{"doi":"10.1016/j.jcrc.2016.02.009","title":"The organizational structure of an intensive care unit influences treatment of hypotension among critically ill patients: A retrospective cohort study","abstract":null,"journal":"Journal of Critical Care","year":2016,"id":618466,"datarank":0.24141568686511508,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"self_citation_contribution":0.24141568686511508,"citation_network_contribution":0.0,"self_endowment_contribution":0.24141568686511508,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":636240,"name":"Jennifer Massa","orcid":"0000-0003-3380-995X","position":1,"is_corresponding":false},{"id":669098,"name":"Ariel Mueller","orcid":"0000-0002-8420-1904","position":2,"is_corresponding":false},{"id":1595504,"name":"Sayuri P. Jinadasa","orcid":null,"position":3,"is_corresponding":false},{"id":577468,"name":"Joon Lee","orcid":"0000-0003-3887-8540","position":4,"is_corresponding":false},{"id":773938,"name":"Rishi Kothari","orcid":"0000-0002-7148-970X","position":5,"is_corresponding":false},{"id":931698,"name":"Daniel J. Scott","orcid":"0000-0001-6332-2793","position":6,"is_corresponding":false},{"id":1595505,"name":"Julie Callahan","orcid":null,"position":7,"is_corresponding":false},{"id":4662,"name":"Leo Anthony Celi","orcid":"0000-0001-6712-6626","position":8,"is_corresponding":false},{"id":326033,"name":"Michele R. Hacker","orcid":"0000-0003-0217-9991","position":9,"is_corresponding":false},{"id":1595501,"name":"M. Dustin Boone","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"The organizational structure of an intensive care unit influences treatment of hypotension among critically ill patients: A retrospective cohort study","abstract":"PURPOSE: Prior studies report that weekend admission to an intensive care unit is associated with increased mortality, potentially attributed to the organizational structure of the unit. This study aims to determine whether treatment of hypotension, a risk factor for mortality, differs according to level of staffing.\nMETHODS: Using the Multiparameter Intelligent Monitoring in Intensive Care database, we conducted a retrospective study of patients admitted to an intensive care unit at Beth Israel Deaconess Medical Center who experienced one or more episodes of hypotension. Episodes were categorized according to the staffing level, defined as high during weekday daytime (7 am-7 pm) and low during weekends or nighttime (7 pm-7 am).\nRESULTS: Patients with a hypotensive event on a weekend were less likely to be treated compared with those that occurred during the weekday daytime (P = .02). No association between weekday daytime vs weekday nighttime staffing levels and treatment of hypotension was found (risk ratio, 1.02; 95% confidence interval, 0.98-1.07).\nCONCLUSION: Patients with a hypotensive event on a weekend were less likely to be treated than patients with an event during high-staffing periods. No association between weekday nighttime staffing and hypotension treatment was observed. We conclude that treatment of a hypotensive episode relies on more than solely staffing levels.","is_dataset_classified":null,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"26975737","pmcid":null,"openalex_id":"https://openalex.org/W2281416424","authors":[],"funders":[{"funder_name":"NIBIB NIH HHS","grant_id":"R01 EB017205","title":null},{"funder_name":"NCATS NIH HHS","grant_id":"UL1 TR001102","title":null}],"total_grants":2,"fwci":0.7543,"citation_percentile":0.72361691,"influential_citations":0,"citation_trend":[{"year":2019,"count":2},{"year":2020,"count":1},{"year":2025,"count":1}],"oa_status":"closed","license":"https://www.elsevier.com/legal/tdmrep-license","oa_locations":[{"url":"https://api.elsevier.com/content/article/PII:S0883944116000678?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S0883944116000678?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.jcrc.2016.02.009","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/26975737","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4842333","host_type":"repository"}],"fields_of_study":["Hospital Admissions and Outcomes","Healthcare Operations and Scheduling Optimization","Sepsis Diagnosis and Treatment","After-Hours Care","Aged","Aged, 80 and over","Cohort Studies","Critical Illness","Databases, Factual","Female","Hospital Mortality","Humans","Hypotension","Intensive Care Units","Male","Middle Aged","Odds Ratio","Personnel Staffing and Scheduling","Retrospective Studies","Risk Factors"],"mesh_terms":["Aged","Aged, 80 and over","Female","Humans","Hypotension","Intensive Care Units","Male","Middle Aged","Personnel Staffing and Scheduling","Retrospective Studies","Risk Factors","Cohort Studies","Odds Ratio","Databases, Factual","Critical Illness","Hospital Mortality","After-Hours Care"],"keywords":["Medicine","Staffing","Intensive care unit","Retrospective cohort study","Emergency medicine","Confidence interval","Cohort study","Intensive care","Intensive care medicine","Internal medicine","Nursing","Critical care","Hospital medical staff","Hypotension","Resuscitation"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-03T04:28:55.728608Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}