Key result
Ninety percent of California hospitals performed <100 pediatric inpatient anesthetics annually, and up to 98% of cases at lower-volume centers could have been transferred within 25 miles.
Observational (n=257,541)
Yes
Many urban California hospitals maintain low annual inpatient pediatric anesthetic caseloads despite performing complex procedures, highlighting the potential feasibility of regionalizing care.
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Supports regionalization feasibility for pediatric anesthesia; leaves open whether higher-volume centers improve outcomes in young children.
Mudumbai et al. (2014) conducted an observational in Surgical inpatients requiring anesthesia (n=257,541). Hospital anesthetic caseload volume was evaluated on Geographic variations in anesthetic caseloads and feasibility of regionalization. Ninety percent of California hospitals performed <100 pediatric inpatient anesthetics annually, and up to 98% of cases at lower-volume centers could have been transferred within 25 miles.
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