Standardized mortality ratios for regionalized acute cardiovascular care.

ABSTRACT:

Background

Standardized Mortality Ratios (SMRs) are case-mix adjusted mortality rates per hospital and are used to evaluate quality of care. However, acute care is increasingly organized on a regional level, with more severe patients admitted to specialized hospitals. We hypothesize that the current case-mix adjustment insufficiently captures differences in case-mix between non-specialized and specialized hospitals. We aim to improve the SMR by adding proxies of disease severity to the model and by calculating a regional SMR (RSMR) for acute cerebrovascular disease (CVD) and myocardial infarction (MI).

Methods

We used data from the Dutch National Basic Registration of Hospital Care. We selected all admissions from 2016 to 2018. SMRs and RSMRs were calculated by dividing the

SUBMITTER: den Hartog SJ 

PROVIDER: S-EPMC10481617 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature