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Understanding resource utilization patients with congenital heart disease (CHD) is critical for health care planning. We examined planned vs. emergent (ED) hospitalizations of children and adults with CHD from 2005-2009 in two states, California (CA) and New York State (NYS).
We obtained a 100% sample of hospitalization data from Healthcare Cost and Utilization Project including State Inpatient Databases in CA and NYS 2005-2009. We calculated total and ED admissions of CHD patients by age groups. We imputed cost for the hospital stays, based on charges and hospital-level charge-to-cost ratios. We normalized the data by population size and calculated annual averages per 100,000 population.
See the table below on the number of annual admissions and cost/100,000 population, CA vs. NYS 2005-2009:
|Cost (rounded to $1,000)||$578K||$521K||$359K||$348K||$472K||$435K||$398K||$364K|
A trend for reduction in scheduled admissions and increase in ED admissions begins in adolescence but becomes more marked during the 20's in both states. Although the total admissions/100,000 population is higher in NYS than CA, cost/year for NYS is less. This may indicate cost savings with pre-emptive care. However, other factors such as practice patterns and structure/availability of services also need to be explored.
Moderated Poster Contributions
Poster Sessions, Expo North
Saturday, March 09, 2013, 3:45 p.m.-4:30 p.m.
Session Title: Congenital Cardiology Solutions: Trends, Knowledge and Outcomes
Abstract Category: 12. Congenital Cardiology Solutions: Adult
Presentation Number: 1161M-138
- 2013 American College of Cardiology Foundation