Author + information
- Lori Erickson,
- Kimberly Reid,
- Amy Ricketts,
- Bryan Beaven,
- Suma Goudar,
- Amy Lay,
- Richard Stroup,
- James O'Brien and
- Girish Shirali
Background: Since 2014, we have monitored interstage infants with single ventricle (SV) at home with CHAMP, a tablet PC with cloud-based instant analytic algorithms. This study identifies predictors of high resource utilization (HRU) readmissions.
Methods: From 5/14 to 6/15, SV infants were enrolled in a crossover study comparing traditional binder to CHAMP. All were discharged with the binder; they were randomized to receive CHAMP instead of binder 1 or 2 months after discharge. One month after randomization, caregivers chose either binder or CHAMP for the remainder of the interstage. Charts were reviewed for neonatal characteristics, readmission data including events prior to readmission, length of stay (LOS), ICU LOS and charges. High resource utilization (HRU) were defined as the 25% of readmissions that were associated with the greatest ICU LOS, and were compared to all others (Low resource utilization (LRU)).
Results: 31 infants were monitored for 4911 interstage days. There were no interstage deaths and 73 readmissions. HRU did not differ from LRU in neonatal characteristics (Table). HRU were significantly more likely to be unplanned, at a younger age, and associated with a longer delay from clinical change to readmission. HRU had higher charges, LOS, and more cardiac and general surgeries.
Conclusions: Interstage SV infants are at high risk for readmissions. Delays in care are associated with HRU; CHAMP may help decrease delays. This study may provide the basis for predictive analytic algorithms.
Poster Hall, Hall C
Saturday, March 18, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Congenital Heart Disease: Innovations in Single Ventricle Heart Disease
Abstract Category: 10. Congenital Heart Disease: Pediatric
Presentation Number: 1182-018
- 2017 American College of Cardiology Foundation