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Most patients with single ventricle congenital heart disease (SV) are now expected to survive to adulthood. Cardiac dysrhythmias are common in SV and should impact healthcare cost.
We used nationally distributed data from 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 and a cardiac dysrhythmia. Comparison of hospitalization eras 2004-2007 (A) and 2008-2011 (B) was made using unpaired t-test.
There were 218 SV patients with 297 admissions for a principal diagnosis (PD) of a cardiac dysrhythmia. Mean age was 25.8±6.6 years and mean LOS was 4.4±5.1 days. Total hospital charges were $17,298,027 with mean charge per admission of $58,243±126,375. Mean charge per hospital day was $13,237±24,779. The PD, number of admissions, age, LOS, and hospital charges are shown in Table 1. There was no difference in age or total charges for hospitalization eras. LOS was shorter (p=0.0279) and hospital charges per patient day were higher (p=0.0482) for era B.
The cost of hospitalization for adults with SV and cardiac dysrhythmias is significant. Atrial fibrillation occurs in older adults with SV and increases LOS. The LOS for adults with SV and cardiac dysrthymia has decreased with time, however, hospital charges have increased.
Moderated Poster Contributions
Poster Sessions, Expo North
Sunday, March 10, 2013, 3:45 p.m.-4:30 p.m.
Session Title: Congenital Cardiology Solutions: New Insights into Congenital Heart Disease in the Adult
Abstract Category: 12. Congenital Cardiology Solutions: Adult
Presentation Number: 1249M-140
- 2013 American College of Cardiology Foundation