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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 10 (10page)
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Background: The purpose of this study was to evaluate whether institutional case volume affects clinical outcomes in patients receiving mechanical ventilation for 48 hours or more. Methods: We conducted a nationwide retrospective cohort study using the database of Korean National Healthcare Insurance Service. Between January 2007 and December 2016, 158,712 adult patients were included at 55 centers in Korea. Centers were categorized according to the average annual number of patients: > 500, 500 to 300, and < 300. Results: In-hospital mortality rates in the high-, medium-, and low-volume centers were 32.6%, 35.1%, and 39.2%, respectively. After adjustment, in-hospital mortality was significantly higher in low-volume centers (adjusted odds ratio [OR], 1.332; 95% confidence interval [CI], 1.296–1.368; P < 0.001) and medium-volume centers (adjusted OR, 1.125; 95% CI, 1.098–1.153; P < 0.001) compared to high-volume centers. Long-term survival for up to 8 years was better in high-volume centers. Conclusion: Centers with higher case volume (> 500 patients/year) showed lower in-hospital mortality and long-term mortality, compared to centers with lower case volume (< 300 patients/year) in patients who required mechanical ventilation for 48 hours or more.
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참고문헌 (40)
참고문헌 신청
Needham DM / 2012 / Lung protective mechanical ventilation and two year survival in patients with acute lung injury: prospective cohort study / BMJ 344:e2124
Esteban A / 2013 / Evolution of mortality over time in patients receiving mechanical ventilation / Am J Respir Crit Care Med 188(2):220~230
Mehta AB / 2015 / Epidemiological trends in invasive mechanical ventilation in the United States : a population-based study / J Crit Care 30(6):1217~1221
Darmon M / 2011 / Procedure volume is one determinant of centre effect in mechanically ventilated patients / Eur Respir J 37(2):364~370
Bach PB / 2001 / The influence of hospital volume on survival after resection for lung cancer / N Engl J Med 345(3):181~188
Esteban A / 2013 / Evolution of mortality over time in patients receiving mechanical ventilation / Am J Respir Crit Care Med 188(2):220~230
Mehta AB / 2015 / Epidemiological trends in invasive mechanical ventilation in the United States : a population-based study / J Crit Care 30(6):1217~1221
Darmon M / 2011 / Procedure volume is one determinant of centre effect in mechanically ventilated patients / Eur Respir J 37(2):364~370
Bach PB / 2001 / The influence of hospital volume on survival after resection for lung cancer / N Engl J Med 345(3):181~188
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