Mortality as an indicator of quality of neurosurgical care in England: a retrospective cohort study.

ABSTRACT:

Objectives

Postoperative mortality is a widely used quality indicator, but it may be unreliable when procedure numbers and/or mortality rates are low, due to insufficient statistical power. The objective was to investigate the statistical validity of postoperative 30-day mortality as a quality metric for neurosurgical practice across healthcare providers.

Design

Retrospective cohort study.

Setting

Hospital Episode Statistics data from all neurosurgical units in England.

Participants

Patients who underwent neurosurgical procedures between April 2013 and March 2018. Procedures were grouped using the National Neurosurgical Audit Programme classification.

Outcomes measured

National 30-day postoperative mortality rates were calculated for elective and non-ele

SUBMITTER: Wahba AJ 

PROVIDER: S-EPMC9639111 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature