Hospital Charges for Pediatric Heart Failure-Related Hospitalizations from 2000 to 2009

Deipanjan Nandi, Kimberly Y. Lin, Matthew J. O’Connor, Okan U. Elci, Jeffrey J. Kim, Jamie A. Decker, Jack F. Price, Farhan Zafar, David L.S. Morales, Susan W. Denfield, William J. Dreyer, John Jefferies, Joseph W. Rossano

Research output: Contribution to journalArticle

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Abstract

Scarce data exist regarding costs of pediatric heart failure-related hospitalizations (HFRH) or how costs have changed over time. Pediatric HFRH costs, due to advances in management, will have increased significantly over time. A retrospective analysis of Healthcare Cost and Utilization Project Kids’ Inpatient Database was performed on all pediatric HFRH. Inflation-adjusted charges are used as a proxy for cost. There were a total of 33,189 HFRH captured from 2000 to 2009. Median charges per HFRH rose from $35,079 in 2000 to $72,087 in 2009 (p < 0.0001). The greatest median charges were incurred in patients on extracorporeal membrane oxygenation ($442,134 vs $53,998) or ventricular assist devices ($462,647 vs $55,151). Comorbidities, including sepsis ($207,511 vs $48,995), renal failure ($180,624 vs $52,812), stroke ($198,260 vs $54,974) and respiratory failure ($146,200 vs $48,797), were associated with greater charges (p < 0.0001). Comorbidities and use of mechanical support increased over time. After adjusting for these factors, later year remained associated with greater median charges per HFRH (p < 0.0001). From 2000 to 2009, there has been an almost twofold increase in pediatric HFRH charges, after adjustment for inflation. Although comorbidities and use of mechanical support account for some of this increase, later year remained independently associated with greater charges. Further study is needed to understand potential factors driving these higher costs over time and to identify more cost-effective therapies in this population.

Original languageEnglish (US)
Pages (from-to)512-518
Number of pages7
JournalPediatric Cardiology
Volume37
Issue number3
DOIs
StatePublished - Mar 1 2016

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Hospital Charges
Hospitalization
Heart Failure
Pediatrics
Costs and Cost Analysis
Comorbidity
Economic Inflation
Extracorporeal Membrane Oxygenation
Heart-Assist Devices
Proxy
Respiratory Insufficiency
Health Care Costs
Renal Insufficiency
Inpatients
Sepsis
Stroke
Databases

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

Cite this

Nandi, D., Lin, K. Y., O’Connor, M. J., Elci, O. U., Kim, J. J., Decker, J. A., ... Rossano, J. W. (2016). Hospital Charges for Pediatric Heart Failure-Related Hospitalizations from 2000 to 2009. Pediatric Cardiology, 37(3), 512-518. https://doi.org/10.1007/s00246-015-1308-0

Hospital Charges for Pediatric Heart Failure-Related Hospitalizations from 2000 to 2009. / Nandi, Deipanjan; Lin, Kimberly Y.; O’Connor, Matthew J.; Elci, Okan U.; Kim, Jeffrey J.; Decker, Jamie A.; Price, Jack F.; Zafar, Farhan; Morales, David L.S.; Denfield, Susan W.; Dreyer, William J.; Jefferies, John; Rossano, Joseph W.

In: Pediatric Cardiology, Vol. 37, No. 3, 01.03.2016, p. 512-518.

Research output: Contribution to journalArticle

Nandi, D, Lin, KY, O’Connor, MJ, Elci, OU, Kim, JJ, Decker, JA, Price, JF, Zafar, F, Morales, DLS, Denfield, SW, Dreyer, WJ, Jefferies, J & Rossano, JW 2016, 'Hospital Charges for Pediatric Heart Failure-Related Hospitalizations from 2000 to 2009', Pediatric Cardiology, vol. 37, no. 3, pp. 512-518. https://doi.org/10.1007/s00246-015-1308-0
Nandi, Deipanjan ; Lin, Kimberly Y. ; O’Connor, Matthew J. ; Elci, Okan U. ; Kim, Jeffrey J. ; Decker, Jamie A. ; Price, Jack F. ; Zafar, Farhan ; Morales, David L.S. ; Denfield, Susan W. ; Dreyer, William J. ; Jefferies, John ; Rossano, Joseph W. / Hospital Charges for Pediatric Heart Failure-Related Hospitalizations from 2000 to 2009. In: Pediatric Cardiology. 2016 ; Vol. 37, No. 3. pp. 512-518.
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