The effect of surgical case volume on outcome after the Norwood procedure

Checchia, Paul A.
McCollegan, Jamie
Daher, Noha
Kolovos, Nikoleta
Levy, Fiona
Markovitz, Barry

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Publication date

April 2005

DOI

10.1016/j.jtcvs.2004.07.056

Publisher

The American Association for Thoracic Surgery. Published by Mosby, Inc.

ISSN

0022-5223

Citation count (estimate)

Abstract

ObjectivesWe analyze the effect of surgical case volume on the survival of infants with hypoplastic left heart syndrome who underwent stage I surgical palliation (the Norwood procedure). The purpose of our study was to understand more clearly the relative effects of institution and surgeon experience on patient outcome.MethodsUsing the Pediatric Health Information System database belonging to the pediatric hospital members of the Child Health Corporation of America, we identified newborn infants (<30 days old on admission) from 1998 through 2001 admitted with the diagnosis of hypoplastic left heart syndrome. Stepwise multiple regression analysis was used to examine the association between both institutional and surgeon case volume with 28-d...