TY - JOUR
T1 - , Jeffrey Jacobs, Claudia Steiner, and Marshall Jacobs
AU - Gray,, Darryl
AU - Pourmoghadam,, Kamal
AU - Hsu, Alan
AU - Dicks,, Vivian
AU - Jacobs, Jeffrey
AU - Steiner, Claudia
AU - Jacobs, Marshall
AU - Dicks, Vivian Gail
PY - 2012/3/27
Y1 - 2012/3/27
N2 - Congenital Cardiology Solutions
E818
JACC March 27, 2012
Volume 59, Issue 13
POPULATION-BASED TRENDS IN PEDIATRIC CARDIAC SURGERY AND INTERVENTIONAL CARDIOLOGY
PROCEDURES FROM 1997 THROUGH 2009 IN THE UNITED STATES
ACC Moderated Poster Contributions
McCormick Place South, Hall A
Sunday, March 25, 2012, 11:00 a.m.-Noon
Session Title: Congenital Cardiology Solutions: Interventional Solutions
Abstract Category: 27. Congenital Cardiology Solutions: Pediatric
Presentation Number: 1136-142
Authors: Darryl Gray, Kamal Pourmoghadam, Alan Hsu, Vivian Dicks, Jeffrey Jacobs, Claudia Steiner, Marshall Jacobs, Agency for Healthcare
Research and Quality, Rockville, MD, USA
Background: The growth and success of treatment for pediatric heart disease highlight the increasing importance of tracking patterns of this care.
Methods: Retrospective cross-sectional/cohort study of all-payer inpatient discharges of 0-17 year-olds with ICD-9-CM principal procedure codes
for surgery or interventional catheterizations of the heart or great vessels. Data for 1997-2009 came from the Healthcare Cost and Utilization Project
(HCUP)’s triennial Kids’ Inpatient Database (KID). The KID uses 10% of uncomplicated inpatient births and 80% of all other pediatric discharges
from ~4,000 US sampling frame hospitals to produce robust national estimates. We queried HCUPnet (HCUP’s on-line system) to estimate national
procedure volume and outcomes.
Results: Inpatient procedure volumes were 30,721 cases (43.3/100,000) in 1997, vs. 29,691 cases (41.0) in 2000, 30,961 cases (42.3) in
2003, 34,434 cases (46.5) in 2006 and 32,127 cases (43.1) in 2009. Mortality fell from 4.6% in 1997 to 3.0% in 2009. Mean length of stay
(MLOS) rose from 12.8 to 23.4 days. Total hospital charges (in 2009 dollars) rose from $3.1 to $7.1 billion; estimated hospital costs rose from
$1.4 to $2.2 billion. In 1997, private insurance covered 56.5% of discharges, Medicaid covered 33.2%, and 3.1% were uninsured. In 2009,
private insurance covered 46.8%. Medicaid cases (45.2%) generated more costs (49.6%); 1.8% were uninsured. Mirroring prior data, the 2009
KID identified 17,972 discharges (421.7/100,000) of 10% of US children) may have been under-represented. Infants had notably higher procedure rates, mortality, MLOS,
costs and charges than did 1-17 year-olds. Our findings merit encounter-level study.
Downloaded From: http://content.onlinejacc.org/ on 08/01/2013
AB - Congenital Cardiology Solutions
E818
JACC March 27, 2012
Volume 59, Issue 13
POPULATION-BASED TRENDS IN PEDIATRIC CARDIAC SURGERY AND INTERVENTIONAL CARDIOLOGY
PROCEDURES FROM 1997 THROUGH 2009 IN THE UNITED STATES
ACC Moderated Poster Contributions
McCormick Place South, Hall A
Sunday, March 25, 2012, 11:00 a.m.-Noon
Session Title: Congenital Cardiology Solutions: Interventional Solutions
Abstract Category: 27. Congenital Cardiology Solutions: Pediatric
Presentation Number: 1136-142
Authors: Darryl Gray, Kamal Pourmoghadam, Alan Hsu, Vivian Dicks, Jeffrey Jacobs, Claudia Steiner, Marshall Jacobs, Agency for Healthcare
Research and Quality, Rockville, MD, USA
Background: The growth and success of treatment for pediatric heart disease highlight the increasing importance of tracking patterns of this care.
Methods: Retrospective cross-sectional/cohort study of all-payer inpatient discharges of 0-17 year-olds with ICD-9-CM principal procedure codes
for surgery or interventional catheterizations of the heart or great vessels. Data for 1997-2009 came from the Healthcare Cost and Utilization Project
(HCUP)’s triennial Kids’ Inpatient Database (KID). The KID uses 10% of uncomplicated inpatient births and 80% of all other pediatric discharges
from ~4,000 US sampling frame hospitals to produce robust national estimates. We queried HCUPnet (HCUP’s on-line system) to estimate national
procedure volume and outcomes.
Results: Inpatient procedure volumes were 30,721 cases (43.3/100,000) in 1997, vs. 29,691 cases (41.0) in 2000, 30,961 cases (42.3) in
2003, 34,434 cases (46.5) in 2006 and 32,127 cases (43.1) in 2009. Mortality fell from 4.6% in 1997 to 3.0% in 2009. Mean length of stay
(MLOS) rose from 12.8 to 23.4 days. Total hospital charges (in 2009 dollars) rose from $3.1 to $7.1 billion; estimated hospital costs rose from
$1.4 to $2.2 billion. In 1997, private insurance covered 56.5% of discharges, Medicaid covered 33.2%, and 3.1% were uninsured. In 2009,
private insurance covered 46.8%. Medicaid cases (45.2%) generated more costs (49.6%); 1.8% were uninsured. Mirroring prior data, the 2009
KID identified 17,972 discharges (421.7/100,000) of 10% of US children) may have been under-represented. Infants had notably higher procedure rates, mortality, MLOS,
costs and charges than did 1-17 year-olds. Our findings merit encounter-level study.
Downloaded From: http://content.onlinejacc.org/ on 08/01/2013
U2 - 10.1016/S0735-1097(12)60819-5
DO - 10.1016/S0735-1097(12)60819-5
M3 - Article
VL - 59
SP - 818
JO - J. Am. Coll. Cardiolo
JF - J. Am. Coll. Cardiolo
ER -