Neurosurgical Unit Outcomes

Risks & contraindications

Comparisons

Other

Highlighted claims

• The study compared risk-adjusted 90-day mortality, average days in hospital within 90 days, and DAOH90 across 24 NHS neurosurgical units. — Days alive and out of hospital after burr-hole drainage for chronic subdural haematoma: a national cohort study using Hospital Episode Statistics in England
• Risk adjustment included age, sex, comorbidity, frailty, and reoperation status. — Days alive and out of hospital after burr-hole drainage for chronic subdural haematoma: a national cohort study using Hospital Episode Statistics in England
• Funnel plots used 95% and 99.8% control limits around the national mean to examine variation between units. — Days alive and out of hospital after burr-hole drainage for chronic subdural haematoma: a national cohort study using Hospital Episode Statistics in England
• Four units had DAOH90 below the 99.8% lower control limit, indicating worse outcomes. — Days alive and out of hospital after burr-hole drainage for chronic subdural haematoma: a national cohort study using Hospital Episode Statistics in England
• DAOH90 rankings were strongly correlated with days in hospital at 90 days and moderately correlated with postoperative mortality. — Days alive and out of hospital after burr-hole drainage for chronic subdural haematoma: a national cohort study using Hospital Episode Statistics in England
• The three organisational metrics could rank individual neurosurgical units differently. — Days alive and out of hospital after burr-hole drainage for chronic subdural haematoma: a national cohort study using Hospital Episode Statistics in England