Abigael Adeoye, Oluwaseyi Akpor, Stephen Oguntola, Oghenerobor Akpor
Treatment expectation among patients with diabetes and hypertension in a tertiary hospital, Ekiti State, Southwest Nigeria: a cross-sectional study
The Pan African medical journal
objective although current pediatric neurosurgery guidelines encourage treatment pediatric malignant brain tumors specialized centers pediatric hospitals limited data support recommendation previous studies suggest children treated highervolume surgeons highervolume hospitals may better outcomes effect treatment dedicated childrens hospitals investigated methods authors analyzed healthcare cost utilization project kids inpatient database kid 20002009 included patients undergoing craniotomy malignant pediatric brain tumors based icd9cm codes investigated effects patient demographics tumor location admission type hospital factors rates routine discharge mortality results 2000 2009 836 patients routine discharges inhospital mortality rate 13 multivariate analysis compared children treated institution designated pediatric hospital nachri national association childrens hospitals related institutions children receiving treatment pediatric unit within adult hospital 05 p 001 general hospital without designated pediatric unit 04 p 001 less likely routine discharges treatment large hospital 400 beds 18 p 002 treatment teaching hospital 17 p 002 independently associated greater likelihood routine discharge however patients transferred facilities significantly decreased likelihood routine discharge 05 p 001 increased likelihood mortality 50 p 001 procedural volume associated rate routine discharge mortality conclusions findings may implications planning systems care pediatric patients malignant brain tumors authors hope motivate future research specific factors may lead improved outcomes designated pediatric hospitals