Pyloric Stenosis: National Trends in the Incidence Rate and Resource Use in the United States From 2012 to 2016.
Cross-Sectional Studies
Databases, Factual
Female
Hospital Costs
/ statistics & numerical data
Hospitalization
/ statistics & numerical data
Humans
Incidence
Infant
Infant, Newborn
Length of Stay
/ statistics & numerical data
Male
Patient Acceptance of Health Care
/ statistics & numerical data
Pyloric Stenosis, Hypertrophic
/ epidemiology
Retrospective Studies
Risk Factors
United States
/ epidemiology
Journal
Hospital pediatrics
ISSN: 2154-1671
Titre abrégé: Hosp Pediatr
Pays: United States
ID NLM: 101585349
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
pubmed:
22
11
2019
medline:
16
5
2020
entrez:
22
11
2019
Statut:
ppublish
Résumé
Infantile hypertrophic pyloric stenosis (IHPS) is the most common reason for abdominal surgery in infants; however, national-level data on incidence rate and resource use are lacking. We aimed to examine the national trends in hospitalizations for IHPS and resource use in its management in the United States from 2012 to 2016. We performed a retrospective serial cross-sectional study using data from the National Inpatient Sample, the largest health care database in the United States. We included infants aged ≤1 year assigned an Between 2012 and 2016, there were 32 450 cases of IHPS and 20 808 149 live births (incidence rate of 1.56 per 1000). Characteristics of the study population were 82.7% male, 53% white, and 63.3% on Medicaid, and a majority were born in large (64%), urban teaching hospitals (90%). The incidence of IHPS varied with race, sex, socioeconomic status, and geographic region. In multivariable regression analysis, the incidence rate of IHPS decreased from 1.76 to 1.57 per 1000 (adjusted odds ratio 0.93; 95% confidence interval 0.92-0.93). The median cost of care was $6078.30, whereas the median LOS was 2 days, and these remained stable during the period. The incidence rate of IHPS decreased significantly between 2012 and 2016, whereas LOS and hospital costs remained stable. The reasons for the decline in the IHPS incidence rate may be multifactorial.
Identifiants
pubmed: 31748239
pii: hpeds.2019-0112
doi: 10.1542/hpeds.2019-0112
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
923-932Informations de copyright
Copyright © 2019 by the American Academy of Pediatrics.
Déclaration de conflit d'intérêts
Drs Donda and Dapaah-Siakwan conceptualized and designed the study, drafted the initial manuscript, designed the data collection instruments, coordinated the supervised data collection, and critically reviewed the manuscript; Drs Bhatt and Asare-Afriyie conceptualized and designed the study and drafted the initial manuscript; Drs Ayensu, Sharma, Amponsah, and Hesse carried out the initial analyses and reviewed and revised the manuscript; and all authors approved the final manuscript as submitted. POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.