Inpatient Pediatric Epistaxis: Management and Resource Utilization

Jonathan S Ni1, Jocelyn Kohn2, Jessica R Levi1,2

  • 11 Boston University School of Medicine, Boston, Massachusetts, USA.

Insights

Pediatric epistaxis admissions incur significant charges despite rarely needing procedures or long hospital stays. Factors like admission source and household income influence costs, highlighting potential for improved resource use.

Area of Science:

  • Pediatric Healthcare
  • Health Economics
  • Medical Informatics

Background:

  • Epistaxis (nosebleeds) is common in children but rarely requires hospitalization.
  • Inpatient management of pediatric epistaxis is not well-studied due to its rarity.

Purpose of the Study:

  • Analyze national trends in pediatric epistaxis inpatient treatment.
  • Identify factors influencing total healthcare charges for these admissions.

Main Methods:

  • Utilized the 2012 Kids' Inpatient Database (KID) for weighted discharges with epistaxis as the primary diagnosis.
  • Collected data on demographics, comorbidities, treatments, and hospital burden.
  • Employed linear regression to analyze cost-influencing factors.

Main Results:

  • Analyzed 372 weighted discharges; mean age 9.68 years, 60% male.
  • Common comorbidities included thrombocytopenia, von Willebrand disease, and chronic sinusitis.
  • 56.7% of admissions did not undergo epistaxis control procedures; mean charges were $30,208.
  • Longer length of stay, emergency department admission, and higher household income predicted increased charges.
  • Midwest hospital region predicted decreased charges; procedures did not significantly impact cost.

Conclusions:

  • Pediatric epistaxis hospitalizations often do not necessitate lengthy stays or procedural interventions.
  • Substantial healthcare charges are associated with inpatient epistaxis treatment.
  • Understanding cost drivers can optimize resource allocation and management strategies.
Abstract

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