Key result
Greater disease complexity (OR 1.66-14.1), younger age (OR 3.81), prematurity (OR 4.85), other anomalies (OR 2.53), and Medicaid (OR 1.48) independently predicted high resource utilization.
Why the study?
What patient, institutional, and regional factors are associated with high resource utilization for congenital heart surgery in pediatric patients?
Population
10,569 patients younger than 18 years who had congenital heart surgery, identified from the Healthcare Cost…
Design
Cross-sectional
Authors
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May inform risk stratification for resource planning in pediatric congenital heart surgery; hypothesis-generating for prospective validation and interventions.
Observational (n=10,569)
Yes
What patient, institutional, and regional factors are associated with high resource utilization for congenital heart surgery in pediatric patients?
Patient complexity, younger age, prematurity, noncardiac anomalies, Medicaid insurance, and weekend admission are independent predictors of high resource utilization in pediatric congenital heart surgery.
Connor et al. (2005) conducted an observational in Congenital heart disease (n=10,569). Patient, institutional, and regional factors was evaluated on High resource utilization admissions (highest decile for total hospital charges). Greater disease complexity (OR 1.66-14.1), younger age (OR 3.81), prematurity (OR 4.85), other anomalies (OR 2.53), and Medicaid (OR 1.48) independently predicted high resource utilization.
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