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Pediatric admissions and procedures for lymphatic malformations in the United States: 1997 and 2000
Wayne J Harsha1, Jonathan A Perkins, Charlotte W Lewis
1Otolaryngology Service, Madigan Army Medical Center, Tacoma, USA.
Insights
Pediatric lymphatic malformation (LM) admissions remained stable from 1997-2000, with surgical excision being the most common treatment. However, national hospital charges for LM treatment significantly increased during this period.
Area of Science:
- Pediatric Surgery
- Vascular Anomalies
- Health Services Research
Background:
- Lymphatic malformation (LM) is a congenital vascular anomaly requiring medical and surgical intervention.
- Understanding treatment patterns and resource utilization is crucial for pediatric care.
- Nationwide data provides insights into the epidemiology and management of LM.
Purpose of the Study:
- To determine the incidence of pediatric lymphatic malformation (LM) discharges.
- To analyze the various treatments administered for LM in pediatric patients.
- To assess trends in treatment and associated hospital charges from 1997 to 2000.
Main Methods:
- Utilized the 1997 and 2000 Kid's Inpatient Database (KID).
- Employed a nationwide sampling scheme for national and regional estimates.
- Analyzed data using STATA 8.2 for statistical calculations.
Main Results:
- An estimated 3200 pediatric LM admissions occurred in 1997 and 2000 combined.
- Surgical excision was the most frequent procedure, particularly in children under two years old.
- Hospital charges increased from $26 million in 1997 to $35 million in 2000.
Conclusions:
- Pediatric LM treatment trends remained stable between 1997 and 2000.
- Despite stable treatment modalities, national hospital charges for pediatric LM care escalated.
- This study offers a national perspective on pediatric LM admissions and procedures.
Objective:
To describe the incidence of discharges for lymphatic malformation (LM) and the various treatments rendered for this condition in a nationwide sampling of pediatric discharges from 1997 and 2000.
Data Source:
The 1997 and 2000 Kid's Inpatient Database (KID), available through the Agency for Healthcare Research and Quality (AHRQ).
Data Extraction:
The sampling scheme of this database allowed for calculation of national and regional estimates using STATA 8.2.
Data Synthesis:
There were an estimated 3200 admissions for the treatment of pediatric LM in 1997 and 2000 combined. These admissions were most common in urban teaching institutions (69% in 1997 and 81% in 2000). The mean age at admission was 3.7 years, while the median was 1 year. The most common procedure performed in these children was surgical excision of the malformation. Over half of these were done in children under age 2. Airway endoscopy was the second most common procedure. Sclerotherapy was infrequently performed. The estimated national hospital charges for these admissions were $26 million in 1997 and $35 million in 2000.
Conclusions:
This analysis reveals a national perspective on the total number of pediatric admissions for LM and their associated inpatient procedures. Treatment trends for pediatric LM have remained relatively stable between 1997 and 2000, but hospital charges have increased.
