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Cost varies with procedure type in pediatric GI foreign bodies
Rachel S Kennedy1, Rebecca A Starker1, Kelly A Feldman1
1Division of Pediatric Surgery, DeWitt-Daughtry Family Department of Surgery, Leonard M. Miller School of Medicine, University of Miami, Miami, FL, USA.
Journal of Pediatric Surgery
|September 18, 2016
Summary
Pediatric gastrointestinal foreign bodies (GIFB) lead to longer hospital stays and higher costs. Complications like perforations and specific surgeries significantly increase resource utilization in these cases.
Area of Science:
- Pediatric Gastroenterology
- Surgical Outcomes
- Health Services Research
Background:
- Pediatric gastrointestinal foreign bodies (GIFB) are a common cause of emergency department visits.
- GIFB cases can lead to prolonged hospitalizations and increased healthcare costs.
Purpose of the Study:
- To identify factors contributing to longer and more costly hospitalizations in pediatric GIFB cases.
- To analyze the impact of associated diagnoses and procedures on resource utilization.
Main Methods:
- Retrospective analysis of the Kids' Inpatient Database (1997-2009).
- Identification of pediatric patients admitted with ingested foreign bodies.
- Multivariate analysis to determine predictors of length of stay and total charges.
Main Results:
- 7480 pediatric GIFB cases were identified, with most patients under 5 years old.
- Surgical or endoscopic procedures were performed in approximately one-third of cases.
- Intestinal obstruction, perforations, and specific surgical interventions significantly increased length of stay and total charges.
Conclusions:
- Pediatric GIFB cases requiring procedures are associated with increased resource utilization.
- Associated diagnoses, particularly perforations and obstructions, are key drivers of cost and length of stay.
- Understanding these factors is crucial for managing pediatric GIFB effectively.
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