Patient Outcomes following Subarachnoid Hemorrhage between the Medical Center and Regional Hospital : Whether All Patients Should Be Transferred to Medical Centers
Joint Authors
Lin, Chih-Lung
Lin, Hsing-Lin
Lee, Wei-Che
Huang, Shiuh-Lin
Lin, Tsung-Ying
Chen, Chao-Wen
Wu, Chieh Hsin
Kuo, Liang-Chi
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-14
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Subarachnoid hemorrhage (SAH) is a critical illness that may result in patient mortality or morbidity.
In this study, we investigated the outcomes of patients treated in medical center and nonmedical center hospitals and the relationship between such outcomes and hospital and surgeon volume.
Patient data were abstracted from the National Health Insurance Research Database of Taiwan in the Longitudinal Health Insurance Database 2000, which contains all claims data of 1 million beneficiaries randomly selected in 2000.
The International Classification of Diseases, Ninth Revision, subarachnoid hemorrhage (430) was used for the inclusion criteria.
We identified 355 patients between 11 and 87 years of age who had subarachnoid hemorrhage.
Among them, 32.4% (115/355) were men.
The median Charlson comorbidity index (CCI) score was 1.3 (SD ± 0.6).
Unadjusted logistic regression analysis demonstrated that low mortality was associated with high hospital volume (OR = 3.21; 95% CI: 1.18–8.77).
In this study, we found no statistical significances of mortality, LOS, and total charges between medical centers and nonmedical center hospitals.
Patient mortality was associated with hospital volume.
Nonmedical center hospitals could achieve resource use and outcomes similar to those of medical centers with sufficient volume.
American Psychological Association (APA)
Lin, Tsung-Ying& Wu, Chieh Hsin& Lee, Wei-Che& Chen, Chao-Wen& Kuo, Liang-Chi& Huang, Shiuh-Lin…[et al.]. 2014. Patient Outcomes following Subarachnoid Hemorrhage between the Medical Center and Regional Hospital : Whether All Patients Should Be Transferred to Medical Centers. BioMed Research International،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-508811
Modern Language Association (MLA)
Lin, Tsung-Ying…[et al.]. Patient Outcomes following Subarachnoid Hemorrhage between the Medical Center and Regional Hospital : Whether All Patients Should Be Transferred to Medical Centers. BioMed Research International No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-508811
American Medical Association (AMA)
Lin, Tsung-Ying& Wu, Chieh Hsin& Lee, Wei-Che& Chen, Chao-Wen& Kuo, Liang-Chi& Huang, Shiuh-Lin…[et al.]. Patient Outcomes following Subarachnoid Hemorrhage between the Medical Center and Regional Hospital : Whether All Patients Should Be Transferred to Medical Centers. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-508811
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-508811