Racial variation in predicted and observed in-hospital death: a regional analysis

Article Abstract:

Hospitalized African-Americans appear to have similar mortality rates as hospitalized whites. Researchers analyzed hospital records for 88,205 patients hospitalized in 30 Ohio hospitals for heart attack, congestive heart failure, obstructive lung disease, pneumonia, stroke and gastrointestinal hemorrhage. Overall, the predicted risk of death as measured by the severity of illness was 20% lower in the black patients compared to the whites. Mortality rates overall were 13% lower in the blacks. When analyzed by disease, blacks had lower mortality rates from 2 diseases and equal rates from 4 diseases compared to whites.

Analysis, Patient outcomes, African Americans, Health, Hospital patients, Health and race, Ethnic groups

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Severity-adjusted mortality and length of stay in teaching and nonteaching hospitals: results of a regional study

Article Abstract:

Teaching hospitals appear to have lower mortality rates and shorter hospital stays than non-teaching hospitals. Researchers analyzed the medical records of 89,851 patients discharged from 30 hospitals in Ohio between 1991 and 1993. The risk of death was 19% lower in teaching hospitals compared to non-teaching hospitals and their average length of stay was 9% lower. Teaching hospitals also cared for more non-white and poor patients. This indicates that patient outcome may be better in teaching hospitals and may strengthen the role of teaching hospitals in the managed care environment.

Health aspects, Statistics, Hospitalization, Hospital utilization, Hospital stays, Hospitals, Teaching, Teaching hospitals, Hospital care

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Impact of Risk-Adjusting Cesarean Delivery Rates When Reporting Hospital Performance

Article Abstract:

Comparison of hospital cesarean delivery rates should consider the cesarean risk factors of patients, or the resultant hospital rankings will be misleading. Researchers compared deliveries of 26,127 women at 21 hospitals, and found an overall cesarean delivery rate of 16%. Rates of cesarean delivery at individual hospitals varied from 6% to 27%. The ranking of five hospitals changed when medical risk factors affecting cesarean rates were considered. Factors such as fetal complications, rupture of uterine membranes, and other conditions can affect cesarean rates.

Evaluation, Demographic aspects, Cesarean section, Hospitals, Gynecologic and obstetric, Gynecologic and obstetric hospitals

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