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Most patients with single ventricle congenital heart disease (SV) are now expected to survive to adulthood. Medical comorbidities are common in SV.
We used nationally distributed data from 43 pediatric hospitals in the 2004 to 2011 Pediatric Health Information System database to identify patients ≥ 18 years of age admitted to the hospital with International Classification of Diseases-9th Revision codes for a diagnosis of either hypoplastic left heart syndrome, tricuspid atresia or single ventricle. Primary diagnoses (PD), length of stay (LOS) and hospital charges were determined. Interaction of charges with PD and year of admission were examined using one-way analysis of variance.
There were 803 SV patients with 1333 admissions during the study period. Mean age was 24.8±6.2 years (54% male) and mean LOS was 6.8±11.3 days. Total hospital charges were $127 million with mean charge per admission of $95,501±192,068. Mean charge per hospital day was $14,765±16,574. The PD, number of admissions, hospital charges and LOS are shown in Table 1. Hospital charges correlated with PD group (p<0.001). Admission rate remained stable (∼180/year) from 2006 to 2011. LOS decreased (p<0.0308) and hospital charges per day increased across the study period (p<0.001).
The costs of hospitalizations in adults with SV are significant and are impacted by comorbid medical conditions. Hospitalization rates for adults with SV are not increasing, though costs are.
Poster Sessions, Expo North
Monday, March 11, 2013, 9:45 a.m.-10:30 a.m.
Session Title: Congenital Cardiology Solutions: Outcomes and Resource Utilization in the Adults
Abstract Category: 12. Congenital Cardiology Solutions: Adult
Presentation Number: 1290-119
- 2013 American College of Cardiology Foundation