Does Value Vary by Center Surgical Volume for Neonates With Truncus Arteriosus? A Multicenter Study
نویسندگان
چکیده
BackgroundTruncus arteriosus is a congenital heart defect with high resource use, cost, and mortality. Value assessment (outcome relative to cost) can improve quality of care decrease cost. This study hypothesized that truncus repair at high-volume center would result in better outcomes lower cost (higher value) compared low-volume center.MethodsThis retrospectively analyzed multicenter cohort neonates undergoing (2004 2015) by using the Pediatric Health Information Systems database. Multivariate quantile, logistic, negative binomial regression models were used evaluate total hospital in-hospital mortality, ventilation days, intensive unit length stay (LOS), LOS, days inotropic agent use volume (high-volume >3/year) age while adjusting for sex, ethnicity, race, genetic abnormality, prematurity, low birth weight, concurrent interrupted arch repair, truncal valve repair.ResultsOf 1024 arteriosus, 495 (48%) treated centers. Costs 75th percentile vs centers $28,456 (P = .02) all ages repair. Patients had median postoperative (5 6 days; P < .001), LOS (13 19 (23 28 .02), (3 4 .004). In-hospital mortality did not differ volume.ConclusionsIn costs are centers, thus resulting higher value Value-based interventions should be considered care. Truncus center. Of volume. In
منابع مشابه
Outcomes of Surgical Repair for Persistent Truncus Arteriosus from Neonates to Adults: A Single Center's Experience.
OBJECTIVE This study aimed to report our experiences with surgical repair in patients of all ages with persistent truncus arteriosus. METHODS From July 2004 to July 2014, 50 consecutive patients with persistent truncus arteriosus who underwent anatomical repair were included in the retrospective review. Median follow-up time was 3.4 years (range, 3 months to 10 years). RESULTS Fifty patient...
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ژورنال
عنوان ژورنال: The Annals of Thoracic Surgery
سال: 2021
ISSN: ['1552-6259', '0003-4975']
DOI: https://doi.org/10.1016/j.athoracsur.2020.05.178