Nursing intensity trajectory patterns and clinical outcomes in intensive care units: a latent class analysis
Qinqin Shu, Yan Li · 2026
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Description
Qinqin Shu and Yan Li tracked how nursing workload rises and falls across an intensive care stay in a 2026 retrospective study. Their records came from Beth Israel Deaconess Medical Center between 2008 and 2019. Earlier work measured nursing intensity once, missing how the pattern itself might signal a patient's course.
Among 7,334 adults who stayed at least seven days, a daily score built from sedation handling, charting frequency, and organ support needs sorted patients into four paths. The rapid improvement group, 9.6 percent of patients, saw intensity fall from 56.2 points to 29.8 points and had the lowest death rate at 9.6 percent, plus the shortest stays. The late escalation group, 4.9 percent of patients, climbed from 38.5 points to 61.7 points, and 39.3 percent of them died. After adjustment for age, sex, and severity, rapid improvement carried 74 percent lower death odds while late escalation carried 86 percent higher odds than the persistent high group.
Catalog record
| CREATOR | Qinqin Shu, Yan Li |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 48744 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |