Tuna Albayrak
Predictors of Health Literacy Levels in Patients Attending Anesthesia Outpatient Clinics for Preoperative Evaluation
Cureus
comprehensive data treatment patterns pediatric cerebral arteriovenous malformations avms lacking authors aim examine national trends assess effect hospital volume outcomes identify variables associated treatment highvolume centers pediatric avm admissions ruptured unruptured lesions occurring us 2016 2019 identified using kids inpatient database demographics treatment methods costs outcomes recorded effect hospital avm volume outcomes factors associated treatment highervolume hospitals analyzed among 2752 avm admissions identified 730 265 patients underwent craniotomy endovascular treatment combination highvolume vs lowvolume centers saw lower proportions black 87 vs 129 p 0001 lowestincome quartile 207 vs 279 p 0001 patients likely provide endovascular intervention 195 lowvolume institutions 137 p 0001 patients treated highvolume hospitals insignificantly lower numbers complications mean 266 vs 417 p 0105 significantly lower odds nonroutine discharge 018 95 ci 006053 p 0009 death 013 95 ci 002075 p 0023 admissions highvolume hospitals cost lowvolume hospitals regardless whether intervention performed 64811 vs 48677 p 0001 64137 vs 33779 p 0001 multivariable analysis demonstrated hispanic children patients received avm treatment higherincome quartiles higher odds treatment highvolume hospitals largest study us pediatric cerebral avm admissions date higher hospital volume correlated several better outcomes particularly patients underwent intervention multivariable analysis demonstrated higher income hispanic race associated treatment highvolume centers endovascular care common findings highlight fact ensuring access appropriate treatment patients races socioeconomic classes must focus