کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5718518 1411252 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Practice ManagementDo all-cause revisit rates reflect the quality of pediatric surgical care provided during index encounters?
ترجمه فارسی عنوان
مدیریت تمرین: به دلایل مختلف بازبینی، کیفیت مراقبتهای جراحی اطفال که در هنگام برخورد با شاخص ها مطرح می شود، منعکس می شود؟
کلمات کلیدی
واگذاری مجدد، جراحی کودکان گزارش تطبیقی، تشخیصهای مجدد متریک کیفیت
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeThe purpose of this study was to compare the relatedness of revisits to the index surgical encounter across different pediatric surgical procedures and to explore whether all-cause revisit rates are an accurate surrogate measure for related revisits in this cohort of children.MethodsWe reviewed all-cause revisits occurring within ninety days of the thirty most commonly performed pediatric surgical procedures at 44 children's hospitals between 1/1/2012 and 3/31/2015. For each condition, a team of four surgeons reviewed revisit diagnoses and reached consensus around relatedness to the index surgical encounter. Chi-squared tests were used to test for variation in all-cause and related revisits among procedures. Spearman's correlation coefficient was used to measure the association between rankings of procedures by their all-cause and related revisit rates.Results144,535 index encounters were analyzed with an overall revisit rate of 15.0% (21,732). Significant variation was found in both the rates of all-cause revisits among procedures (ranges: 7.6-68.4%, p < 0.0001), and in the relative proportions of revisits related the index surgical encounter (range: 0% to 77%, p < 0.0001). Poor correlation was found between procedure rankings based on all-cause revisit rates and revisit rates related to the index admission (r = 0.33, p = 0.07).ConclusionsThe relative proportion of revisits related to the index encounter varies significantly across pediatric surgical conditions, and poor correlation exists at the procedure-level between all-cause and related revisits rates.Level of evidenceIV.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 52, Issue 6, June 2017, Pages 1050-1055
نویسندگان
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