Waraf Al-Yaseen, Daniela Procida Raggio, Mariana Araujo, Nicola Innes
"I Just Wanted a Dentist in My Phone"-Designing Evidence-Based mHealth Prototype to Improve Preschool Children's Oral and Dental Health: Multimethod Study of the Codevelopment of an App for Children's Teeth
JMIR formative research
comprehensive multicenter data surgical treatment pediatric cerebrovascular malformations cvms us lacking goal study identify national trends patient demographics assess effect hospital case volume outcomes admissions cvms 19972012 identified nationwide kids inpatient database admissions without craniotomy reviewed separately patients categorized whether treated low medium highvolume centers 10 1040 40 casesyear respectively generalized linear model used evaluate association hospital pediatric cvm case volume clinical variables assessing outcomes among 9655 patients 1828 underwent craniotomy 7827 patient age race differed two groups rate private medical payers highvolume hospitals fewer nonroutine discharges 112 high vs 164 medium vs 223 low p 00001 admissions requiring craniotomy total charges 106282 high vs 126215 medium vs 134978 low p 0001 complication rates 009 high vs 011 medium vs 016 low p 0001 lower highvolume centers study revealed investigation may needed regarding barriers surgical treatment pediatric cvms authors found surgical treatment pediatric cvm highvolume centers associated significantly fewer complications better dispositions lower costs noncraniotomy patients lowvolume centers lower rates complications death lower costs findings may support consideration appropriate referral cvm patients requiring surgery intracranial hemorrhage toward highvolume specialized centers