Author + information
- Samuel Paul Hanke,
- Catherine Krawczeski,
- Bradley Marino,
- Samir Shah,
- Edmund Berry,
- Eileen King,
- Lynn Darbie and
- James Cnota
Hospital readmission (RA) is a measure of healthcare quality. Little is known about RA following pediatric heart surgery (PHS). The purpose of this study was to identify: 1) the rate and incurred hospital charges of RA within 30 days of discharge after PHS, 2) factors associated with RA and hospital charges.
Children 0-17 years of age who underwent PHS between January 1, 2006 and September 30, 2011 were identified by procedural codes within the Pediatric Health Information System database. RA was defined as any admission within 30 days of discharge after PHS. Patients were classified as having 0, 1, or > 1 RA. Charges and RA length of stay are reported. Patient demographics and factors associated with the index PHS hospitalization were analyzed. Factors associated with RA were analyzed by ordinal logistic regression. Log RA charges were analyzed by multivariable generalized linear model.
Of 53,105 patients with a PHS discharge from 42 hospitals, 10,667 (20.1%) had at least one RA. Total PHS charges were $498,539,570. Median time from discharge to first RA was 8 (IQR 4, 15) days. Median RA duration was 1 (IQR 1, 4) day. Median charges for RA were $4,272 (IQR $550, $23,887). Table 1 details factors independently associated with RA and RA charges.
RA following PHS is common and associated with significant resource utilization. Non-neonates, higher PHS severity, longer hospital length of stay and medical comorbidities were independently associated with increased RA and charges.
Oral Contributions North, Room 121
Saturday, March 09, 2013, 9:00 a.m.-9:15 a.m.
Session Title: Congenital Cardiology Solutions: Pediatric
Abstract Category: 13. Congenital Cardiology Solutions: Pediatric
Presentation Number: 904-7
- 2013 American College of Cardiology Foundation