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Hospital Charges for Pediatric Heart Failure-Related Hospitalizations from 2000 to 2009
Deipanjan Nandi1, Kimberly Y Lin2, Matthew J O'Connor2
1Cardiac Center, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, 34th Street & Civic Center Boulevard, Philadelphia, PA, 19104, USA. nandid@email.chop.edu.
Pediatric Cardiology
|December 10, 2015
Summary
Pediatric heart failure hospitalizations nearly doubled in cost from 2000-2009. This increase is linked to more complex cases and advanced treatments, necessitating further research into cost-effective therapies.
Area of Science:
- Pediatric Cardiology
- Health Economics
- Healthcare Management
Background:
- Limited data exists on the financial burden of pediatric heart failure-related hospitalizations (HFRH).
- Advances in medical management are presumed to increase HFRH costs over time.
Purpose of the Study:
- To analyze trends in pediatric HFRH costs from 2000 to 2009.
- To identify factors associated with increased hospitalization charges.
Main Methods:
- Retrospective analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database (2000-2009).
- Inflation-adjusted charges used as a proxy for cost.
- Statistical analysis to identify factors associated with charges.
Main Results:
- Median charges for pediatric HFRH increased from $35,079 in 2000 to $72,087 in 2009.
- Extracorporeal membrane oxygenation, ventricular assist devices, and comorbidities like sepsis and renal failure were associated with significantly higher charges.
- Despite accounting for comorbidities and mechanical support, later hospitalization year remained an independent predictor of increased charges.
Conclusions:
- Pediatric HFRH costs nearly doubled between 2000 and 2009.
- Increased use of mechanical support and prevalence of comorbidities contribute to rising costs.
- Further investigation is required to understand cost drivers and develop cost-effective interventions for pediatric heart failure.
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