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Variations in hospitalization outcomes in children admitted with seizures between 2003 and 2006
Shannon M Standridge1, Paul S Horn
1Department of Child Neurology, Cincinnati, Children's Hospital, Medical Center, Cincinnati, OH 45229, USA. Shannon.Standridge@cchmc.org
Insights
This study analyzed the economic impact of pediatric seizures in the US. Government-insured patients experienced longer hospital stays, but costs were similar across insurance types, revealing healthcare disparities.
Area of Science:
- Pediatric Health Economics
- Healthcare Management
- Medical Economics
Background:
- Economic factors significantly influence medical condition management.
- Understanding the economic impact of pediatric seizures is crucial for healthcare planning.
- Previous research has not fully characterized the financial burden of pediatric seizures.
Purpose of the Study:
- To evaluate the economic impact of pediatric seizures in the United States.
- To analyze hospitalization costs, length of stay, and care variations for pediatric seizures.
- To identify disparities in healthcare utilization for pediatric seizure management.
Main Methods:
- Utilized the Kids' Inpatient Database (KID), a large national dataset.
- Analyzed data from pediatric seizure discharges in 2003 and 2006.
- Compared hospital costs and length of stay across different primary payer groups.
Main Results:
- A total of 63,719 pediatric seizure discharges were analyzed.
- Mean hospital costs were $4105 in 2003 and $4553 in 2006.
- Government-insured patients had significantly longer hospital stays (P < .0001) but similar total costs compared to other insurance groups.
Conclusions:
- Significant disparities in healthcare utilization exist for pediatric seizure management.
- Healthcare entities must prioritize cost management strategies for pediatric seizures, especially in challenging economic times.
- Further research is needed to address the identified healthcare utilization disparities.
Abstract:
Economic factors play an increasingly important role in the management of medical conditions. This study evaluated the economic impact of seizures in children in the United States using a large national data set known as the Kids' Inpatient Database (KID). The aim of this study was to characterize hospitalizations including total costs, length of stay, and variations in care. There were 63,719 pediatric seizure discharges in the 2003 and 2006 Kids' Inpatient Database. The mean hospital cost was $4105 in 2003 and $4553 in 2006. Patients with government insurance as the primary payer had a significantly longer length of stay compared with private insurance or self-pay patients (P < .0001); however, there was no significant difference in the total costs of hospitalization between the different payer groups. This analysis highlights multiple disparities of health care utilization in pediatric seizure management. In a stressful economic climate, all health care entities must focus on cost management of pediatric seizure.
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