Tags

Type your tag names separated by a space and hit enter

Primary operative management for pediatric empyema: decreases in hospital length of stay and charges in a national sample.
Arch Pediatr Adolesc Med. 2008 Jan; 162(1):44-8.AP

Abstract

OBJECTIVE

To determine whether primary operative management (decortication within the first 2 days of hospitalization) decreases hospital length of stay (LOS) and total charges in children with empyema.

DESIGN

Retrospective cohort study.

SETTING

Nationally representative Kids' Inpatient Database for 2003.

PARTICIPANTS

Children and adolescents aged 0 to 18 years (hereinafter referred to as children) with empyema.

MAIN OUTCOME MEASURES

Hospital LOS and total charges.

RESULTS

A total of 1173 children with empyema were identified. Compared with children treated with primary nonoperative management, children treated with primary operative management had a shorter hospital LOS by 4.3 (95% confidence interval [CI], 2.3-6.4) days and lower total hospital charges by $21,179.80 (95% CI, -$34,111.12 to -$8248.48) and were less likely to be transferred to another short-term hospital (0% vs 13.3%). In addition, children with primary operative management were less likely to have therapeutic failure (odds ratio, 0.08 [95% CI, 0.04-0.15]). There was no difference in complications between the 2 groups (odds ratio, 1.01 [95% CI, 0.59-1.74]).

CONCLUSION

Primary operative management is associated with decreased LOS, hospital charges, and likelihood of transfer to another short-term hospital, compared with nonoperative management.

Authors+Show Affiliations

Department of Pediatrics, University of California Davis, 2516 Stockton Blvd, Sacramento, CA 95817, USA. su-ting.li@ucdmc.ucdavis.eduNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18180411

Citation

Li, Su-Ting T., and Robert L. Gates. "Primary Operative Management for Pediatric Empyema: Decreases in Hospital Length of Stay and Charges in a National Sample." Archives of Pediatrics & Adolescent Medicine, vol. 162, no. 1, 2008, pp. 44-8.
Li ST, Gates RL. Primary operative management for pediatric empyema: decreases in hospital length of stay and charges in a national sample. Arch Pediatr Adolesc Med. 2008;162(1):44-8.
Li, S. T., & Gates, R. L. (2008). Primary operative management for pediatric empyema: decreases in hospital length of stay and charges in a national sample. Archives of Pediatrics & Adolescent Medicine, 162(1), 44-8. https://doi.org/10.1001/archpediatrics.2007.10
Li ST, Gates RL. Primary Operative Management for Pediatric Empyema: Decreases in Hospital Length of Stay and Charges in a National Sample. Arch Pediatr Adolesc Med. 2008;162(1):44-8. PubMed PMID: 18180411.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary operative management for pediatric empyema: decreases in hospital length of stay and charges in a national sample. AU - Li,Su-Ting T, AU - Gates,Robert L, PY - 2008/1/9/pubmed PY - 2008/2/22/medline PY - 2008/1/9/entrez SP - 44 EP - 8 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 162 IS - 1 N2 - OBJECTIVE: To determine whether primary operative management (decortication within the first 2 days of hospitalization) decreases hospital length of stay (LOS) and total charges in children with empyema. DESIGN: Retrospective cohort study. SETTING: Nationally representative Kids' Inpatient Database for 2003. PARTICIPANTS: Children and adolescents aged 0 to 18 years (hereinafter referred to as children) with empyema. MAIN OUTCOME MEASURES: Hospital LOS and total charges. RESULTS: A total of 1173 children with empyema were identified. Compared with children treated with primary nonoperative management, children treated with primary operative management had a shorter hospital LOS by 4.3 (95% confidence interval [CI], 2.3-6.4) days and lower total hospital charges by $21,179.80 (95% CI, -$34,111.12 to -$8248.48) and were less likely to be transferred to another short-term hospital (0% vs 13.3%). In addition, children with primary operative management were less likely to have therapeutic failure (odds ratio, 0.08 [95% CI, 0.04-0.15]). There was no difference in complications between the 2 groups (odds ratio, 1.01 [95% CI, 0.59-1.74]). CONCLUSION: Primary operative management is associated with decreased LOS, hospital charges, and likelihood of transfer to another short-term hospital, compared with nonoperative management. SN - 1538-3628 UR - https://www.unboundmedicine.com/medline/citation/18180411/Primary_operative_management_for_pediatric_empyema:_decreases_in_hospital_length_of_stay_and_charges_in_a_national_sample_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpediatrics.2007.10 DB - PRIME DP - Unbound Medicine ER -