The relationship between hospital surgical case volumes and mortality rates in pediatric cardiac surgery: a national sample, 1988-2005

The Annals of Thoracic Surgery
Karl F WelkeRoss M Ungerleider

Abstract

Overall surgical volumes and raw mortality rates are frequently used to compare pediatric cardiac surgical programs, but unadjusted comparisons are potentially unreliable. We sought to quantify the relationship between hospital volume and pediatric cardiac surgical mortality. Pediatric cardiac operations assigned to Risk Adjustment for Congenital Heart Surgery, version 1 (RACHS-1) categories were retrospectively identified by International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) coding from the Nationwide Inpatient Sample, 1988-2005. Hospitals were grouped by yearly pediatric cardiac surgical volume (very small, <or= 20; small, 21 to 100; medium, 101 to 200; large, > 200). Mortality rates were adjusted for surgical volume, case mix (RACHS-1 categories), patient age, and year of operation by logistic regression. We identified 55,164 operations from 307 hospitals; 188 (61%) performed 20 or fewer cases per year. The unadjusted mortality rate at very small hospitals was no different than at large hospitals (odds ratio, 1.0, 95% confidence interval [CI] 0.7 to 1.4). After adjustment for RACHS-1 category and age, large hospitals performed significantly better than all other volume groups. As a discr...Continue Reading

References

Jan 6, 2004·Birth Defects Research. Part A, Clinical and Molecular Teratology·Christine E CronkD Gail McCarver
Sep 16, 2005·Journal of Perinatology : Official Journal of the California Perinatal Association·Barbara Kathleen FrohnertMyron Clifford Falken
Jun 27, 2006·The Annals of Thoracic Surgery·Karl F WelkeRoss M Ungerleider

❮ Previous
Next ❯

Citations

Mar 16, 2013·Pediatric Surgery International·Cabrini A LaRiviereAdam B Goldin
Nov 8, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Pamela S Hilvers, Satid Thammasitboon
Apr 1, 2010·World Journal for Pediatric & Congenital Heart Surgery·Danielle S BursteinSara K Pasquali
May 18, 2011·Pediatrics·Danielle S BursteinSara K Pasquali
Sep 17, 2009·European Journal of Pediatrics·Daniel Dilber, Ivan Malcić
Apr 21, 2012·The Annals of Thoracic Surgery·Christoph P HornikSara K Pasquali
Jan 1, 2012·Progress in Pediatric Cardiology·Sara K PasqualJeffrey P Jacobs
Oct 22, 2011·The Annals of Thoracic Surgery·Sara K PasqualiJennifer S Li
May 17, 2011·The Journal of Thoracic and Cardiovascular Surgery·Matthew E OsterWilliam T Mahle
Apr 26, 2011·Heart, Lung & Circulation·James R PadleyDavid S Winlaw
Mar 24, 2010·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Karl F WelkeTara Karamlou
Jan 28, 2010·The Annals of Thoracic Surgery·Karl F WelkeBrian S Diggs
Apr 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Karl F WelkeJeffery P Jacobs
Dec 18, 2015·Cardiology in the Young·Andrzej KansyBohdan Maruszewski
Apr 13, 2011·Paediatric Anaesthesia·Ravi R Thiagarajan, Peter C Laussen
Oct 22, 2013·Health Services Research·John A RomleyRoberta Williams
Jul 4, 2015·Journal of the American College of Cardiology·Lisa J ChamberlainPaul H Wise
Apr 10, 2016·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Sarah Burki, Charles D Fraser
Mar 8, 2017·The Journal of Thoracic and Cardiovascular Surgery·Shi-Joon YooGlen S van Arsdell
Jun 3, 2017·Journal of Neurosurgery. Pediatrics·Daniel A DonohoFrank J Attenello
Jul 1, 2010·World Journal for Pediatric & Congenital Heart Surgery·Karl F Welke
Jun 15, 2012·Journal of the Royal Society of Medicine·Iolo Doull
Aug 24, 2017·Pediatric Cardiology·Billie-Jean MartinIvan M Rebeyka
Jul 20, 2012·Circulation. Cardiovascular Quality and Outcomes·Jeffrey M VinocurLazaros K Kochilas
Jun 23, 2011·Circulation. Cardiovascular Quality and Outcomes·Yuli Y KimOscar J Benavidez
Sep 25, 2008·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Karl F WelkeRoss M Ungerleider
May 23, 2012·Journal of Cardiovascular Medicine·Massimo A PadalinoGiovanni Stellin
Jul 31, 2020·Pediatric Cardiology·Brett R AndersonGanga Krishnamurthy
Mar 27, 2020·Korean Circulation Journal·Hong Ju ShinBum Koo Cho

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs
Karl F WelkeRoss M Ungerleider
The Journal of Thoracic and Cardiovascular Surgery
Paul A ChecchiaBarry Markovitz
© 2022 Meta ULC. All rights reserved