Table 3.
Secondary Outcomes.*
Outcome | Intervention | Control | Relative Risk with Intervention (95% CI)† | P Value |
---|---|---|---|---|
no./total no. (%) | ||||
ICU mortality | ||||
All patients | 154/820 (19) | 139/778 (18) | 1.07 (0.90–1.28) | 0.45 |
Patients admitted at night | 90/500 (18) | 81/470 (17) | 1.02 (0.82–1.27) | 0.88 |
Hospital mortality | ||||
All patients | 203/820 (25) | 177/778 (23) | 1.08 (0.93–1.25) | 0.33 |
Patients admitted at night | 122/500 (24) | 103/470 (22) | 1.06 (0.88–1.28) | 0.51 |
Discharge home from the hospital | ||||
All patients | 317/820 (39) | 314/778 (40) | 0.95 (0.85–1.07) | 0.41 |
Patients admitted at night | 190/500 (38) | 197/470 (42) | 0.94 (0.82–1.09) | 0.44 |
ICU readmission within 48 hr‡ | ||||
All patients | 32/602 (5) | 21/630 (3) | 1.56 (0.84–2.89) | 0.16 |
Patients discharged at night | 20/324 (6) | 14/356 (4) | 1.36 (0.53–3.47) | 0.52 |
For all secondary outcomes except for readmissions, the exposure to intervention or control staffing was considered to be the exposure to the staffing model that was in place on the day of admission. For readmissions, the exposure to intervention or control was considered to be the exposure to the staffing model that was in place at time of discharge or, for daytime discharges, during the preceding night. Night admissions were considered to be admissions between 5:00 p.m. and 4:59 a.m. The reference for all the analyses is the control group.
A relative risk of more than 1 indicates that a greater proportion of patients in the intervention group had the outcome, whereas a relative risk of less than 1 indicates that a greater proportion of patients in the control group had the outcome.
The analyses of ICU readmissions were restricted to patients who were discharged to floor locations within the hospital.