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Published on: May 18, 2019
Resource utilization in the management of subglottic stenosis
Rahul K Shah1, Lina Lander, Sukgi S Choi
1Division of Otolaryngology, Children's National Medical Center, The George Washington University Medical Center, Washington, DC 20010, USA. rshah@cnmc.org <rshah@cnmc.org>
Objective:
The purpose of this study was to determine resource utilization in managing subglottic stenosis.
Study Design:
The Kids' Inpatient Database (KID) 2003 was analyzed.
Subjects And Methods:
International Classification of Diseases, Ninth Revision code 478.74 was the inclusion criteria.
Results:
Two thousand forty-six admissions with subglottic stenosis were sampled; there were 10 deaths (0.49%). States with the most admissions were Ohio, California, and Illinois; these did not have the highest spending per admission. Two hundred eighteen (10.7%) underwent a laryngeal graft procedure; states with the most were Ohio (35.8%), Texas, California, and Florida. Indicators of increased resource utilization include length of stay, nonelective admission, race, primary payer, hospital location, and type.
Conclusions:
For subglottic stenosis, three states account for 37% of admissions, and four states account for 56% of laryngeal graft procedures in 2003. The mean total charges were $53,787; 90% of admissions had total charges less than $139,253. Patients who underwent surgical procedures had total charges of $76,409.
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