Medicine and Health Sciences Commons^™

Centre Volume And Resource Consumption In Liver Transplantation, Christopher Macomber, Joshua Shaw, Heena Santry, Reza Saidi, Nicolas Jabbour, Jennifer Tseng, Adel Bozorgzadeh, Shimul Shah

Joshua J Shaw

BACKGROUND: Using SRTR/UNOS data, it has previously been shown that increased liver transplant centre volume improves graft and patient survival. In the current era of health care reform and pay for performance, the effects of centre volume on quality, utilization and cost are unknown.

METHODS: Using the UHC database (2009-2010), 63 liver transplant centres were identified that were organized into tertiles based on annual centre case volume and stratified by severity of illness (SOI). Utilization endpoints included hospital and intensive care unit (ICU) length of stay (LOS), cost and in-hospital mortality.

RESULTS: In all, 5130 transplants were identified. Mortality was …

Not Just Full Of Hot Air: Hyperbaric Oxygen Therapy Increases Survival In Cases Of Necrotizing Soft Tissue Infections, Joshua Shaw, Charles Psoinos, Timothy Emhoff, Heena Santry

Joshua J Shaw

INTRODUCTION: The utility of hyperbaric oxygen therapy (HBOT) in the treatment for necrotizing soft tissue infections (NSTI) has not been proven. Previous studies have been subject to significant selection bias since HBOT is not universally available at all medical centers and there is often considerable delay associated with its initiation. We examined the utility of HBOT for the treatment of NSTI in the modern era by isolating centers that have their own HBOT facilities. METHODS: We queried all centers in the University Health Consortium (UHC) database from 2008 to 2010 that have their own HBOT facilities (N=14). Cases of NSTI …