Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients
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TL;DR
This Retrospective multicenter cohort study of patients admitted to internal medicine services at 10 university-affiliated US Veterans Health Administration hospitals found duty hour changes were associated with greater adjusted hospital mortality for transition patients in the intern-only group and intern’+ resident group than for controls.
Abstract
Among patients admitted to internal medicine services in 10 Veterans Affairs hospitals, end-of-rotation transition in care was associated with significantly higher in-hospital mortality in an unrestricted analysis that included most patients, but not in an alternative restricted analysis. The association was stronger following institution of ACGME duty hour regulations.
