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Inpatient health care utilization for children dependent on long-term mechanical ventilation

Brian D Benneyworth1, Achamyeleh Gebremariam, Sarah J Clark

  • 1Child Health Evaluation and Research Unit, Division of General Pediatrics, Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor, Michigan, USA. bbenneyw@umich.edu

Pediatrics
|May 18, 2011
PubMed

Insights

Pediatric discharges requiring long-term mechanical ventilation (LTMV) incur higher healthcare costs and resource use than complex chronic conditions (CCCs). LTMV discharges increased significantly from 2000-2006.

Area of Science:

  • Pediatric healthcare utilization
  • Health services research
  • Critical care medicine

Background:

  • Children requiring long-term mechanical ventilation (LTMV) represent a vulnerable population with complex healthcare needs.
  • Understanding the resource utilization and trends for these pediatric discharges is crucial for healthcare planning.

Purpose of the Study:

  • To characterize pediatric discharges associated with LTMV compared to those with complex chronic conditions (CCCs).
  • To evaluate trends in healthcare utilization for LTMV discharges over time.

Main Methods:

  • Utilized the Kids' Inpatient Database (2000-2006).
  • Identified LTMV discharges using ICD-9 code v46.1x.
  • Compared LTMV discharges with CCC discharges using regression and chi-squared analyses.

Main Results:

  • In 2006, 7812 LTMV discharges occurred, showing higher mortality, longer stays, and increased charges compared to CCC discharges.
  • LTMV discharges rose 55% and aggregate charges increased 70% from 2000-2006.
  • Most LTMV discharges were in children ≤4 years old, with infants <1 year accounting for 50% of charges.

Conclusions:

  • Pediatric LTMV discharges demand significantly more inpatient resources than other pediatric CCCs.
  • The rising trend in LTMV discharges and costs necessitates further research into specific clinical subgroups, particularly those aged 4 and younger.
Abstract

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