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With a limited number of intensivists and a steadily increasing number of intensive care unit (ICU) patients in the U.S., finding non–intensivist-led team structures that provide equivalent care to critically ill patients is vital. In a prospective observational study, investigators at a tertiary care academic medical center in Atlanta looked at in-hospital mortality and length of stay (LOS) among 1367 patients admitted to either an intensivist-led (IL) team or a hospitalist-led (HL) team. Both teams placed patients in three units with common protocols at one hospital.
HL teams, which included an internal medicine–certified hospitalist and nonphysician providers, had access to a pulmonary critical care medicine (PCCM) consultant. IL teams in…