Specialty Classifications of Physicians Who Provide Neurocritical Care in the United States

Neurocritical Care
Andrew MartinHooman Kamel

Abstract

We sought to characterize the specialty classification of US physicians who provide critical care for neurological/neurosurgical disease. Using inpatient claims between 2009 and 2015 from a nationally representative 5% sample of Medicare beneficiaries, we selected hospitalizations for neurological/neurosurgical diseases with potential to result in life-threatening manifestations requiring critical care. Using Current Procedural Terminology® codes, we determined the medical specialty of providers submitting critical care claims, and, using National Provider Identifier numbers, we merged in data from the United Council for Neurologic Subspecialties (UCNS) to determine whether the provider was a UCNS diplomate in neurocritical care. We defined providers with a clinical neuroscience background as neurologists, neurosurgeons, and/or UCNS diplomates in neurocritical care. We defined neurocritical care service as a critical care claim with a qualifying neurological/neurosurgical diagnosis in patients with a relevant primary hospital discharge diagnosis and ≥ 3 total critical care claims, excluding claims from the first day of hospitalization since these were mostly emergency-department claims. Our findings were reported using descript...Continue Reading

References

Jul 14, 2001·The New England Journal of Medicine·A V Diez RouxR L Watson
Feb 21, 2014·Current Opinion in Critical Care·Andreas H Kramer, David A Zygun
Oct 7, 2015·PLoS Medicine·Eric I BenchimolUNKNOWN RECORD Working Committee
Feb 12, 2017·Handbook of Clinical Neurology·E F M Wijdicks

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Citations

Jun 9, 2019·Neurocritical Care·Jose I SuarezUNKNOWN PRINCE Study Investigators
Jan 9, 2020·BMJ Open·Zhen CuiUNKNOWN Working Group from Neuro-Critical Care Committee affiliated to the Chinese Association of Critical Care Physicians and the N
Jun 19, 2020·The Neurohospitalist·Daniel C SacchettiHooman Kamel
Jun 8, 2021·Stroke; a Journal of Cerebral Circulation·Laura K SteinMandip S Dhamoon

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