Pediatric urinary tract infections: An analysis of hospitalizations, charges, and costs in the USA

John David Spencer, Andrew Schwaderer, Kirk McHugh, David Hains

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

This study evaluates the impact of pediatric uninary tract infection (UTI)s on the economy and inpatient healthcare utilization in the USA. A retrospective analysis of patient demographics and hospital economics was performed on children less than 18 years of age admitted with a UTI between 2000 and 2006 using the Healthcare Cost and Utilization Project Kids' Inpatient Database. Our results were stratified as follows. Hospital admissions-nearly 50,000 children/year were admitted with a UTI. Pediatric UTIs represented 1.8% of all pediatric hospitalizations. Seventy-three percent of patients were female and 40% were under 1 year of age. Payer information-from 2000 to 2006, pediatric insurance coverage shifted from the private sector to the public sector. Hospital cost-in 2000, estimated hospital costs for UTIs were 2,858 per hospitalization and rose to 3,838 by 2006. Mean hospital charges increased from 6,279 to 10,489 per stay. By 2006, aggregate hospital charges exceeded 520 million. Our results indicate that UTIs are among the most common pediatric admission diagnoses. Hospitalization is more common in females and younger children. Since 2000, hospital charges for UTIs increased disproportionately to hospital costs. Over time, more children hospitalized with a UTI depend on public agencies to cover healthcare expense. More efforts are needed to evaluate cost-effective strategies for evaluation and treatment of UTIs.

Original languageEnglish (US)
Pages (from-to)2469-2475
Number of pages7
JournalPediatric Nephrology
Volume25
Issue number12
DOIs
StatePublished - Dec 1 2010
Externally publishedYes

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Urinary Tract Infections
Hospitalization
Hospital Charges
Pediatrics
Hospital Costs
Costs and Cost Analysis
Infection
Inpatients
Hospital Economics
Delivery of Health Care
Hospitalized Child
Insurance Coverage
Private Sector
Public Sector
Health Care Costs
Demography
Databases
Therapeutics

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

Cite this

Pediatric urinary tract infections : An analysis of hospitalizations, charges, and costs in the USA. / Spencer, John David; Schwaderer, Andrew; McHugh, Kirk; Hains, David.

In: Pediatric Nephrology, Vol. 25, No. 12, 01.12.2010, p. 2469-2475.

Research output: Contribution to journalArticle

Spencer, John David ; Schwaderer, Andrew ; McHugh, Kirk ; Hains, David. / Pediatric urinary tract infections : An analysis of hospitalizations, charges, and costs in the USA. In: Pediatric Nephrology. 2010 ; Vol. 25, No. 12. pp. 2469-2475.
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