Resource Use and Outcomes of Pediatric Congenital Heart Disease Admissions: 2003 to 2016.
congenital heart disease
mortality
resource utilization
Journal
Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524
Informations de publication
Date de publication:
16 02 2021
16 02 2021
Historique:
pubmed:
9
2
2021
medline:
16
10
2021
entrez:
8
2
2021
Statut:
ppublish
Résumé
Background Children with congenital heart disease (CHD) are known to consume a disproportionate share of resources, yet there are limited data concerning trends in resource use and mortality among admitted children with CHD. We hypothesize that charges in CHD-related admissions increased but that mortality improved over time. Methods and Results This study, including patients <18 years old with CHD, examined inpatient admissions from the nationally representative Kids' Inpatient Database from 2003 to 2016 in order to assess the frequency, medical complexity, and outcomes of CHD hospital admissions. A total of 859 843 admissions of children with CHD were identified. CHD admissions increased by 31.8% from 2003 to 2016, whereas overall pediatric admissions decreased by 13.4%. Compared with non-CHD admissions, those with CHD were more likely to be <1 year of age (80.5% versus 63.3%), and to have ≥1 complex chronic condition (39.7% versus 9.3%). For CHD admissions, mortality was higher (2.97% versus 0.31%) and adjusted median charges greater ($48 426 [interquartile range (IQR), $11.932-$161 048] versus $4697 [IQR, $2551-$12 301]) (
Identifiants
pubmed: 33554612
doi: 10.1161/JAHA.120.018286
pmc: PMC7955343
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e018286Subventions
Organisme : NHLBI NIH HHS
ID : K01 HL125521
Pays : United States
Références
World J Pediatr Congenit Heart Surg. 2018 May;9(3):305-314
pubmed: 29692236
Pediatrics. 2005 Sep;116(3):689-95
pubmed: 16140709
Pediatr Cardiol. 2017 Oct;38(7):1359-1364
pubmed: 28669107
Curr Opin Pediatr. 2015 Oct;27(5):555-62
pubmed: 26208236
Am Heart J. 2019 Mar;209:9-19
pubmed: 30639612
Birth Defects Res A Clin Mol Teratol. 2014 Dec;100(12):934-43
pubmed: 24975483
J Am Coll Cardiol. 2010 Sep 28;56(14):1149-57
pubmed: 20863956
Congenit Heart Dis. 2014 Mar-Apr;9(2):96-105
pubmed: 23734574
Congenit Heart Dis. 2015 Nov-Dec;10(6):E278-87
pubmed: 26219731
J Am Heart Assoc. 2021 Feb 16;10(4):e018286
pubmed: 33554612
J Pediatr. 2018 Jun;197:165-171.e2
pubmed: 29571931
Pediatrics. 2011 Nov;128(5):e1181-6
pubmed: 21987703
J Thorac Cardiovasc Surg. 2014 Oct;148(4):1540-7
pubmed: 24667026
J Am Heart Assoc. 2018 Nov 20;7(22):e010624
pubmed: 30571499
J Card Fail. 2012 Jun;18(6):459-70
pubmed: 22633303
Congenit Heart Dis. 2015 Jan-Feb;10(1):13-20
pubmed: 24521268
Pediatrics. 2001 Jun;107(6):E99
pubmed: 11389297
J Am Heart Assoc. 2018 Aug 7;7(15):e008775
pubmed: 30371225
Circulation. 2008 Jan 1;117(1):85-92
pubmed: 18071068
Pediatrics. 2019 Feb;143(2):
pubmed: 30696756
Pediatrics. 2014 Jan;133(1):e1-7
pubmed: 24298006
Can J Cardiol. 2017 Jun;33(6):792-798
pubmed: 28457736
Am J Cardiol. 2015 Dec 1;116(11):1756-61
pubmed: 26455384
J Am Coll Cardiol. 2018 Oct 9;72(15):1817-1825
pubmed: 30286926
J Pediatr. 2018 Dec;203:371-379.e7
pubmed: 30268400
PLoS Med. 2012 Jan;9(1):e1001158
pubmed: 22272190
Am J Respir Crit Care Med. 2001 May;163(6):1331-7
pubmed: 11371397
Circulation. 2007 Jan 16;115(2):163-72
pubmed: 17210844
Birth Defects Res A Clin Mol Teratol. 2015 Sep;103(9):814-20
pubmed: 26069215
Cardiovasc Diagn Ther. 2018 Dec;8(6):814-819
pubmed: 30740330
Circulation. 2014 Sep 9;130(11 Suppl 1):S32-8
pubmed: 25200053
Circ Cardiovasc Qual Outcomes. 2011 May;4(3):306-12
pubmed: 21505154
Pediatr Cardiol. 2003 Mar-Apr;24(2):97-102
pubmed: 12360394
Int J Cardiol. 2016 Sep 15;219:14-9
pubmed: 27257850
Pediatr Cardiol. 2018 Mar;39(3):437-444
pubmed: 29138878
Am J Cardiol. 2016 Aug 15;118(4):590-6
pubmed: 27476099
Ann Thorac Surg. 1997 Jul;64(1):44-8; discussion 49
pubmed: 9236333
BMC Pediatr. 2014 Aug 08;14:199
pubmed: 25102958
J Thorac Cardiovasc Surg. 2011 Dec;142(6):1358-66
pubmed: 21703635
JAMA. 2015 Sep 8;314(10):1039-51
pubmed: 26348753
Ann Thorac Surg. 2019 Mar;107(3):691-704
pubmed: 30641069
J Am Coll Cardiol. 2009 Jul 28;54(5):460-7
pubmed: 19628123
J Pediatr. 2011 Aug;159(2):284-90
pubmed: 21429511