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Pediatric Patients with Intracranial Arteriovenous Malformations: Trends in Emergency Room Presentation

Sima Vazquez1, Chandler Berke2, Victor M Lu2

  • 1School of Medicine, New York Medical College, Valhalla, New York, USA.

World Neurosurgery
|May 25, 2024
PubMed

Insights

Pediatric arteriovenous malformation (AVM) patients admitted to the emergency room (ER) are increasing, particularly those with intracranial hemorrhage (ICH). These ER admissions are linked to socioeconomic factors and suggest potential barriers to care.

Area of Science:

  • Neurology
  • Pediatric Neurosurgery
  • Health Services Research

Background:

  • Pediatric intracranial arteriovenous malformation (AVM) admissions to the emergency room (ER) are common.
  • Increasing ER utilization in these patients is linked to healthcare disparities and reduced efficiency.
  • This study evaluates trends in pediatric AVM ER admissions and associated factors.

Purpose of the Study:

  • To evaluate recent trends in emergency room (ER) admissions for pediatric intracranial arteriovenous malformation (AVM).
  • To identify factors associated with healthcare resource utilization and outcomes in these patients.
  • To understand the socioeconomic profile and disease severity of pediatric AVM patients admitted via the ER.

Main Methods:

  • Utilized the 2016-2019 National Inpatient Sample for pediatric AVM admissions.
  • Identified patients admitted through the emergency room (ER).
  • Analyzed demographic, socioeconomic, and severity factors using comparative and regression statistics.

Main Results:

  • 33.0% of pediatric AVM patients were admitted via the ER.
  • ER admissions were associated with lower income, Medicaid insurance, and Southern US regions.
  • ER-admitted patients had increased severity and higher rates of intracranial hemorrhage (ICH), with increasing trends over time.

Conclusions:

  • Emergency room (ER) admission for pediatric AVM patients, especially with intracranial hemorrhage (ICH), is rising.
  • These admissions correlate with specific socioeconomic factors, suggesting potential barriers to accessing primary care and advanced diagnostics.
  • Addressing these barriers is crucial for reducing severe disease presentations in pediatric AVM patients.
Abstract

Keywords:
ARUBAArteriovenous malformationsEmergency roomPediatric

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