Related Experiment Video

Updated: Oct 2, 2025

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
04:55

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model

Published on: May 26, 2023

938

Association of Models of Care for Kawasaki Disease With Utilization and Cardiac Outcomes

Nathan M Money1, Matthew Hall2, Ricardo A Quinonez3

  • 1Section of Pediatric Hospital Medicine, Department of Pediatrics, University of Utah School of Medicine, Primary Children's Hospital, Salt Lake City, Utah.

Hospital Pediatrics
|February 23, 2022
PubMed

Insights

Different care models for Kawasaki disease (KD) show varied utilization and costs, but no significant differences in cardiac outcomes like coronary artery aneurysms (CAAs). Further research is needed to optimize KD care value.

Area of Science:

  • Pediatric Cardiology
  • Health Services Research

Background:

  • Kawasaki disease (KD) requires careful management to prevent cardiac complications.
  • Different hospital care models exist for managing pediatric KD, but their comparative effectiveness is not well understood.

Purpose of the Study:

  • To describe the prevalence of various care models for children with KD.
  • To evaluate healthcare utilization and cardiac outcomes associated with different KD care models.

Main Methods:

  • A multicenter, retrospective cohort study of 2080 children hospitalized with KD in US children's hospitals (2017-2018).
  • Hospitals were classified into three care models: hospitalist with as-needed consultation (Model 1), hospitalist with automatic consultation (Model 2), and subspecialist primary service (Model 3).
  • Utilization outcomes and coronary artery aneurysm (CAA) frequency were analyzed using administrative data and chart reviews.

Main Results:

  • Model 1 hospitals used more laboratory tests and had lower costs. Model 3 hospitals more frequently used echocardiograms and immune modulators.
  • No significant differences were observed among the care models in length of stay, readmission rates, emergency department revisits, or the frequency of CAAs.

Conclusions:

  • While distinct KD care models exhibit variations in resource utilization and costs, they do not appear to significantly impact cardiac outcomes.
  • Further investigation into KD primary service and consultation practices is warranted to enhance healthcare value and patient outcomes.
Abstract

More Related Videos

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling08:25

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling

Published on: April 7, 2015

9.2K
Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction14:19

Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction

Published on: October 14, 2016

11.7K

Related Concept Videos

Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
56
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
96
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
649
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
48
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
53
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
58