Reliability of hospital readmission rates in vascular surgery

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Presentation transcript:

Reliability of hospital readmission rates in vascular surgery Andrew A. Gonzalez, MD, JD, MPH, Micah E. Girotti, MD, MSc, Terry Shih, MD, Thomas W. Wakefield, MD, Justin B. Dimick, MD, MPH Journal of Vascular Surgery Volume 59, Issue 6, Pages 1638-1643 (June 2014) DOI: 10.1016/j.jvs.2013.12.040 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Hospital rankings based on risk- and reliability-adjusted readmission rates in 2005-2006 vs 2007-2008, stratified by operation type. Spearman correlation coefficients and associate P values are listed for each operation. AAA, Abdominal aortic aneurysm; EVAR, endovascular aortic repair. Journal of Vascular Surgery 2014 59, 1638-1643DOI: (10.1016/j.jvs.2013.12.040) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Comparison of quintile ranking between 2005-2006 and 2007-2008 for 1576 hospitals. Shading intensity represents the magnitude reclassification; (n) represents the number of hospitals in each quintile combination. Overall, 63% of hospitals were reclassified between the 2-year groups. Journal of Vascular Surgery 2014 59, 1638-1643DOI: (10.1016/j.jvs.2013.12.040) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 Risk- and reliability-adjusted hospital readmission rates in 2007-2008, according to quintiles of historical readmission performance in 2005-2006. Both historical and subsequent readmission rates are adjusted for patient characteristics. Journal of Vascular Surgery 2014 59, 1638-1643DOI: (10.1016/j.jvs.2013.12.040) Copyright © 2014 Society for Vascular Surgery Terms and Conditions