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Variation in hospitalizations and hospital length of stay in children with vaso-occlusive crises in sickle cell disease.
Pediatr Blood Cancer. 2005 Feb; 44(2):182-6.PB

Abstract

OBJECTIVE

As a measure of morbidity of vaso-occlusive crises (VOC) in sickle cell disease, we used a national hospital discharge database, the Kids' Inpatient Database (KID), to determine the number of hospitalizations and hospital length of stay (LOS) by age.

PROCEDURE

Nationally weighted hospital discharges for VOC in children with sickle cell disease were analyzed using data from 2,500 hospitals in the Healthcare Cost and Utilization Project (HCUP) KID. Number of discharges and hospital LOS by age group were analyzed. Multiple linear regression was performed to analyze the effect of age on hospital LOS.

RESULTS

There were 20,271 hospital discharges for children with sickle cell disease and VOC. Mean age (SD) at time of admission was 10.6 (5.38) years with 49% being males. The overall average LOS was 4.4 days. There were differences in the number of hospital discharges by age group (P < 0.001). In addition, there was a difference in LOS by age group (P < 0.0001). After controlling for potential confounders, older age was associated with a longer LOS (P < 0.0001).

CONCLUSIONS

Older children with sickle cell disease and VOC have increased hospitalizations and longer LOS. This age effect should be considered when measuring the effect of an intervention on hospital utilization in these children.

Authors+Show Affiliations

Department of Pediatrics, Section of Pediatric Hematology, Medical College of Wisconsin, Milwaukee, WI 53226, USA. jpanepin@mcw.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15390359

Citation

Panepinto, Julie A., et al. "Variation in Hospitalizations and Hospital Length of Stay in Children With Vaso-occlusive Crises in Sickle Cell Disease." Pediatric Blood & Cancer, vol. 44, no. 2, 2005, pp. 182-6.
Panepinto JA, Brousseau DC, Hillery CA, et al. Variation in hospitalizations and hospital length of stay in children with vaso-occlusive crises in sickle cell disease. Pediatr Blood Cancer. 2005;44(2):182-6.
Panepinto, J. A., Brousseau, D. C., Hillery, C. A., & Scott, J. P. (2005). Variation in hospitalizations and hospital length of stay in children with vaso-occlusive crises in sickle cell disease. Pediatric Blood & Cancer, 44(2), 182-6.
Panepinto JA, et al. Variation in Hospitalizations and Hospital Length of Stay in Children With Vaso-occlusive Crises in Sickle Cell Disease. Pediatr Blood Cancer. 2005;44(2):182-6. PubMed PMID: 15390359.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Variation in hospitalizations and hospital length of stay in children with vaso-occlusive crises in sickle cell disease. AU - Panepinto,Julie A, AU - Brousseau,David C, AU - Hillery,Cheryl A, AU - Scott,J Paul, PY - 2004/9/25/pubmed PY - 2005/2/4/medline PY - 2004/9/25/entrez SP - 182 EP - 6 JF - Pediatric blood & cancer JO - Pediatr Blood Cancer VL - 44 IS - 2 N2 - OBJECTIVE: As a measure of morbidity of vaso-occlusive crises (VOC) in sickle cell disease, we used a national hospital discharge database, the Kids' Inpatient Database (KID), to determine the number of hospitalizations and hospital length of stay (LOS) by age. PROCEDURE: Nationally weighted hospital discharges for VOC in children with sickle cell disease were analyzed using data from 2,500 hospitals in the Healthcare Cost and Utilization Project (HCUP) KID. Number of discharges and hospital LOS by age group were analyzed. Multiple linear regression was performed to analyze the effect of age on hospital LOS. RESULTS: There were 20,271 hospital discharges for children with sickle cell disease and VOC. Mean age (SD) at time of admission was 10.6 (5.38) years with 49% being males. The overall average LOS was 4.4 days. There were differences in the number of hospital discharges by age group (P < 0.001). In addition, there was a difference in LOS by age group (P < 0.0001). After controlling for potential confounders, older age was associated with a longer LOS (P < 0.0001). CONCLUSIONS: Older children with sickle cell disease and VOC have increased hospitalizations and longer LOS. This age effect should be considered when measuring the effect of an intervention on hospital utilization in these children. SN - 1545-5009 UR - https://www.unboundmedicine.com/medline/citation/15390359/Variation_in_hospitalizations_and_hospital_length_of_stay_in_children_with_vaso_occlusive_crises_in_sickle_cell_disease_ L2 - https://doi.org/10.1002/pbc.20180 DB - PRIME DP - Unbound Medicine ER -