Table 3.
Hospital Annual Volume | p-value | ||||
---|---|---|---|---|---|
<150 cases/year n=4,460 | ≥150-300 cases/year n=12,787 | ≥300-500 cases/year n=21,391 | ≥500 cases/year n=17,815 | ||
Procedure-Type Risk Group--no. (%) | < 0.001 | ||||
Risk Group 1 | 1,550 (34.8) | 4,590 (35.9) | 8,649 (40.4) | 8,490 (47.7) | |
Risk Group 2 | 1,883 (42.2) | 4,881 (38.2) | 7,011 (32.8) | 4,562 (25.6) | |
Risk Group 3 | 766 (17.2) | 2,466 (19.3) | 4,250 (19.9) | 3,391 (19.0) | |
Risk Group 4 | 261 (5.9) | 850 (6.6) | 1,481 (6.9) | 1,372 (7.7) | |
Procedure Status--no. (%)* | < 0.001 | ||||
Elective | 3,906 (87.8) | 11,228 (88.6) | 18,245 (85.8) | 14,797 (83.3) | |
Urgent | 480 (10.8) | 1,159 (9.1) | 2,355 (11.1) | 2,435 (13.7) | |
Emergent | 61 (1.4) | 259 (2.0) | 593 (2.8) | 503 (2.8) | |
Salvage | 2 (0.0) | 26 (0.2) | 64 (0.3) | 27 (0.2) | |
Procedure Time-- mean ± s.d.† | 100.3 ± 61.6 | 96.5 ± 64.0 | 92.0 ± 64.5 | 84.8 ± 66.4 | < 0.001 |
Anesthesiologist Present--no. (%)‡ | 3,437 (77.2) | 12,137 (95.1) | 20,247 (94.8) | 15,714 (88.3) | < 0.001 |
Airway Management--no. (%) | < 0.001 | ||||
Spontaneous Respirations | 1,153 (25.9) | 1,920 (15.0) | 2,690 (12.6) | 3,147 (17.7) | |
Bag Mask Ventilation | 3 (0.1) | 165 (1.3) | 19 (0.1) | 28 (0.2) | |
CPAP | 3 (0.1) | 4 (0.0) | 14 (0.1) | 21 (0.1) | |
Laryngeal Mask Airway | 144(3.2) | 836 (6.5) | 1,330 (6.2) | 1,361 (7.6) | |
Elective Intubation at case start | 2,931 (65.7) | 9,193 (71.9) | 15,598 (72.9) | 11,315 (63.5) | |
Tracheostomy | 45 (1.0) | 165 (1.3) | 223 (1.0) | 335 (1.9) | |
Previously Intubated | 199 (4.5) | 840 (6.6) | 1,497 (7.0) | 1,632 (9.2) |
Abbreviations: no., number; s.d., standard deviation; CPAP, continuous positive airway pressure
313 patients (11 from small, 115 from medium, 134 from large, 53 from very large volume programs) with missing information for procedure status
279 patients (26 from small, 72 from medium, 74 from large, 107 from very large volume programs) with missing information for procedure time
96 patients (7 from small, 27 from medium, 42 from large, 20 from very large volume programs) with missing information for Anesthesiologist present