ArticleChest2016
Outcomes of Nurse Practitioner-Delivered Critical Care: A Prospective Cohort Study.
Article in Chest, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic review of the characteristics of brief team interventions to clarify roles and improve functioning in healthcare teams.PloS one · 2020Pooled it
- The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review.Human resources for health · 2017Pooled it
- Impact of surgical assistance by Japanese nurse practitioners in robotic-assisted coronary artery bypass graft surgery.Journal of robotic surgery · 2026Observational
- Sedation practices and associated clinical outcomes among adult ICU patients managed by advanced practice providers versus resident physicians.Journal of critical care · 2026Article
- The effect of point-of-care ultrasound curriculum for nursing practitioners across different hospital levels.BMC nursing · 2026Article
- Availability of Advanced Practice Providers in Adult Intensive Care Units in the United States: A Survey.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025Article
- [Experiences of Patients and Their Families Receiving Medical Services Provided by Advanced Practice Nurses at Tertiary General Hospitals].Journal of Korean Academy of Nursing · 2024Article
- Comparing Outcomes Between Advanced Practice Providers and Housestaff Teams in the Cardiac Intensive Care Unit.JACC. Advances · 2024Article
- Teams in Transition: Increasing Role of Advanced Practice Providers in Antimicrobial Use and Infectious Diseases Consultation.Open forum infectious diseases · 2024Article
- Exploring the influence of a financial incentive scheme on early mobilization and rehabilitation in ICU patients: an interrupted time-series analysis.BMC health services research · 2024Article
- Prioritizing Quality over Quantity: Defining Optimal Pharmacist-to-Patient Ratios to Ensure Comprehensive Direct Patient Care in a Medical or Surgical Unit.The Canadian journal of hospital pharmacy · 2024Article
- Measures of Success: Making the Case for Advanced Practice-Sensitive Quality Indicators.HCA healthcare journal of medicine · 2024Article
- Perspectives of Executive Nurse Leaders on Advanced Practice Nursing in Saudi Arabia: Challenges to be Overcome and Opportunities to be Seized.Journal of nursing management · 2023Article
- Advanced Practice Providers as Leaders of a Rapid Response Team: A Prospective Cohort Study.Healthcare (Basel, Switzerland) · 2022Article
- Pilot of rapid implementation of the advanced practice provider in the workflow of an existing tele-critical care program.BMC health services research · 2022Article
- Observational
- Value of Nurse Practitioner Inpatient Hospital Staffing.Medical care · 2021Article
- The Society of Critical Care Medicine at 50 Years: ICU Organization and Management.Critical care medicine · 2021Article
- Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: a rapid realist review.BMC public health · 2020Review
- Developing and Implementing the Family Nurse Practitioner Role in Eswatini: Implications for Education, Practice, and Policy.Annals of global health · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundAcute care nurse practitioners (ACNPs) are increasingly being employed in ICUs to offset physician shortages, but no data exist about outcomes of critically ill patients continuously cared for by ACNPs.
methodsProspective cohort study of all admissions to an adult medical ICU in an academic, tertiary-care center between January 1, 2011, and December 31, 2013. The primary end point of 90-day survival was compared between patients cared for by ACNP and resident teams using Cox proportional hazards regression. Secondary end points included ICU and hospital mortality and ICU and hospital length of stay.
resultsAmong 9,066 admissions, there was no difference in 90-day survival for patients cared for by ACNP or resident teams (adjusted hazard ratio [HR], 0.94; 95% CI, 0.85-1.04; P = .21). Although patients cared for by ACNPs had lower ICU mortality (6.3%) than resident team patients (11.6%; adjusted OR, 0.77; 95% CI, 0.63-0.94; P = .01), hospital mortality was not different (10.0% vs 15.9%; adjusted OR, 0.87; 95% CI, 0.73-1.03; P = .11). ICU length of stay was similar between the ACNP and resident teams (3.4 ± 3.5 days vs 3.7 ± 3.9 days [adjusted OR, 1.01; 95% CI, 0.93-1.1; P = .81]), but hospital length of stay was shorter for patients cared for by ACNPs (7.9 ± 11.2 days) than for resident patients (9.1 ± 11.2 days) (adjusted OR, 0.87; 95% CI, 0.80-0.95; P = .001).
conclusionOutcomes are comparable for critically ill patients cared for by ACNP and resident teams.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.