Zabeh Jazi Mohammad Hossein, Dabaghian Mehran
Seroprevalence of Anti-SARS-CoV-2 IgG and IgM Antibodies among Government Employees in Iran
Archives of Razi Institute
despite policy efforts support rural hospitals little known quality safety pediatric surgical care geographically remote areas aim determine outcomes costs appendectomies rural hospitals kids inpatient database 20032012 queried appendectomies children 18 years urban rural hospitals outcomes disease severity laparoscopy complications length stay los cost analyzed bivariate multivariable regression analysis rural hospitals performed 136 appendectomies multivariable analysis rural hospitals associated higher negative appendectomy rates 149 95 ci 139160 p 0001 decreased appendiceal perforation rates 086 95 ci 083089 p 0001 less laparoscopy use 048 95 ci 047050 p 0001 higher complication rates 129 95 ci 119139 p 0001 shorter los irr 090 95 ci 089091 p 0001 slightly increased costs exponentiated log 102 95 ci 101102 p 0001 conclusions rural hospitals care fewer patients advanced appendicitis associated higher negative appendectomy rates lower laparoscopy use higher complication rates additional studies needed identify factors drive disparity improve quality pediatric surgical care rural settings treatmentcost study outcomes level iii