| MICU care delivered by PAs versus residents: do PAs measure up? | |
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MedLine Citation:
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PMID: 21261146 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: Data on the perfomance of physician assistants in a medical intensive care unit are scarce. OBJECTIVE: To compare clinical outcomes between patients admitted to a resident-run MICU and a PA-run MICU. METHODS: Retrospective analysis of prospectively collected MICU data was performed for 5,346 patients admitted to an MICU from January 2004 through January 2007; 3,971 patients were admitted to a resident-run MICU (resident group) and 1,375 to a PA-run MICU (PA group). RESULTS: The groups were relatively similar, though the resident group had a higher rate of renal insufficiency (25% vs. 22%, P = .05) and the PA group had a higher rate of cerebrovascular accidents (5.6% vs. 4%, P = .02). Hospital length of stay (LOS) was similar, with a median of 9 days in the PA group and 8 days in the resident group (P = .59). MICU LOS was slightly longer for the PA group: a median of 2.58 days (1.55-4.86) vs. 2.33 days (1.39-4.16) in the resident group. After matching by propensity score, we could not confirm this increased LOS. There was no difference in hospital mortality or in ICU mortality between the two groups either in uncontrolled or controlled analyses. Survival analyses showed no difference in 28-day survival between the two groups. CONCLUSION: A PA-run MICU has similar outcomes when compared to a resident-run MICU. |
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Authors:
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Eyad Kawar; Bruno DiGiovine |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: JAAPA : official journal of the American Academy of Physician Assistants Volume: 24 ISSN: 1547-1896 ISO Abbreviation: JAAPA Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9513102 Medline TA: JAAPA Country: United States |
Other Details:
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Languages: eng Pagination: 36-41 Citation Subset: T |
Affiliation:
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Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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