TY - JOUR
T1 - High-volume centers
AU - Vespa, P.
AU - Diringer, Michael N.
PY - 2011/10
Y1 - 2011/10
N2 - Outcome from trauma, surgery, and a variety of other medical conditions has been shown to be positively affected by providing treatment at facilities experiencing a high volume of patients with those conditions. An electronic literature search was made to identify Englishlanguage articles available through March 2011, addressing the effect of patient treatment volume on outcome for patients with subarachnoid hemorrhage. Limited data were identified, with 16 citations included in the current review. Over 60% of hospitals fall into the lowest case-volume quartile. Outcome is influenced by patient volume, with better outcome occurring in high-volume centers treating >60 cases per year. Patients treated at low-volume hospitals are less likely to experience definitive treatment. Furthermore, transfer to high-volume centers may be inadequately arranged. Several factors may influence the better outcome at high-volume centers, including the availability of neurointensivists and interventional neuroradiologists.
AB - Outcome from trauma, surgery, and a variety of other medical conditions has been shown to be positively affected by providing treatment at facilities experiencing a high volume of patients with those conditions. An electronic literature search was made to identify Englishlanguage articles available through March 2011, addressing the effect of patient treatment volume on outcome for patients with subarachnoid hemorrhage. Limited data were identified, with 16 citations included in the current review. Over 60% of hospitals fall into the lowest case-volume quartile. Outcome is influenced by patient volume, with better outcome occurring in high-volume centers treating >60 cases per year. Patients treated at low-volume hospitals are less likely to experience definitive treatment. Furthermore, transfer to high-volume centers may be inadequately arranged. Several factors may influence the better outcome at high-volume centers, including the availability of neurointensivists and interventional neuroradiologists.
KW - Interventional neuroradiologists
KW - Neurointensivist
KW - Transfer
UR - http://www.scopus.com/inward/record.url?scp=84855908801&partnerID=8YFLogxK
U2 - 10.1007/s12028-011-9602-z
DO - 10.1007/s12028-011-9602-z
M3 - Review article
C2 - 21792754
AN - SCOPUS:84855908801
SN - 1541-6933
VL - 15
SP - 369
EP - 372
JO - Neurocritical Care
JF - Neurocritical Care
IS - 2
ER -