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The public health resource utilization impact of airway foreign bodies in children

Jeffrey Cheng1, Beiyu Liu2, Alfredo E Farjat2

  • 1Pediatric Otolaryngology, Department of Surgery, Division of Head and Neck Surgery and Communication Sciences, Duke University Medical Center, Durham, NC, United States.

International Journal of Pediatric Otorhinolaryngology
|April 10, 2017
PubMed

Insights

The economic burden of pediatric airway foreign bodies is increasing, with costs rising significantly from 2000-2009. Resource utilization is higher in urban and teaching hospitals, warranting further investigation into cost-effectiveness strategies.

Area of Science:

  • Pediatric Emergency Medicine
  • Public Health Economics
  • Healthcare Resource Utilization

Background:

  • Airway foreign bodies (AFBs) in children represent a significant public health concern.
  • Understanding the associated healthcare resource utilization is crucial for effective management and policy development.

Purpose of the Study:

  • To quantify the resource utilization for pediatric airway foreign bodies in the U.S. using national data.
  • To analyze trends in admission rates and associated costs over time.

Main Methods:

  • Cross-sectional analysis of the Kids' Inpatient Database (KID) from 2000-2009.
  • Utilized International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for foreign body aspiration.
  • Aggregated and trended admission rates and charges by geographic region, location, and teaching hospital status.

Main Results:

  • An estimated 4,000-5,000 pediatric admissions annually for AFBs between 2000-2009.
  • Annual healthcare charges increased from $93 million to $486 million during the study period.
  • Increasing per-patient charges over time; higher costs observed in urban and teaching hospital settings.

Conclusions:

  • The public health and economic burden of pediatric AFBs is escalating.
  • Further research is needed to identify factors driving increased charges and to develop cost-effective strategies.
  • Investigating the reasons for higher resource utilization in urban and teaching hospitals is recommended.
Abstract

Keywords:
AirwayCostDatabaseForeign bodyKIDPediatricResource utilization

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