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Effect of intensive care provided by nurse practitioners for postoperative patients: A retrospective observational before-and-after study

Author

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  • Kazunao Mori
  • Yoko Tsukamoto
  • Satoshi Makino
  • Takuya Takabayashi
  • Masahiro Kurosawa
  • Wataru Ohashi
  • Masatoshi Okumura
  • Yoshihito Fujita
  • Yoshihiro Fujiwara

Abstract

Nurse practitioners are increasingly now members of intensive care teams in Japan, but no data exist about their effect on the outcomes for critically ill patients. This study aimed to compare the outcomes of postoperative patients on mechanical ventilators before and after the participation of nurse practitioners in intensive care teams. We retrospectively identified 387 patients who underwent postoperative mechanical ventilation at a University Hospital in Japan, using data from medical records from 1 April 2015 to 31 March 2017. We extracted data and compared patients’ length of stay in the intensive care unit and the hospital, mechanical ventilation days, postoperative rehabilitation start date, rehabilitation prescription, intensive care unit and hospital mortality, and intensive care unit readmission. Multiple regression analysis was used to analyze the factors affecting length of stay in the intensive care unit. Patients who received care from nurse practitioners and physicians had significantly shorter stays in intensive care (4.8 ± 4.8 days versus 6.7 ± 10.3 days, p

Suggested Citation

  • Kazunao Mori & Yoko Tsukamoto & Satoshi Makino & Takuya Takabayashi & Masahiro Kurosawa & Wataru Ohashi & Masatoshi Okumura & Yoshihito Fujita & Yoshihiro Fujiwara, 2022. "Effect of intensive care provided by nurse practitioners for postoperative patients: A retrospective observational before-and-after study," PLOS ONE, Public Library of Science, vol. 17(1), pages 1-9, January.
    • Handle: RePEc:plo:pone00:0262605
    DOI: 10.1371/journal.pone.0262605
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