Inpatient Hospital Outcomes and its Association with Insurance Type Among Pediatric Neurosurgery Trauma Patients.


Journal

World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275

Informations de publication

Date de publication:
09 2020
Historique:
received: 26 03 2020
revised: 21 05 2020
accepted: 22 05 2020
pubmed: 5 6 2020
medline: 1 1 2021
entrez: 5 6 2020
Statut: ppublish

Résumé

To assess the association of insurance status and inpatient hospital outcomes among a nationally representative population of pediatric trauma neurosurgery patients. The 2006, 2009, and 2012 Healthcare Cost and Utilization Project Kids' Inpatient Database was queried for all pediatric neurosurgery patients (birth through 17 years) with primary International Classification of Diseases, Ninth Edition, Clinical Modification, procedure codes for trauma or hematoma. Self-pay patients were 2.5 times more likely to die during hospitalization. Results also showed that pediatric neurosurgery patients with private insurance had a reduced length of stay and were more likely to have a favorable disposition at discharge. Insurance status is significantly associated with mortality, length of stay, and favorable discharge disposition among pediatric neurosurgery trauma patients. Further studies are needed to examine the underlying mechanism of the observed associations.

Identifiants

pubmed: 32497851
pii: S1878-8750(20)31185-2
doi: 10.1016/j.wneu.2020.05.214
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e484-e489

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Vivian Hagerty (V)

College of Medicine, Florida Atlantic University, Boca Raton, USA.

Shenae Samuels (S)

Office of Human Research, Memorial Healthcare System, Hollywood, USA.

Tamar Levene (T)

Division of Pediatric Surgery, Joe DiMaggio Children's Hospital, Hollywood, USA.

Daxa Patel (D)

Division of Pediatric Neurosurgery, Joe DiMaggio Children's Hospital, Hollywood, USA.

Howard Levene (H)

Department of Neurological Surgery, University of Miami, Miami, Florida, USA.

Heather Spader (H)

Division of Pediatric Neurosurgery, Joe DiMaggio Children's Hospital, Hollywood, USA. Electronic address: heatherspader@gmail.com.

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Classifications MeSH