作者
Karl F Welke, Sara K Pasquali, Paul Lin, Carl L Backer, David M Overman, Jennifer C Romano, Jeffrey P Jacobs, Tara Karamlou
发表日期
2019/2/1
期刊
The Annals of Thoracic Surgery
卷号
107
期号
2
页码范围
574-581
出版商
Elsevier
简介
Background
Several countries have regionalized congenital heart surgery (CHS). Before considering regionalization in the US, the current landscape must be understood. This investigation characterized the network of US hospitals providing CHS, including hospital locations and patient travel patterns.
Methods
Patients ≤18 years undergoing CHS were identified in 2012 State Inpatient Databases from 39 states. Cases were stratified by the RACHS-1 method (high-risk defined as RACHS-1 categoris 4 to 6). Hospital and patient locations were identified. Patients were mapped to hospitals where they underwent surgery.
Results
A total of 153 hospitals across 36 states performed ≥1 RACHS-1 case (19,064 operations). Of these, 101 hospitals (66%) were located within 25 miles of another hospital. Median annual RACHS-1 case volume was 90 (range, 1 to 797), with 55 hospitals performing ≤50 cases. A total of 111 …
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KF Welke, SK Pasquali, P Lin, CL Backer, DM Overman… - The Annals of Thoracic Surgery, 2019