Effect of Institutional Case Volume on In-Hospital and Long-Term Mortality in Critically Ill Patients Requiring Mechanical Ventilation for 48 Hours or More
Journal of Korean Medical Science
; : e212-2019.
Article
in En
| WPRIM
| ID: wpr-765060
Responsible library:
WPRO
ABSTRACT
BACKGROUND: The purpose of this study was to evaluate whether institutional case volume affects clinical outcomes in patients receiving mechanical ventilation for 48 hours or more. METHODS: We conducted a nationwide retrospective cohort study using the database of Korean National Healthcare Insurance Service. Between January 2007 and December 2016, 158,712 adult patients were included at 55 centers in Korea. Centers were categorized according to the average annual number of patients: > 500, 500 to 300, and 500 patients/year) showed lower in-hospital mortality and long-term mortality, compared to centers with lower case volume (< 300 patients/year) in patients who required mechanical ventilation for 48 hours or more.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Respiration, Artificial
/
Odds Ratio
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Retrospective Studies
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Cohort Studies
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Mortality
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Hospital Mortality
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Critical Illness
/
Delivery of Health Care
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Insurance
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Korea
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adult
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Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Journal of Korean Medical Science
Year:
2019
Document type:
Article