Hospital volume and mortality for 25 types of inpatient treatment in German hospitals: observational study using complete national data from 2009 to 2014.

ABSTRACT:

Objectives

To explore the existence and strength of a relationship between hospital volume and mortality, to estimate minimum volume thresholds and to assess the potential benefit of centralisation of services.

Design

Observational population-based study using complete German hospital discharge data (Diagnosis-Related Group Statistics (DRG Statistics)).

Setting

All acute care hospitals in Germany.

Participants

All adult patients hospitalised for 1 out of 25 common or medically important types of inpatient treatment from 2009 to 2014.

Main outcome measure

Risk-adjusted inhospital mortality.

Results

Lower inhospital mortality in association with higher hospital volume was observed in 20 out of the 25 studied types of treatment when volume was catego

SUBMITTER: Nimptsch U 

PROVIDER: S-EPMC5589035 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature