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Volume 355:1617-1619 October 12, 2006 Number 15
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Hospital Volume and Outcomes of Mechanical Ventilation

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by Kahn, J. M.
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To the Editor: In the article by Kahn et al. (July 6 issue),1 the number of patients receiving mechanical ventilation per hospital bed was about 0.7 per year in hospitals in the lowest quartile of hospital volume (≥150 patients per year), as compared with 1.6 per year in hospitals in the highest quartile of volume (>400 patients per year). The decision to initiate mechanical ventilation in a given patient rests on the course of the disease, the quality of nursing, and the availability of ventilators. Thus, among patients with identical Acute Physiology and Chronic Health Evaluation (APACHE) scores, the . . . [Full Text of this Article]



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