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Hospital comparisons based on mortality: revisiting the choice of postadmission timeframe and evaluating the contribution of cause-of-death data, France, 2009.

Authors
  • Lamarche-Vadel, Agathe1
  • Ngantcha, Marcus
  • Le Pogam, Marie-Annick
  • Ghosn, Walid
  • Grenier, Catherine
  • Meyer, Laurence
  • Rey, Grégoire
  • 1 *CépiDc (Epidemiology center on medical causes of death) †UMRS 1018, Inserm ‡Faculty of Medicine Paris Sud, Université Paris Sud, Kremlin-Bicêtre §Haute Autorité de santé (HAS), Saint-Denis La Plaine ∥AP-HP, CHU Bicêtre, Service de Santé Publique et d'Epidémiologie, Kremlin-Bicêtre, France. , (France)
Type
Published Article
Journal
Medical care
Publication Date
Aug 01, 2015
Volume
53
Issue
8
Pages
736–742
Identifiers
DOI: 10.1097/MLR.0000000000000376
PMID: 26125416
Source
Medline
License
Unknown

Abstract

This nationwide study shows that 60- and 90-day HSMRs encompass in-hospital deaths better than the 30-day HSMR, while capturing the same interhospital variations. They should thus be preferred. The contribution of cause-of-death data to hospital-wide indicators seems negligible.

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