Impact of staffing on the results of treatment among surgical patients. Statistical study

Sazhin V.P.

Vishnevsky National Medical Research Center of Surgery;
Pavlov Ryazan State Medical University

ORCID: 0000-0001-9452-1656

Panin S.I.

Volgograd State Medical University

SPIN RSCI: 8303-5413
Scopus AuthorID: 57198338379
ORCID: 0000-0003-4086-2054

Yudin V.A.

Pavlov Ryazan State Medical University

ORCID: 0000-0001-6385-7413

Podyablonskaya I.A.

Pavlov Ryazan State Medical University

ORCID: 0000-0002-6779-666X

Kuznetsov A.A.

Volgograd State Medical University

SPIN RSCI: 8450-2088
Scopus AuthorID: 57653858600
ORCID: 0000-0002-7026-1746

Impact of staffing on the results of treatment among surgical patients. Statistical study

Authors:

Sazhin V.P., Panin S.I., Yudin V.A., Podyablonskaya I.A., Kuznetsov A.A.

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Journal: Pirogov Russian Journal of Surgery. 2022;(10): 15‑20

DOI: 10.17116/hirurgia202210115

Downloaded: 26

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To cite this article:

Sazhin VP, Panin SI, Yudin VA, Podyablonskaya IA, Kuznetsov AA. Impact of staffing on the results of treatment among surgical patients. Statistical study. Pirogov Russian Journal of Surgery. 2022;(10):15‑20. (In Russ.)
https://doi.org/10.17116/hirurgia202210115

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To study the influence of staffing index on the results of surgical treatment.

MATERIAL AND METHODS

The study was based on the data of surgical service in the Russian Federation upon 2018 (A.Sh. Revishvili et al., 2019). Correlation and regression analysis was carried out using the Microsoft Excel 2019 software. To assess between-group differences, we analyzed odds ratio (OR) and contingency table using χ² test.

RESULTS

Correlation and regression analysis revealed strong direct functional relationships (r=0.889) between the staffing of surgical service and in-hospital mortality rates. We distinguished 3 formalized levels of surgical staffing (high, medium and low). Gradation of these categories depends on the annual average reference indicator of staffing (88.4% in 2018). In high level of surgical staffing (≥88.4%), in-hospital mortality was 2.19%. Low level of surgical staffing (<88.4%) is accompanied by in-hospital mortality of 2.65% (OR 0.83; 95% CI 0.81-0.84; p<0.05).

CONCLUSION

We confirmed the hypothesis about correlation of in-hospital mortality and staffing of surgical personnel. Validation of scientific data requires further studies with multivariate analysis of various covariates. Long-term prospects of surgical personnel policy in Russia are associated with formulation of specific tasks for surgical services at each level of surgical care.

Keywords:

staff of surgeons

staffing

in-hospital mortality

Authors:

Sazhin V.P.

Vishnevsky National Medical Research Center of Surgery;
Pavlov Ryazan State Medical University

ORCID: 0000-0001-9452-1656

Panin S.I.

Volgograd State Medical University

SPIN RSCI: 8303-5413
Scopus AuthorID: 57198338379
ORCID: 0000-0003-4086-2054

Yudin V.A.

Pavlov Ryazan State Medical University

ORCID: 0000-0001-6385-7413

Podyablonskaya I.A.

Pavlov Ryazan State Medical University

ORCID: 0000-0002-6779-666X

Kuznetsov A.A.

Volgograd State Medical University

SPIN RSCI: 8450-2088
Scopus AuthorID: 57653858600
ORCID: 0000-0002-7026-1746

Received:

16.05.2022

Accepted:

10.06.2022

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