Hospital case volume and clinical outcomes for peptic ulcer treatment

Horng Yuan Lou, Herng Ching Lin, Kuan Yang Chen

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

BACKGROUND: No study has explored the volume-outcome relationship for peptic ulcer treatment. OBJECTIVE: To investigate the association between peptic ulcer case volume per hospital, on the one hand, and in-hospital mortality and 14-day readmission rates, on the other, using a nationwide population-based dataset. DESIGN: A retrospective cross-sectional study, set in Taiwan. PARTICIPANTS: There were 48,250 peptic ulcer patients included. Each patient was assigned to one of three hospital volume groups: low-volume (≤189 case), medium volume (190-410 cases), and high volume (≥411 cases). MEASUREMENTS: Logistic regression analysis employing generalized estimating equations was used to examine the adjusted relationship of hospital volume with in-hospital mortality and 14-day readmission. MAIN RESULTS: After adjusting for other factors, results showed that the likelihood of in-hospital mortality for peptic ulcer patients treated by low-volume hospitals (mortality rate = 0.68%) was 1.6 times (p

Original languageEnglish
Pages (from-to)1693-1697
Number of pages5
JournalJournal of General Internal Medicine
Volume23
Issue number10
DOIs
Publication statusPublished - Oct 2008

    Fingerprint

Keywords

  • Mortality
  • Ulcer
  • Volume-outcome

ASJC Scopus subject areas

  • Internal Medicine

Cite this