
pmid: 19140085
We present a short discussion of the literature concerning institutional volume and outcomes for congenital heart surgery. Although there are limitations to some of the studies discussed, all published studies conclude that higher volumes are associated with better outcomes. We then reflect on some of the arguments that can be made in favour of greater centralisation of this practice and some of the arguments that can be made against centralisation.
Heart Defects, Congenital, Treatment Outcome, Centralized Hospital Services, Humans, Infant, Clinical Competence, Workload, Cardiac Surgical Procedures, Child, Risk Assessment, Quality of Health Care
Heart Defects, Congenital, Treatment Outcome, Centralized Hospital Services, Humans, Infant, Clinical Competence, Workload, Cardiac Surgical Procedures, Child, Risk Assessment, Quality of Health Care
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 4 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
