In-Hospital Mortality in Patients Receiving Percutaneous Coronary Intervention According to Nurse Staffing Level: An Analysis of National Administrative Health Data.

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  • Author(s): Kim Y;Kim Y; Kim J; Kim J
  • Source:
    International journal of environmental research and public health [Int J Environ Res Public Health] 2020 May 27; Vol. 17 (11). Date of Electronic Publication: 2020 May 27.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: Basel : MDPI, c2004-
    • Subject Terms:
      Hospital Mortality* ; Personnel Staffing and Scheduling*; Nursing Staff, Hospital/*supply & distribution ; Percutaneous Coronary Intervention/*mortality; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Workforce ; Young Adult
    • Abstract:
      The increasing incidence of ischemic heart disease is concomitantly increasing percutaneous coronary intervention (PCI) treatments. Adequate nurse staffing has enhanced quality of care and this study was conducted to determine the relationship between survival-related PCI treatment and the level of nursing staff who care for patients admitted to receive PCI. National Health Insurance claims data from 2014 to 2015 for 67,927 patients who underwent PCI in 43 tertiary hospitals were analyzed. The relationships of nurse staffing in intensive care units (ICUs) and general wards with survival after PCI were investigated using logistic regression analyses with a generalized estimation model. The in-hospital mortality rate in ICUs was lower in hospitals with first-grade nurse staffing {odds ratio (OR) = 0.33, 95% confidence interval (CI) = 0.23-0.48}, second-grade nurse staffing (OR = 0.55, 95% CI = 0.40-0.77), or third-grade nurse staffing (OR = 0.71, 95% CI = 0.53-0.95) than in hospitals with fifth-grade nurse staffing. Nurse staffing in general wards was not related to in-hospital mortality due to PCI treatment. This study found that nurse staffing in PCI patients requiring short-term intensive care significantly affected patient survival. An understanding of the importance of managing the ICU nursing workforce for PCI treatment is required.
      Competing Interests: The authors declare that there are no conflicts of interest regarding the publication of this paper.
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    • Contributed Indexing:
      Keywords: in-hospital mortality; nurses; percutaneous coronary intervention; personnel staffing
    • Publication Date:
      Date Created: 20200531 Date Completed: 20201118 Latest Revision: 20201118
    • Publication Date:
      20240829
    • Accession Number:
      PMC7313060
    • Accession Number:
      10.3390/ijerph17113799
    • Accession Number:
      32471103