Bennett 1992.
Methods | Retrospective cohort | |
Participants | 3126 patients with AIDS and PCP. 82.6% Male Mean age= 31.1 years Age range=18‐65 years 40.4% White 33.2% Black 26.2% Hispanic | |
Interventions | 1)CLINIC, HOSPITAL OR HOSPITAL WARD VOLUME OF HIV/AIDS PATIENTS High volume PCP hospital=160+ 1st episode of PCP. Low volume PCP hospital = less than 160 patient episodes in 1987 2)INCORPORATES TRAINEES IN CARE DELIVERY Major, Minor or None. | |
Outcomes | MEDICAL
Mortality of Patients:
a) Hospital volume
1)In‐hospital death: High (160+ cases of PCP) 20.7%. Low (Less than 160 cases of PCP) 30.1% P=<0.05
Adjusted Odds Ratio 0.64 (0.46‐0.88) P=0.05 2)Death within 30 days of admission: OR=0.51 (.36‐.73) P=0.05 3) LENGTH OF HOSPITAL STAY Low PCP=24.0 days High PCP= 24.3 days Not significant b) Major Teaching Affiliation: In‐hospital mortality: OR1.57 (.94‐2.62) 2) Death within 30 days: OR 1.34 (.77‐2.36) |
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Notes | Hospitals with less than 160 cases of PCP had double the in‐hospital mortality than higher volume hospitals. No association with teaching affilation noted for mortality. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment? | Unclear risk | D ‐ Not used |