Influence of trends in hospital volume over time on patient outcomes for high-risk surgery.

ABSTRACT:

Background

The "practice makes perfect" concept considers the more frequent a hospital performs a procedure, the better the outcome of the procedure. We aimed to study this concept by investigating whether patient outcomes improve in hospitals with a significantly increased volume of high-risk surgery over time and whether a learning effect existed at the individual hospital level.

Methods

We included all patients who underwent one of 10 digestive, cardiovascular and orthopaedic procedures between 2010 and 2014 from the French nationwide hospitals database. For each procedure, we identified three groups of hospitals according to volume trend (increased, decreased, or no change). In-hospital mortality, reoperation, and unplanned hospital readmission within 30 days were compar

SUBMITTER: Payet C 

PROVIDER: S-EPMC7114802 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature