Hospital volume and the outcomes of mechanical ventilation.

@article{Kahn2006HospitalVA,
  title={Hospital volume and the outcomes of mechanical ventilation.},
  author={Jeremy M. Kahn and Christopher H. Goss and Patrick J. Heagerty and Andrew A. Kramer and Chelsea R O'Brien and Gordon David Rubenfeld},
  journal={The New England journal of medicine},
  year={2006},
  volume={355 1},
  pages={
          41-50
        }
}
BACKGROUND An increased volume of patients is associated with improved survival in numerous high-risk medical and surgical conditions. The relationship between the number of patients admitted (hospital volume) and outcome among patients with critical illnesses is unknown. METHODS We analyzed data from 20,241 nonsurgical patients receiving mechanical ventilation at 37 acute care hospitals in the Acute Physiology and Chronic Health Evaluation clinical information system from 2002 through 2003… Expand
Hospital volume and outcomes of mechanical ventilation.
  • O. Arah
  • Medicine, Biology
  • The New England journal of medicine
  • 2006
TLDR
Among patients with identical Acute Physiology and Chronic Health Evaluation (APACHE) scores, the proportion admitted to an intensive care unit (ICU) may vary among hospitals, and mortality will fall as the number of patients who undergo mechanical ventilation rises. Expand
Hospital Volume and Outcomes of Noninvasive Ventilation in Patients Hospitalized With an Acute Exacerbation of Chronic Obstructive Pulmonary Disease
TLDR
The results of this large retrospective cohort study suggest that hospitals with higher noninvasive ventilation volume do not achieve better outcomes of patients with chronic obstructive pulmonary disease exacerbation treated with non invasive ventilation; even hospitals with low nonin invasive ventilation volume are able to successfully implement this intervention. Expand
Potential value of regionalized intensive care for mechanically ventilated medical patients.
TLDR
Regionalization of intensive care could potentially improve survival for patients undergoing mechanical ventilation under a regionalized system of care. Expand
Relationship between Volume and Survival in Closed Intensive Care Units Is Weak and Apparent Only in Mechanically Ventilated Patients
TLDR
In the currently studied healthcare system characterized by 24/7 intensivist coverage, the authors found wide variability in outcome among ICUs even after adjusting for severity of illness but no relationship between ICU volume and outcome. Expand
Despite variation in volume, Veterans Affairs hospitals show consistent outcomes among patients with non-postoperative mechanical ventilation*
TLDR
The relationship between hospital volume of mechanically ventilated patients receiving care in a specific Veterans Health Administration hospital and 30-day mortality was not statistically significant and may offer other integrated health systems ways to overcome the disadvantages of small-volume centers in achieving good outcomes. Expand
Hospital Mechanical Ventilation Volume and Patient Outcomes: Too Much of a Good Thing?
TLDR
In the setting of increasing use of mechanical ventilation and changes in mechanical ventilation practices, multiple mechanisms of worse outcomes including resource strain are possible and future studies investigating differences in processes of care between high and low volume hospitals are necessary. Expand
Prolonged acute mechanical ventilation: implications for hospital benchmarking.
TLDR
In patients requiring PAMv, the SMR is inversely proportional to hospital MV volume, and the PAMV group had a disproportionate effect on durations of MV, ICU LOS, and hospital LOS; and these marginal excesses increased with the hospital MVVolume quintile. Expand
The association between cardiac intensive care unit mechanical ventilation volumes and in-hospital mortality.
TLDR
It is observed that higher CICU MV volumes were associated with lower incidence of in-hospital mortality, prolonged MV, and C ICU LOS, and this data highlight the need for minimum MV volume benchmarks for CICUs caring for patients with respiratory failure. Expand
Influence of ICU Case-Volume on the Management and Hospital Outcomes of Acute Exacerbations of Chronic Obstructive Pulmonary Disease*
TLDR
Between 1998 and 2010, severity and mortality of acute exacerbations of chronic obstructive pulmonary disease admitted to Collège des Utilisateurs de Données en Réanimation ICUs increased and noninvasive ventilation was related to case-volume, suggesting that increasing experience favors the use of nonin invasive ventilation and was associated with a strong trend toward decreased mortality. Expand
Hospital Volume and Mortality in Acute Ischemic Stroke Patients: Effect of Adjustment for Stroke Severity.
  • K. Lee, J. Y. Kim, +17 authors H. Bae
  • Medicine
  • Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
  • 2020
TLDR
It is implicates that stroke severity should be considered when assessing hospital performance regarding outcomes of acute stroke care as well as summary measures of quality indicators even after adjustments for covariates including stroke severity. Expand
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