Table 2 Organizational factors and the target sedation level on day 2
Organizational factor | Adequate sedation level/N (%) | Univariate analysis [OR (CI 95%)] | Multivariate analysis [OR (CI 95%)] |
|---|---|---|---|
Type of hospital | |||
Private nonprofit | 446/1455 (30.7) | Ref | Ref |
Private profit | 271/787 (34.4) | 0.92 (0.54–1.57) | 0.99 (0.57–1.70) |
Public | 992/3447 (28.5) | 0.88 (0.56–1.37) | 0.83 (0.54–1.28) |
Teaching status | |||
No | 1102/3466 (31.8) | Ref | |
Yes | 607/2253 (26.9) | 1.04 (0.70–1.55) | 1.02 (0.67–1.57) |
Sedation protocol | |||
No | 966/3031 (31.9) | Ref | Ref |
Yes | 743/2688 (27.6) | 0.76 (0.52–1.10) | 0.69 (0.36–1.32) |
Analgesia protocol | |||
No | 1069/3366 (31.8) | Ref | Ref |
Yes | 640/2353 (27.2) | 0.80 (0.55–1.18) | 1.19 (0.60–2.35) |
Weaning protocol | |||
No | 673/2007 (33.5) | Ref | Ref |
Yes | 1036/3712 (27.9) | 0.77 (0.52–1.14) | 0.78 (0.50–1.12) |
Board-certified ICU chief nurse | |||
No | 611/1924 (31.8) | Ref | Ref |
Not available | 151/334 (45.2) | 2.03 (0.75–5.49) | 2.10 (0.79–5.58) |
Yes | 947/3461 (27.4) | 0.92 (0.61–1.37) | 0.96 (0.65–1.43) |
Nurse technician to patient ratio ≤ 1:2 in all shifts | |||
No | 126/424 (29.7) | Ref | Ref |
Yes | 1583/5295 (29.9) | 1.28 (0.64–2.53) | 1.33 (0.68–2.61) |
Board-certified intensivist on morning and afternoon shifts | |||
No | 48/184 (26.1) | Ref | Ref |
Only in one shift | 608/2264 (26.9) | 1.72 (0.76–3.91) | 1.70 (0.75–3,87) |
Yes, in both | 1009/3084 (32.7) | 2.26 (1.02–5.03) | 2.43 (1.09–5.38) |