Objective:The original Leapfrog Initiative recommends selective referral based on procedural volume thresholds (500 coronary artery bypass graft [CABG] surgeries, 30 abdominal aortic aneurysm [AAA] repairs, 100 carotid endarterectomies [CEA], and 7 esophagectomies annually). We tested the volume-mortality relationship for these procedures in the University HealthSystem Consortium (UHC) Clinical DatabaseSM, a database of all payor discharge abstracts from UHC academic medical center members and affiliates. We determined whether the Leapfrog thresholds represent the optimal cutoffs to discriminate between high- and low-mortality hospitals.
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机译：目的：最初的Leapfrog Initiative建议根据程序体积阈值（每年500例冠状动脉搭桥术[CABG]手术，30例腹主动脉瘤[AAA]修补术，100例颈动脉内膜切除术[CEA]和7例食管切开术）进行选择性转诊。我们在大学卫生系统联合会（UHC）临床数据库 SM 中测试了这些程序的数量-死亡率关系，该数据库包含UHC学术医学中心成员和附属机构的所有付款人摘要的数据库。我们确定Leapfrog阈值是否代表区分高死亡率和低死亡率医院的最佳临界值。
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