Abstract:
PURPOSE:With increasing emphasis on high-quality care, we designed this study to evaluate the relationship between Magnet® recognition and patient outcomes in pediatric critical care. MATERIALS AND METHODS:Post hoc analysis of data from an existing administrative national database. We used inverse probability of treatment weighting and multivariate models to compare outcomes between two study groups after adjusting for confounding variables. RESULTS:A total of 823,634 pediatric patients from 41 centers were included. Of these, 454,616 patients (55.2%) were treated in 23 Magnet hospitals. The majority of baseline characteristics did not vary significantly among the two study groups. In adjusted models, there was no difference in mortality between the two groups (Magnet vs. non-Magnet; odds ratio: 0.92, 95% confidence interval: 0.77-1.11). When stratified by various subgroups, such as cardiac, non-cardiac, ECMO, cardiac arrest, respiratory failure, use of nitric oxide, genetic abnormality etc., Magnet status of the hospital did not confer a survival advantage. In a sensitivity analysis on patients from crossover hospitals only, attainment of magnet status was associated with increased hospital charges. CONCLUSIONS:This large observational study calls into question the utility of the Magnet Recognition Program among children with critical illness, at least among the freestanding children's hospitals.
journal_name
J Crit Carejournal_title
Journal of critical careauthors
Rettiganti M,Shah KM,Gossett JM,Daily JA,Seib PM,Gupta Pdoi
10.1016/j.jcrc.2017.09.004subject
Has Abstractpub_date
2018-02-01 00:00:00pages
207-213eissn
0883-9441issn
1557-8615pii
S0883-9441(17)30783-9journal_volume
43pub_type
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journal_title:Journal of critical care
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journal_title:Journal of critical care
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更新日期:2018-10-01 00:00:00
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journal_title:Journal of critical care
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更新日期:2014-12-01 00:00:00
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更新日期:2017-12-01 00:00:00
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journal_title:Journal of critical care
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Journal of critical care
pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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journal_title:Journal of critical care
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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journal_title:Journal of critical care
pub_type: 杂志文章
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更新日期:2016-12-01 00:00:00
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更新日期:1994-06-01 00:00:00