standards : Life Support Care, Practice Patterns, Physicians'.
- statistics & numerical data : Patient Admission.
- trends : Life Support Care, Practice Patterns, Physicians'.
- Adult, Aged, Appointments and Schedules, Attitude of Health Personnel, Cohort Studies, Databases, Factual, Decision Making, Female, Humans, Intensive Care Units, Male, Middle Aged, Outcome Assessment (Health Care), Prospective Studies.
Abstract
Patient- and organization-related factors are the most common influences affecting the ICU decision-making process. Few studies have investigated ICU physician-related factors and life-sustaining treatment use during nights and weekends, when staffing ratios are low. Here, we described patients admitted during nights/weekends and looked for physician-related determinants of life-sustaining treatment use in these patients after adjustment for patient- and center-related factors.
DOI: 10.1097/CCM.0000000000000523
PubMed: 25126878
Affiliations:
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pubmed:25126878Le document en format XML
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<author><name sortKey="Garrouste Orgeas, Maite" sort="Garrouste Orgeas, Maite" uniqKey="Garrouste Orgeas M" first="Maïté" last="Garrouste-Orgeas">Maïté Garrouste-Orgeas</name>
<affiliation wicri:level="3"><nlm:affiliation>1Medical-Surgical ICU, Saint Joseph Hospital Network, Paris, France. 2Infection, Antimicrobials, Modelling, Evolution, UMR 1137, Inserm and Paris Diderot University, Paris, France. 3Department of Biostatistics-HUPNVS-AP-HP, UFR de Médecine-Bichat, Paris, France. 4Medical ICU, Saint Etienne University Hospital, Saint-Priest en Jarez, France. 5University Joseph Fourier, Integrated Research Center U823 "Epidemiology of Cancers and Severe Diseases," Albert Bonniot Institute, La Tronche Cedex, France. 6Department of Biostatistics, Outcomerea, Bobigny, France. 7Medical-Surgical ICU, Avicenne University Hospital, Bobigny, France. 8Department of Physiology, Cochin University Hospital, Paris, France. 9Medical ICU, Grenoble University, Albert Michallon University Hospital, Grenoble France. 10Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia. 11Burns, Trauma and Critical Care Research Centre, University of Brisbane, St. Lucia, Australia. 12Medical and Infectious ICU, Bichat Claude Bernard Hospital, University Paris Diderot, Paris, France.</nlm:affiliation>
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<term>Attitude of Health Personnel</term>
<term>Cohort Studies</term>
<term>Critical Care (methods)</term>
<term>Databases, Factual</term>
<term>Decision Making</term>
<term>Female</term>
<term>France</term>
<term>Humans</term>
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<term>Practice Patterns, Physicians' (trends)</term>
<term>Prospective Studies</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Admission du patient ()</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude du personnel soignant</term>
<term>Bases de données factuelles</term>
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<term>France</term>
<term>Humains</term>
<term>Mâle</term>
<term>Permanence des soins ()</term>
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<term>Rendez-vous et plannings</term>
<term>Soins de maintien des fonctions vitales (normes)</term>
<term>Soins de maintien des fonctions vitales (tendances)</term>
<term>Soins de réanimation ()</term>
<term>Sujet âgé</term>
<term>Types de pratiques des médecins (normes)</term>
<term>Types de pratiques des médecins (tendances)</term>
<term>Unités de soins intensifs</term>
<term>Études de cohortes</term>
<term>Études prospectives</term>
<term>Évaluation de résultat (soins)</term>
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<term>Types de pratiques des médecins</term>
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<term>Attitude of Health Personnel</term>
<term>Cohort Studies</term>
<term>Databases, Factual</term>
<term>Decision Making</term>
<term>Female</term>
<term>Humans</term>
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<term>Male</term>
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<front><div type="abstract" xml:lang="en">Patient- and organization-related factors are the most common influences affecting the ICU decision-making process. Few studies have investigated ICU physician-related factors and life-sustaining treatment use during nights and weekends, when staffing ratios are low. Here, we described patients admitted during nights/weekends and looked for physician-related determinants of life-sustaining treatment use in these patients after adjustment for patient- and center-related factors.</div>
</front>
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<tree><noCountry><name sortKey="Adrie, Christophe" sort="Adrie, Christophe" uniqKey="Adrie C" first="Christophe" last="Adrie">Christophe Adrie</name>
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<name sortKey="Clec H, Christophe" sort="Clec H, Christophe" uniqKey="Clec H C" first="Christophe" last="Clec'H">Christophe Clec'H</name>
<name sortKey="Darmon, Michael" sort="Darmon, Michael" uniqKey="Darmon M" first="Michael" last="Darmon">Michael Darmon</name>
<name sortKey="Misset, Benoit" sort="Misset, Benoit" uniqKey="Misset B" first="Benoit" last="Misset">Benoit Misset</name>
<name sortKey="Ruckly, Stephane" sort="Ruckly, Stephane" uniqKey="Ruckly S" first="Stéphane" last="Ruckly">Stéphane Ruckly</name>
<name sortKey="Schwebel, Carole" sort="Schwebel, Carole" uniqKey="Schwebel C" first="Carole" last="Schwebel">Carole Schwebel</name>
<name sortKey="Tabah, Alexis" sort="Tabah, Alexis" uniqKey="Tabah A" first="Alexis" last="Tabah">Alexis Tabah</name>
<name sortKey="Timsit, Jean Francois" sort="Timsit, Jean Francois" uniqKey="Timsit J" first="Jean-François" last="Timsit">Jean-François Timsit</name>
<name sortKey="Vesin, Aurelien" sort="Vesin, Aurelien" uniqKey="Vesin A" first="Aurélien" last="Vesin">Aurélien Vesin</name>
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