ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy

Abstract
Objective: To determine if having a night-time nurse-to-patient ratio (NNPR) of one nurse caring for one or two patients (>1:2) versus one nurse caring for three or more patients (1:2;128 patients in 23 hospitals had a NNPR p p=0.012), reintubation (OR 2.6; 95% CI(1.4, 4.5); p=0.001), and septicemia (OR 3.6; 95% CI(1.1, 12.5); p=0.04), were specific complications associated with a NNPR Conclusions: A nurse caring for more than two ICU patients at night increases the risk of several postoperative pulmonary and infectious complications and was associated with increased resource use in patients undergoing esophageal resection.

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