BACKGROUND Individual quality measures have significant limitations for assessing surgical performance. Despite growing interest in composite measures, empirically-based methods for combining multiple domains of surgical quality are not well established. OBJECTIVE To develop and validate a composite measure of surgical performance that best describes variation in hospital mortality rates and ...

results a total of 235 patients (135 women) with a mean age of 59 ± 9.2 years (range = 29 to 79 years), mean bmi of 27.3 ± 4.2 (range = 17 to 40), and mean waist circumference of 101.2 ± 14.7 cm (range = 55 to 145 cm) were included. by the third postoperative month, wound infection had significantly increased in patients with bmi ≥ 30 (p = 0.022). in-hospital and late morbidity and mortality ra...

background & aims: endotracheal intubation is commonly performed in the intensive care unit. many international guidelines for difficult intubation management are available and the intensivists think that any endotracheal intubation in icu is potentially difficult with several complications. materials & methods: after obtaining ethical approval, this descriptive and analytical study was conduct...

BACKGROUND AND PURPOSE Little is known about the factors associated with in-hospital mortality following total anterior circulation stroke (TACS). We examined the characteristics and comorbidity data for TACS patients in relation to in-hospital mortality with the aim of developing a simple clinical rule for predicting the acute mortality outcome in TACS. METHODS A routine data registry of one...

OBJECTIVE To more fully define the influence of COPD in patients undergoing coronary artery bypass grafting (CABG). METHODS One hundred ninety-one patients with COPD underwent CABG from March 1, 1995, to June 21, 1996. There were 129 male and 62 female patients. The mean age was 69 years (45 to 86 years). Patients with COPD were defined according to the Summit Database definition: requires th...

BACKGROUND The incidence and burden of stroke in China is increasing rapidly. However, little is known about trends in mortality during stroke hospitalization. The objectives of this study were to assess trends of in-hospital mortality among patients with stroke and explore influence factors of in-hospital death after stroke in China. METHODS 109 grade III class A hospitals were sampled by mu...

conclusions in comparison with road traffic accidents on city streets, trauma patients in rtas on roads out of the city have longer pre-hospital time intervals and more severe injuries; therefore this group needs more pre-hospital resuscitation interventions. results findings of this study showed that, 75% of rtas occurred on city streets (n = 1 251). motor-car accidents were the most frequent ...

We examined whether the level of hospital-based healthcare technology was related to the 30-day postoperative mortality rates, after adjusting for hospital volume, of ischemic stroke patients who underwent a cerebrovascular surgical procedure. Using the National Health Insurance Service-Cohort Sample Database, we reviewed records from 2002 to 2013 for data on patients with ischemic stroke who u...

from march 1990 to may 1993,309 patients underwent redo cardiac surgery operation at the shahid rajai heart hospital in tehran. early mortality rates in these patients showed a significant increase in comparison to patients undergoing open heart surgery for the first time. late mortality (at least one month after surgery) in the patients was slightly increased also but less than early mortality...