In-hospital mortality no different at critical access hospitals

In-hospital mortality no different at critical access hospitals
For eight inpatient surgical procedures, mortality is similar at critical access hospitals (CAHs) and non-CAHs, but costs are higher at CAHs, according to a study published online May 1 in JAMA Surgery.

(HealthDay)—For eight inpatient surgical procedures, mortality is similar at critical access hospitals (CAHs) and non-CAHs, but costs are higher at CAHs, according to a study published online May 1 in JAMA Surgery.

Adam J. Gadzinski, M.D., from the University of Michigan Health System in Ann Arbor, and colleagues used data from the Nationwide Inpatient Sample and American Hospital Association to assess the utilization, outcomes, and costs of inpatient surgery performed at CAHs. At least one year of data were available in the Nationwide Inpatient Sample for 34.8 percent of the 1,283 CAHs and for 36.4 percent of the 3,612 non-CAHs reporting to the American Hospital Association.

The researchers found that mortality was equivalent at CAHs and non-CAHs for eight common procedures examined (appendectomy, cholecystectomy, resection, cesarean delivery, hysterectomy, , , and hip fracture repair). The only exception was an increased risk of in-hospital death for undergoing hip fracture repair in CAHs (adjusted odds ratio, 1.37). Costs at CAHs were 9.9 to 30.1 percent higher (P < 0.001 for all eight procedures), despite shorter hospital stays (P ≤ 0.001 for four procedures).

"In-hospital mortality for common low-risk procedures is indistinguishable between CAHs and non-CAHs," the authors write. "Although our findings suggest the potential for cost savings, changes in payment policy for CAHs could diminish access to essential surgical care for rural populations."

One author disclosed to ArborMetrix, which provides software and analytics for assessing hospital quality and efficiency.

More information: Abstract
Full Text
Editorial (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Minimally invasive disc surgery is a pain in the neck

1 hour ago

McMaster University researchers have found that current evidence does not support the routine use of minimally invasive surgery to remove herniated disc material pressing on the nerve root or spinal cord in the neck or lower ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.