ArticleCritical care medicine2018
The Association Between Acute Respiratory Distress Syndrome Hospital Case Volume and Mortality in a U.S. Cohort, 2002-2011.
Article in Critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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19 citing papers in PubMed.
- A modified screening protocol for ARDS in patients with respiratory support based on SpOJournal of intensive medicine · 2025Article
- Impact of board-certified intensive care training facilities on choice of adjunctive therapies and prognosis of severe respiratory failure: a nationwide cohort study.Journal of intensive care · 2024Article
- Telemedicine critical care availability and outcomes among mechanically ventilated patients.Journal of critical care · 2024Article
- Interhospital Transfer of Patients With Acute Respiratory Failure in the United States: A Scoping Review.Critical care explorations · 2024Article
- Relationship between institutional ventilated COVID-19 case volume and in-hospital death: A multicenter cohort study.PloS one · 2023Observational
- Relationship between institutional intensive care volume prior to the COVID-19 pandemic and in-hospital death in ventilated patients with severe COVID-19.Scientific reports · 2022Observational
- Suicide Risk in Survivors of Acute Respiratory Distress Syndrome: A Nationwide Cohort Study in South Korea.Psychiatry investigation · 2022Article
- Trends in Mortality, Treatment, and Costs of Management of Acute Respiratory Distress Syndrome in South Korea: Analysis of Data between 2010 and 2019.Yonsei medical journal · 2022Article
- Quality of life and mortality among survivors of acute respiratory distress syndrome in South Korea: a nationwide cohort study.Journal of anesthesia · 2022Article
- Article
- Low mortality rates among critically ill adults with COVID-19 at three non-academic intensive care units in south Sweden.Acta anaesthesiologica Scandinavica · 2021Article
- Factors associated with delirium among survivors of acute respiratory distress syndrome: a nationwide cohort study.BMC pulmonary medicine · 2021Article
- Observational
- Association of different positive end-expiratory pressure selection strategies with all-cause mortality in adult patients with acute respiratory distress syndrome.Systematic reviews · 2021Article
- Determinants of Evidence-based Practice Uptake in Rural Intensive Care Units. A Mixed Methods Study.Annals of the American Thoracic Society · 2020Article
- Influenza virus-related critical illness: pathophysiology and epidemiology.Critical care (London, England) · 2019Review
- Impact of Long-Term Exposures to Ambient PMChest · 2019Observational
- Hospital Mechanical Ventilation Volume and Patient Outcomes: Too Much of a Good Thing?Critical care medicine · 2019Article
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Abstract
objectivesThis study examines the relationships between hospitals' annual acute respiratory distress syndrome case volume with hospitals' acute respiratory distress syndrome case fatality rates and individuals' odds of acute respiratory distress syndrome hospital mortality.
designRetrospective cohort study.
settingThe U.S. Healthcare Cost and Utilization Project's Nationwide Inpatient Sample, 2002-2011. PATIENTS: Acute respiratory distress syndrome discharges defined by the presence of an acute respiratory distress syndrome International Classification of Diseases, 9th revision, Clinical Modification diagnosis code (518.82 or 518.5) and a mechanical ventilation procedure code (96.70, 96.71 or 96.72) on the discharge diagnosis and procedure lists. If the procedure code 96.71 was on the discharge record (mechanical ventilation < 96 hr duration), the patient also needed to be classified as deceased.
interventionsNone. MEASUREMENTS AND MAIN
resultsWe analyzed 2,686 hospitals and 117,204 cases of acute respiratory distress syndrome. Average annual hospital acute respiratory distress syndrome in-hospital mortality was 47%. Acute respiratory distress syndrome case volume was categorized as low (1-9), medium (10-49), and high (50-423 cases per year). In a hospital-level Poisson regression adjusting for hospital characteristics, when compared with low-volume acute respiratory distress syndrome hospitals, high- and medium-volume acute respiratory distress syndrome hospitals had lower annual acute respiratory distress syndrome case fatality (rate ratio, 0.75; 99% CI, 0.71-0.79 and rate ratio, 0.86; 99% CI, 0.82-0.90, respectively; p ≤ 0.001 for both). In an individual-level, multivariable model adjusting for hospital and individual characteristics, high and medium acute respiratory distress syndrome volume hospitals were associated with lower odds of acute respiratory distress syndrome mortality compared with low-volume hospitals (odds ratio, 0.85 [99% CI, 0.74-0.99]; p = 0.006 and odds ratio, 0.89 [99% CI 0.79-1.00]; p = 0.01, respectively).
conclusionsIn this cohort, at both an individual- and hospital-level, higher acute respiratory distress syndrome hospital case volume is associated with lower acute respiratory distress syndrome hospital mortality.
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