Table 2.
Outcomes related to hospital size in patients undergoing open lobectomy in the National Inpatient Sample from 2008 to 2014.
| Variable | Small (n = 11,162) | Medium (n = 27,461) | Large (n = 92,407) | P value |
|---|---|---|---|---|
| In-hospital outcomes, n (%) | ||||
| Acute MI | 153 (1.4) | 301 (1.1) | 872 (0.9) | 0.13 |
| AKI | 627 (5.6) | 1721 (6.3) | 5472 (5.9) | 0.51 |
| Major bleed | 492 (4.4) | 1193 (4.3) | 3913 (4.2) | 0.89 |
| Pulmonary embolism | 104 (0.9) | 176 (0.6) | 697 (0.8) | 0.39 |
| Stroke | 80 (0.7) | 280 (1.0) | 845 (0.9) | 0.43 |
| Death | 272 (2.4) | 679 (2.5) | 2020 (2.2) | 0.37 |
| Admission characteristics, n (%) | ||||
| Admission on weekend | 89 (0.8) | 205 (0.7) | 899 (1.0) | 0.28 |
| Disposition | <0.01∗ | |||
| Routine | 7027 (63.0) | 16,679 (60.8) | 55,793 (60.4) | |
| Transfer to short-term hospital | 94 (0.8) | 147 (0.5) | 380 (0.4) | |
| Transfer to SNF, ICF, rehabilitation | 1481 (13.3) | 3492 (12.7) | 9808 (10.6) | |
| Home health care | 2288 (20.5) | 6435 (23.4) | 24,285 (26.3) | |
| Elective | 10,162 (91.1) | 24,819 (90.5) | 84,688 (91.5) | 0.24 |
| LOS (d) | 8.3 (6.8) | 8.6 (6.6) | 8.6 (7.5) | <0.01∗ |
| Cost (USD $, inflation adjusted) | 33,813 (31,212) | 33,538 (28,093) | 34,839 (30,569) | <0.01∗ |
ICF = intermediate care facility; SNF = Skilled nursing facility.
∗
P < 0.05.