In recent years the Healthcare system has been facing a problem that caused a significant amount of loss of life, even though it is not a disease. That problem has been FTRs (Failiure to Rescue). Many patients that had curable disease died because their condition was wrongly diagnosed, not recognized fast enough, or because there was missing information. This is where this project comes in. It envisions to take the information available in hospitals and order it in a meaningful and easy to interpret way, so that doctors can act faster and more efficiently. On top of that it also alerts doctors on cases that might be misinterpreted by looking at previous records.
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Aggressive Treatment Style and Surgical Outcomes to consider #9
Objective
Aggressive treatment style, as defined by the Dartmouth Atlas of Health Care, has been implicated as an important factor contributing to excessively high medical expenditures. We aimed to determine the association between aggressive treatment style and surgical outcomes.
Results
For elderly surgical patients, aggressive treatment style was not associated with significantly increased complications, but it was associated with significantly reduced odds of mortality and failure-to-rescue. The odds ratio for complications in hospitals at the 75th percentile of aggressive treatment style compared with those at the 25th percentile (a U.S.$10,000 difference) was 1.01 (1.00–1.02), p <.066; whereas the odds of mortality was 0.94 (0.93–0.95), p <.0001; and for failure-to-rescue it was 0.93 (0.92–0.94), p <.0001. Analyses that used alternative measures of aggressiveness—hospital days and ICU days—yielded similar results, as did analyses using only low-variation procedures.
Conclusions
Attempting to reduce aggressive care that is not cost effective is a laudable goal, but policy makers should be aware that there may be improved outcomes associated with patients undergoing surgery in hospitals with a more aggressive treatment style.
Objective Aggressive treatment style, as defined by the Dartmouth Atlas of Health Care, has been implicated as an important factor contributing to excessively high medical expenditures. We aimed to determine the association between aggressive treatment style and surgical outcomes.
Results For elderly surgical patients, aggressive treatment style was not associated with significantly increased complications, but it was associated with significantly reduced odds of mortality and failure-to-rescue. The odds ratio for complications in hospitals at the 75th percentile of aggressive treatment style compared with those at the 25th percentile (a U.S.$10,000 difference) was 1.01 (1.00–1.02), p <.066; whereas the odds of mortality was 0.94 (0.93–0.95), p <.0001; and for failure-to-rescue it was 0.93 (0.92–0.94), p <.0001. Analyses that used alternative measures of aggressiveness—hospital days and ICU days—yielded similar results, as did analyses using only low-variation procedures.
Conclusions Attempting to reduce aggressive care that is not cost effective is a laudable goal, but policy makers should be aware that there may be improved outcomes associated with patients undergoing surgery in hospitals with a more aggressive treatment style.
Keywords: Dartmouth Atlas, aggressive treatment style, Medicare, mortality, complications, failure-to-rescue https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029844/