Impact of Intensivist and Nursing Staff on Critically Ill Patient Mortality: A Retrospective Analysis of the Korean NHIS Cohort Data, 2011–2015

• DOI: 10.3349/ymj.2021.62.1.50
• Publication Date: 2020-12-29T07:13:10Z
• Authors: Su Hwan Lee; Jung Hwa Hong; Young Sam Kim; Eun Cheol Park; Sun Min Lee; Chang Hoon Han
• Keywords: Intensivist

Purpose: Critical care medicine continues to evolve.However, critical cases require increasing amount of medical resources.Intensive unit (ICU) mortality significantly impacts the overall efficiency healthcare resources within a system limited resources.This study investigated factors related ICU using long-term nationwide cohort data in South Korea. Materials and Methods:This retrospective used 14905721 patients who submitted reimbursement claims Korean Health Insurance Service between January 1, 2011 December 31, 2015.A total 1498102 were admitted all types, except neonatal acute hospitals, enrolled.Results: Of participants, 861397 (57.5%) male 636705 (42.5%) female.The mean age at admission was 63.4±18.2years; most subjects aged over 60 years.During 5-year period, in-hospital rate 12.9%.In Cox analysis, both 28-day rates higher those lower socioeconomic status.As increased number nursing staff decreased, risk by two or three times.The an tertiary university hospital where intensivists worked. Conclusion:The presence intensivist associated with rate.Also, might reduce among patients.