Do all-cause revisit rates reflect the quality of pediatric surgical care provided during index encounters?
| Autor: | Stephanie K. Serres, Danielle B. Cameron, Adam B. Goldin, Dionne A. Graham, Shawn J. Rangel, Charity C. Glass, Carly E. Milliren |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Index (economics) media_common.quotation_subject Patient Readmission Perioperative Care Cohort Studies 03 medical and health sciences 0302 clinical medicine Postoperative Complications 030225 pediatrics Pediatric surgery Medicine Humans Quality (business) 030212 general & internal medicine Medical diagnosis Pediatric Surgical Procedures Child media_common Quality Indicators Health Care Retrospective Studies business.industry General Medicine Evidence-based medicine Hospitals Pediatric humanities Child Preschool Surgical Procedures Operative Pediatrics Perinatology and Child Health Cohort Surgery Female business All cause mortality Demography |
| Zdroj: | Journal of pediatric surgery. 52(6) |
| ISSN: | 1531-5037 |
| Popis: | The purpose of this study was to compare the relatedness of revisits to the index surgical encounter across different pediatric surgical procedures and to explore whether all-cause revisit rates are an accurate surrogate measure for related revisits in this cohort of children.We reviewed all-cause revisits occurring within ninety days of the thirty most commonly performed pediatric surgical procedures at 44 children's hospitals between 1/1/2012 and 3/31/2015. For each condition, a team of four surgeons reviewed revisit diagnoses and reached consensus around relatedness to the index surgical encounter. Chi-squared tests were used to test for variation in all-cause and related revisits among procedures. Spearman's correlation coefficient was used to measure the association between rankings of procedures by their all-cause and related revisit rates.144,535 index encounters were analyzed with an overall revisit rate of 15.0% (21,732). Significant variation was found in both the rates of all-cause revisits among procedures (ranges: 7.6-68.4%, p0.0001), and in the relative proportions of revisits related the index surgical encounter (range: 0% to 77%, p0.0001). Poor correlation was found between procedure rankings based on all-cause revisit rates and revisit rates related to the index admission (r=0.33, p=0.07).The relative proportion of revisits related to the index encounter varies significantly across pediatric surgical conditions, and poor correlation exists at the procedure-level between all-cause and related revisits rates.IV. |
| Databáze: | OpenAIRE |
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