Influence of Surgical Volume and Type of Anesthesia on Medical Utilization and Clinical Outcomes after Tympanoplasty
| Autor: | Cheng-Cheng Huang, 黃晟承 |
|---|---|
| Rok vydání: | 2017 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 105 Purpose： The objects of this study were chronic otitis media patients receiving tympanoplasty (Type 1, 2). We purposed to analyze the effects of the hospital volume, surgeon volume, and type of anesthesia on the medical outcomes and medical resource utilization. Methods： Based on the data provided by the National Health Insurance Academic Database, a retrospective transection study was performed, including adult patients (> 18 years old) who were hospitalized for tympanoplasty from 2001 to 2013, and excluding cases whose main ICD-9 diagnostic code was not chronic otitis media, collecting a total of 2,206 people into the study. The subjects were divided into two groups according to the hospital volume, surgeon volume, and type of anesthesia methods. The effects of the outpatient cost within a month of discharge, hospital stay and total medical expenses on the medical resource utilization and postoperative complications were analyzed. Results： High hospital volume group had significantly longer hospital stay and higher total medical expense compared to the low hospital volume group (4.46 days ± 2.07 vs. 3.79 ± 1.77 days; $44,871.9 ± 13,873 vs. $41,243 ± 12,192) (p |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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