Financial Consequence of COVID-19 on United States PICUs: A 2017 to 2023 Study Using the Pediatric Health Information System and the Virtual Pediatric System Database
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View abstract on PubMed
Summary
This summary is machine-generated.The COVID-19 pandemic increased pediatric intensive care unit (PICU) costs more than charges, despite fewer bed days. Reduced bed days for common respiratory illnesses during COVID-19 significantly decreased overall PICU charges.
Area Of Science
- Pediatric critical care medicine
- Health economics
- Epidemiology
Background
- The COVID-19 pandemic significantly impacted healthcare systems globally.
- Understanding the financial implications for pediatric intensive care units (PICUs) is crucial for resource allocation and operational planning.
Purpose Of The Study
- To evaluate the financial consequences of pediatric intensive care unit admissions in the United States during the COVID-19 pandemic.
Main Methods
- A retrospective cohort study analyzed data from the Pediatric Health Information System (PHIS) and Virtual Pediatric System (VPS) databases.
- Included were PICU admissions for children under 18 from January 2017 to March 2023.
- Costs were calculated using hospital-specific cost-to-charge ratios, with multivariable mixed modeling controlling for length of stay and severity of illness.
Main Results
- Encounter-level costs per PICU day increased by 8.9% during the COVID-19 years compared to pre-pandemic years, outpacing the 4.1% increase in charges.
- Bed days for conditions like bronchiolitis, asthma, pneumonia, and respiratory failure decreased significantly (28-94%).
- Overall PICU charges decreased by $1.2 billion in the first year of the pandemic due to a 33% reduction in bed days.
Conclusions
- The COVID-19 pandemic highlighted the financial vulnerabilities of PICUs contributing to the PHIS/VPS.
- A decrease in bed days, particularly for common pediatric respiratory illnesses, significantly impacted overall PICU charges.
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