Het volume van chirurgische ingrepen en de impact ervan op ... - KCE

More documents

Recommendations

Info

148 Volume Outcome KCE reports 113 Table 6.18: CABG and/or heart valve replacement/repair: Differences in case mix and outcomes by volume of centre Tertiles based on volume 219- ≤ 219 401 > 401 All Number stays 1588 3206 5853 10647 Number centres Gender 10 10 9 29 Male % 69.4 69.7 69.3 69.4 Age Mean 67.3 68.3 67.7 67.8 Std 11.2 10.2 10.9 10.8 Charlson index score Mean 1.8 1.8 1.6 1.7 Charlson ≥ 3 Std 1.8 1.8 1.7 1.7 % 30.3 28.1 23.2 25.7 Co morbidities (from Charlson Score) Diabetes % 26.0 24.2 21.8 23.2 Moderate or severe renal disease Severity index (APR-DRG) % 16.0 16.0 11.6 13.6 1 % 2.4 1.4 4.1 3.1 2 % 31.1 22.5 28.5 27.1 3 % 44.1 49.6 43.3 45.3 Principal diagnosis 4 % 22.4 26.5 24.1 24.6 396 Diseases of mitral and aortic valves % 3.3 2.5 5.1 4.1 410 Acute myocardial infarction % 414 Other forms of chronic ischemic heart % 9.3 4.1 4.6 5.1 Type of intervention LOS disease 64.9 63.8 60.9 62.4 424 Other diseases of endocardium % 15.4 21.4 22.0 20.8 428 Heart failure % 1.1 0.9 1.6 1.3 441 Aortic aneurysm and dissection % 996 Complications peculiar to certain % 1.3 0.9 0.9 1.0 specified procedures 1.1 1.1 2.2 1.7 Other % 3.7 5.2 2.8 3.6 CABG + heart valve % 12.5 12.4 18.1 15.5 Isolated CABG % 72.4 68.8 63.0 66.2 Isolated heart valve % 15.1 18.8 18.9 18.3 Mean 17.5 16.0 15.1 15.7 Std 12.7 13.1 12.5 12.8 In-hospital mortality % 6.7 5.7 3.6 4.7 In-hospital mortality combined with % approximate 30 day mortality 7.3 6.3 4.0 5.1 Transferred in from another hospital % 6.9 13.3 22.5 17.4 Transferred out to another hospital % 7.8 10.0 12.5 11.1
KCE Reports 113 Volume Outcome 149 RELATION BETWEEN HOSPITAL VOLUME AND MORTALITY RATE Results from logistic regression are presented in Table 6.19. Without taking into account differences in case mix, an increase of volume of 10% is associated with a statistically significant (p-value 200 procedures per year, 16 centres). This sensitivity analysis confirms that low volume centres have a higher mortality rate than high volume centres (Table 6.21).
Page 1 and 2:
Het volume van chirurgische ingrepe
Page 3 and 4:
Het volume van chirurgische ingrepe
Page 5 and 6:
KCE reports 113A Volume - Uitkomst
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
KCE Reports 113 Volume Outcome 1 Sc
Page 19 and 20:
KCE Reports 113 Volume Outcome 3 6.
Page 21 and 22:
KCE Reports 113 Volume Outcome 5 Ab
Page 23 and 24:
KCE Reports 113 Volume Outcome 7 2
Page 25 and 26:
KCE Reports 113 Volume Outcome 9 5.
Page 27 and 28:
KCE Reports 113 Volume Outcome 11 O
Page 29 and 30:
KCE Reports 113 Volume Outcome 13 F
Page 31 and 32:
KCE Reports 113 Volume Outcome 15 T
Page 33 and 34:
KCE Reports 113 Volume Outcome 17 P
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
KCE Reports 113 Volume Outcome 33 H
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
KCE Reports 113 Volume Outcome 57 R
Page 75 and 76:
Page 77 and 78:
KCE Reports 113 Volume Outcome 61 C
Page 79 and 80:
KCE Reports 113 Volume Outcome 63 A
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
KCE Reports 113 Volume Outcome 77 D
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
KCE Reports 113 Volume Outcome 93 R
Page 111 and 112:
Page 113 and 114: KCE Reports 113 Volume Outcome 97 V
Page 115 and 116: KCE Reports 113 Volume Outcome 99 5
Page 117 and 118: KCE Reports 113 Volume Outcome 101
Page 163: KCE Reports 113 Volume Outcome 147
Page 215 and 216:
KCE Reports 113 Volume Outcome 199
Page 217 and 218:
Page 219 and 220:
Page 221 and 222:
Page 223 and 224:
Page 225 and 226:
Page 227 and 228:
Page 229 and 230:
Page 231 and 232:
Page 233 and 234:
Page 235 and 236:
Page 237 and 238:
Page 239 and 240:
Page 241 and 242:
Page 243 and 244:
Page 245 and 246:
Page 247 and 248:
Page 249 and 250:
Page 251 and 252:
Page 253 and 254:
This page is left intentionally bla
Page 255 and 256:
KCE reports 1. Effectiviteit en kos
Page 257 and 258:
73. Financiering van het zorgprogra
show all

Het volume van chirurgische ingrepen en de impact ervan op ... - KCE

Create successful ePaper yourself

Delete template?

Save as template?