NCT02788331已完成不适用
Revisiting the Volume-outcome Relationship in Surgery: Trends Analysis in French Hospitals
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 759,518
- 试验地点
- 1
- 主要终点
- Inpatient mortality
研究概览
简要总结
The explanatory mechanism of the relationship between the volume of surgical procedures performed by individual hospitals and the occurrence of serious adverse events is not clear. Based on the " practice makes perfect " dogma, we will explore whether a learning effect can explain the volume-outcome relationship for complex surgical procedures using a nationwide dataset. Especially, we assume that increasing volume of procedures over time may be associated with improved outcomes.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All adults hospitalized to have one of the following major surgery: resection of oeso-gastric, intestinal and pancreatic cancer, treatment of intra-abdominal aortic aneurysm, coronary artery bypass graft, endarterectomy, hip fracture prosthesis
排除标准
- •Hospitalization <24 hours
- •Absence of surgical procedure
- •Ambulatory care
- •Palliative care
- •Organ transplantation
结局指标
主要结局
Inpatient mortality
时间窗: Within 30 days of surgical procedure
次要结局
- Reoperation occurence(Within 30 days of surgical procedure)
- Occurence of postoperative complication(Within 30 days of surgical procedure)
- Occurence of intensive or critical care unit stay(Within 30 days of surgical procedure)
- Occurence of unplanned hospital readmission(Within 30 days of hospital discharge related to index stay)
研究者
研究点 (1)
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