Acute cardiac care & resuscitation
Comparing Outcomes Between Advanced Practice Providers and Housestaff Teams in the Cardiac Intensive Care Unit
Main finding · CICU mortalityResult — go to the resultAdjusted hazard ratio 0.73 95% CI 0.51–1.05Authors' conclusion
Our moderately sized study demonstrated no difference in CICU or in-hospital mortality between patients managed by a housestaff team versus those managed by an APP team.
Study context
- Population
- Cardiac intensive care unit (CICU) admissions at a large urban academic hospital, March 2022 to July 2023admissions analysed
- Participants
- 1,620 admissions
- Exposure
- APP team vs housestaff team in the CICU
- APPn = 607
- Housestaffn = 1,013reference
- Outcome
- CICU mortality
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Adjusted hazard ratio
0.73
95% CI 0.51–1.05
P = 0.10
By group
APPvs Housestaff
adjusted HR 0.73 (95% CI 0.51–1.05); P = 0.10
Observational data: associations, not effects.
Further findings
| Outcome | Housestaff | APP | aHR (95% CI) | P value | |
|---|---|---|---|---|---|
| In-hospital mortality | 13.5% | 13.8% | 0.82 (0.62–1.08) | P = 0.17 | |
| 0.512Adjusted hazard ratio (log scale) |
CICU length of stay · lower with housestaff
P = 0.047
| Outcome | P value |
|---|---|
| Cardiology fellowship rotation scores of the CICU, before vs after APP team implementationImproved | P < 0.0001 |
- Cardiology fellowship rotation scores of the CICU, before vs after APP team implementation: Before 3.87 ± 0.14
- Cardiology fellowship rotation scores of the CICU, before vs after APP team implementation: After 4.61 ± 0.06
In-hospital length of stay
- No difference between housestaff and APP teams
Original publication
Comparing Outcomes Between Advanced Practice Providers and Housestaff Teams in the Cardiac Intensive Care Unit. JACC Adv. Published 7 November 2024. doi:10.
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