Key result
Inpatient surgical care in California in 2000 was associated with lower crude in-hospital mortality compared to 1990 (2.75% vs 3.9%, P<.001), despite an older and more comorbid patient population.
Why the study?
How have the volume, patient characteristics, and outcomes of inpatient general, vascular, and cardiothoracic surgery changed in California between 1990 and 2000?
Population
1.64 million inpatients undergoing general, vascular, and cardiothoracic surgery across 503 nonfederal acute…
Comparison
Inpatient surgical procedures performed in the… vs Inpatient surgical procedures performed in the…
Design
Cohort
Follow-up
In-hospital
Authors
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May reflect perioperative care advances; leaves open specific drivers in this observational cohort.
Observational (n=1,640,000)
Yes
How have the volume, patient characteristics, and outcomes of inpatient general, vascular, and cardiothoracic surgery changed in California between 1990 and 2000?
Absolute Event Rate: 2.75% vs 3.9%
p-value: p=<.001
Between 1990 and 2000 in California, inpatient surgical volume increased while in-hospital mortality and length of stay decreased, despite an older and more comorbid patient population.
Jerome H. Liu (2003) conducted an observational in Inpatient general, vascular, and cardiothoracic surgery (n=1,640,000). Surgical care in 2000 vs. Surgical care in 1990 was evaluated on In-hospital mortality (p=<.001). Inpatient surgical care in California in 2000 was associated with lower crude in-hospital mortality compared to 1990 (2.75% vs 3.9%, P<.001), despite an older and more comorbid patient population.
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