Treatment of Craniosynostosis
Autor: | Anmol S. Chattha, Salim Afshar, Daniel Curiel, Samuel J. Lin, Alexandra Bucknor, Klaas H.J. Ultee |
---|---|
Přispěvatelé: | Surgery |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Treatment outcome MEDLINE Craniosynostosis Craniosynostoses 03 medical and health sciences Postoperative Complications 0302 clinical medicine Hospital volume medicine Humans National data Retrospective Studies business.industry Infant Newborn Infant Retrospective cohort study Health Care Costs General Medicine Length of Stay medicine.disease Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Emergency medicine Surgery business 030217 neurology & neurosurgery Resource utilization Volume (compression) |
Zdroj: | Journal of Craniofacial Surgery, 29(5), 1233-1236. Lippincott Williams & Wilkins |
ISSN: | 1049-2275 |
Popis: | The authors aim to quantify the impact of hospital volume of craniosynostosis surgery on inpatient complications and resource utilization using national data. Children12 months with nonsyndromic craniosynostosis who underwent surgery in 2012 at academic hospitals in the United States were identified from the Kids' Inpatient Database (KID) developed by the Healthcare Cost and Utilization Project (HCUP). Hospital craniosynostosis surgery volume was stratified into tertiles based on total annual hospital cases: low volume (LV, 1-13), intermediate volume (IV, 14-34), and high volume (HV, ≥35). Outcomes of interest include major complications, blood transfusion, charges, and length of stay (LOS). In 2012, 154 hospitals performed 1617 total craniosynostosis surgeries. Of these 580 cases (35.8%) were LV, 549 cases (33.9%) were IV, and 488 cases (30.2%) were HV. There was no difference in major complications between hospital volume tertiles (4.3% LV; 3.8% IV; 3.1% HV; P = 0.487). The highest blood transfusion rates were seen at LV hospitals (47.8% LV; 33.9% IV; 26.2%; P 0.001). Hospital charges were lowest at HV hospitals ($55,839) compared with IV hospitals ($65,624; P 0.001) and LV hospitals ($62,325; P = 0.005). Mean LOS was shortest at HV hospitals (2.96 days) compared with LV hospitals (3.31 days; P = 0.001); however, there was no difference when compared with IV hospitals (3.07 days; P = 0.282). Hospital case volume may be an important associative factor of blood transfusion rates, LOS, and hospital charges; however, there is no difference in complication rates. These results may be used to guide quality improvement within the surgical management of craniosynostosis. |
Databáze: | OpenAIRE |
Externí odkaz: |