Michele Domenico Spampinato, Francesco Luppi, Enrico Cristofaro, Marcello Benedetto, Antonella Cianci, Tommaso Bachechi, Caterina Ghirardi, Benedetta Perna, Matteo Guarino, Angelina Passaro, Roberto De Giorgio, Soccorsa Sofia
Diagnostic accuracy of Point Of Care UltraSound (POCUS) in clinical practice: A retrospective, emergency department based study
Journal of clinical ultrasound : JCU
ascertain whether hospital type associated differences total cost outcomes inpatient tonsillectomy crosssectional analysis 2006 2009 2012 kids inpatient database kid children 18 years age undergoing tonsillectomy withwithout adenoidectomy included riskadjusted generalized linear models assessed differences hospital cost length stay los among children managed 1 nonchildrens teaching hospitals ncths 2 childrens teaching hospitals cths 3 nonteaching hospitals nths riskadjusted logistic regression compared odds major perioperative complications hemorrhage respiratory failure death models accounted clustering patients within hospitals weighted provide national estimates controlled comorbidities 25685 tonsillectomies recorded kid yielded national estimate 40591 inpatient tonsillectomies performed 2006 2009 2012 cths significantly higher riskadjusted total cost los per tonsillectomy compared ncths nths 94233428 days 625078211 days 590510208 days respectively p 001 cths higher odds complications compared ncths odds ratio 148 95 ci 115191 p 002 compared nths 119 95 ci 089159 p 23 cths significantly likely care patients comorbidities p 001 significant differences costs outcomes patient factors exist inpatient tonsillectomy based hospital type although reasons differences discernable using isolated claims data findings provide foundation evaluate patient institutional systemlevel factors may reduce cost care improve value inpatient tonsillectomy