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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Capture of Complexity of Specialty Care in Pediatric Cardiology by Work RVU Measures
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Capture of Complexity of Specialty Care in Pediatric Cardiology by Work RVU Measures

机译：通过工作RVU措施掌握小儿心脏病专科护理的复杂性

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OBJECTIVE: We sought to determine the relationship between relative value units (RVUs) and intended measures of work in catheterization for congenital heart disease.METHODS: RVU was determined by matching RVU values to Current Procedural Terminology codes generated for cases performed at a single institution/Differences in median case duration, radiation exposure, adverse events, and RVU values by risk category and cases were assessed. Interventional case types were ranked from lowest to highest median RVU value, and correlations with case duration, radiation dose, and a cases-predicted probability of an adverse event were quantified with the Spearman rank correlation coefficient.RESULTS: Between January 2008 and December 2010,3557 of 4011 cases were identified with an RVU and risk category designation, of which 2982 were assigned a case type. Median RVU values, radiation dose, and case duration increased with procedure risk category. Although all diagnostic cases had similar RVU values (median 10), adverse event rates ranged from 6% to 21% by age group (P < .001). Median RVU values ranged from 9 to 54 with the lowest in diagnostic and biopsy cases and increasing with isolated and then multiple interventions. Among interventional cases, no correlation existed between ranked RVU value and case duration, radiation dose, or adverse event probability (P= .13, P = .62, and P= .43, respectively).
机译：目的：我们试图确定相对价值单位（RVU）与先天性心脏病导管插入术的预期工作措施之间的关系。方法：RVU是通过将RVU值与为单个机构/机构执行的病例而生成的当前程序术语代码进行匹配来确定的评估了中位病例持续时间，放射线暴露，不良事件和RVU值（按风险类别和病例）的差异。从2008年1月至2010年12月，介入病例的类型从RVU值的中值到最低到最高，并与病例持续时间，放射剂量和病例预测的不良事件发生概率之间的相关性进行了量化。在4011例病例中，有3557例被确定为RVU和风险类别，其中2982例为病例类型。 RVU中值，放射剂量和病例持续时间随手术风险类别而增加。尽管所有诊断病例的RVU值均相似（中位数为10），但按年龄组计，不良事件发生率在6％至21％之间（P <.001）。 RVU的中值范围在9到54之间，在诊断和活检病例中最低，而在单独干预后再增加时增加。在介入性病例中，排名的RVU值与病例持续时间，放射剂量或不良事件概率之间不存在相关性（分别为P = .13，P = .62和P = .43）。

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