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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 : 001D17

ICU 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 Timsit

Source :

RBID : pubmed:25126878

Descripteurs français

English descriptors

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:25126878

Le document en format XML

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<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>Admission du patient ()</term>
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<term>Adulte d'âge moyen</term>
<term>Attitude du personnel soignant</term>
<term>Bases de données factuelles</term>
<term>Femelle</term>
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<term>Soins de maintien des fonctions vitales (normes)</term>
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<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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<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>
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