Table 3.
Characteristic | ICUs with Nighttime Intensivists (N = 14,424) | ICUs without Nighttime Intensivists (N = 51,328) | P Value |
---|---|---|---|
Age — yr | <0.001 | ||
Median | 66 | 62 | |
Interquartile range | 54–76 | 51–74 | |
Female sex — % | 42.4 | 44.6 | <0.001 |
Race — no. (%)* | <0.001 | ||
White | 11,888 (82.4) | 40,481 (78.9) | |
Black | 538 (3.7) | 5,376 (10.5) | |
Other | 1,265 (8.8) | 1,750 (3.4) | |
Data missing | 733 (5.1) | 3,721 (7.2) | |
Admission source — no. (%) | <0.001 | ||
Emergency department | 4,625 (32.1) | 22,495 (43.8) | |
Operating room | 4,760 (33.0) | 13,371 (26.1) | |
Medical or surgical ward | 2,807 (19.5) | 10,725 (20.9) | |
Transfer | 1,263 (8.8) | 3,832 (7.5) | |
Other | 969 (6.7) | 905 (1.8) | |
Reason for ICU admission — no. (%) | <0.001 | ||
Surgery | 3,878 (26.9) | 10,290 (20.0) | |
Cardiac disorder | 2,253 (15.6) | 7,865 (15.3) | |
Respiratory disorder | 1,867 (12.9) | 7,074 (13.8) | |
General medical disorder | 1,233 (8.5) | 6,152 (12.0) | |
Sepsis | 1,047 (7.3) | 4,769 (9.3) | |
Trauma | 718 (5.0) | 3,862 (7.5) | |
Neurosurgery | 615 (4.3) | 1,681 (3.3) | |
Cardiac arrest | 496 (3.4) | 1,534 (3.0) | |
Other | 2,317 (16.1) | 8,101 (15.8) | |
Acute physiology score† | <0.001 | ||
Median | 36 | 38 | |
Interquartile range | 24–53 | 25–56 | |
Active treatment on day of ICU admission — no. (%)‡ | 9,509 (65.9) | 34,911 (68.0) | <0.001 |
Mechanical ventilation on day of ICU admission — no. (%) | 6,687 (46.4) | 22,811 (44.4) | <0.001 |
Emergency surgery — no. (%) | 534 (3.7) | 2,630 (5.1) | <0.001 |
Length of hospital stay before ICU admission — days | <0.001 | ||
Median | 0.50 | 0.46 | |
Interquartile range | 0.20–1.10 | 0.12–1.06 | |
In-hospital death — no. (%) | 1,842 (12.8) | 6,872 (13.4) | 0.053 |
Race was determined on admission by the admitting clinical team.
The acute physiology score is a measure of severity of illness ranging from 0 to 252, with higher scores indicating more severe illness and a higher risk of death.
Active treatment was defined as any of 33 active life-supporting intensive care treatments.14