Background The risk-adjusted mortality rate (RAMR) is used widely by healthcare agencies to evaluate hospital performance. The RAMR is insensitive to case volume and requires a confidence interval for proper interpretation, which results in a hypothesis testing framework. Unfamiliarity with hypothesis testing can lead to erroneous interpretations by the public and other stakeholders. We argue t...

Objective: Most previous retrospective studies failed to show a consistent association between pre-hospital time intervals and mortality in trauma patients, bringing the recommendation of “transport fast to increase survival” under question. The aim of this study was to evaluate the association of response time, scene time, and transport time with 24-hour in-hospital mortality....

Background: Despite some evidences about protective or triggering role of opium use in patients with coronary artery disease, the exact role of opium is still under question. The current study aimed to address the relation of opium dependence on the severity and extension of myocardial infarction (MI) and its related mortality. Methods: The study population consisted of 460 consecutive patients...

background: intracerebral  hemorrhage (ich) is the  most fatal subtype  of stroke.  despite  limited effective therapy, there  is no  accepted clinical grading  scale to  predict  in- hospital  mortality,  especially  in developing  nations.  the purpose  of this study was to assess the  predictors  of in- hospital mortality among a sample of iranian patients  with spontaneous ich for use at th...

objective: most previous retrospective studies failed to show a consistent association between pre-hospital time intervals and mortality in trauma patients, bringing the recommendation of “transport fast to increase survival” under question. the aim of this study was to evaluate the association of response time, scene time, and transport time with 24-hour in-hospital mortality.   methods: in th...

The Faculty of Public Health (FPH) is committed to ensuring that hospital care is safe, effective and provides the highest possible standard of clinical care. The first attempt to categorise hospitals by their mortality rates and make imputations about the quality of care delivered in them based on how many patients die, dates back to the seminal work of Florence Nightingale (best known for dra...

Staff-to-patient ratios are a current policy concern in hospitals nationwide. Legislators in California and New York have imposed staffing requirements on hospitals that are estimated to cost hundreds of millions of dollars per year. These reforms were motivated by the presumption of a causal link between lower hospital staffing levels and adverse patient outcomes. However, the cited empirical ...

Background Death occurring in hospital is medically certified by attending physicians with cause of death. In developing countries such as Nepal, limited resources are available related to the pattern of deaths that occur in hospitals, so that the health priorities can be selected wisely. Objective The objective of this study was to determine the pattern, frequency and causes of inpatient morta...

Intruduction: Esophageal atresia (EA) is a congenital anomaly treated by surgical reconstruction. Some early postoperative complications may be encountered we assessed complications following EA repair in a large number of neonates with EA / TEF. methods: 243 patients with EA / TEF that were treated operatively in Sarvar Children’s Hospital from 2002 to 2010 were studied. Early post-operat...