Tags

Type your tag names separated by a space and hit enter

National burden of pediatric hospitalizations for inflammatory bowel disease: results from the 2006 Kids' Inpatient Database.
J Pediatr Gastroenterol Nutr. 2012 Apr; 54(4):477-85.JP

Abstract

OBJECTIVES

: The objective of the present study was to quantify the national pediatric inpatient inflammatory bowel disease (IBD) burden in terms of the number of IBD-related hospitalizations, the number of days spent in the hospital, and hospitalization costs.

METHODS

: Hospitalizations for children and adolescents 20 years and younger with a primary diagnosis of either Crohn disease (CD) or ulcerative colitis (UC) were selected from the 2006 Kids' Inpatient Database (KID). Length of the hospital stay in days (LOS) and charges for the hospitalization were found directly in the Kids' Inpatient Database, and cost was calculated using the hospital's cost-to-charge ratio. Predictor variables included patient characteristics, such as age and severity of illness, and hospital characteristics. Ordinary-least-squares regressions were developed and estimated to explain hospitalization costs.

RESULTS

: In 2006, there were 10,777 IBD-related hospitalizations. The total and mean costs for CD were $66.3 million and $10,176 (95% confidence interval [CI] $9647-$10,705), and for UC were $48.6 million and $11,836 (95% CI $10,760-$12,912). For CD, 0- to 5-year-old patients had the highest mean LOS (8.10, 95% CI 5.53-10.67, days) and mean cost ($13,894, 95% CI $9053-$18,735), whereas, for UC, 11- to 15-year-old patients had the highest mean LOS (7.49, 95% CI 6.88-8.10, 95% CI 5.53-10.67, days) and mean cost ($13,407, 95% CI $11,704-$15,110).

CONCLUSIONS

: For a pediatric disease with a rather low prevalence rate, the estimated annual inpatient pediatric burden of IBD is a sizeable $152.4 million (2010 US$) and 64,985 days spent in the hospital. As medications and outpatient treatments improve for the treatment of IBD, there is an opportunity for significant reduction in inpatient burden.

Authors+Show Affiliations

College of Pharmacy, University of Cincinnati Medical Center, 3225 Eden Avenue, Cincinnati, OH 45267, USA. pam.heaton@uc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

22027564

Citation

Heaton, Pamela C., et al. "National Burden of Pediatric Hospitalizations for Inflammatory Bowel Disease: Results From the 2006 Kids' Inpatient Database." Journal of Pediatric Gastroenterology and Nutrition, vol. 54, no. 4, 2012, pp. 477-85.
Heaton PC, Tundia NL, Schmidt N, et al. National burden of pediatric hospitalizations for inflammatory bowel disease: results from the 2006 Kids' Inpatient Database. J Pediatr Gastroenterol Nutr. 2012;54(4):477-85.
Heaton, P. C., Tundia, N. L., Schmidt, N., Wigle, P. R., & Kelton, C. M. (2012). National burden of pediatric hospitalizations for inflammatory bowel disease: results from the 2006 Kids' Inpatient Database. Journal of Pediatric Gastroenterology and Nutrition, 54(4), 477-85. https://doi.org/10.1097/MPG.0b013e318239bc79
Heaton PC, et al. National Burden of Pediatric Hospitalizations for Inflammatory Bowel Disease: Results From the 2006 Kids' Inpatient Database. J Pediatr Gastroenterol Nutr. 2012;54(4):477-85. PubMed PMID: 22027564.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - National burden of pediatric hospitalizations for inflammatory bowel disease: results from the 2006 Kids' Inpatient Database. AU - Heaton,Pamela C, AU - Tundia,Namita L, AU - Schmidt,Nicole, AU - Wigle,Patricia R, AU - Kelton,Christina M L, PY - 2011/10/27/entrez PY - 2011/10/27/pubmed PY - 2012/7/17/medline SP - 477 EP - 85 JF - Journal of pediatric gastroenterology and nutrition JO - J. Pediatr. Gastroenterol. Nutr. VL - 54 IS - 4 N2 - OBJECTIVES: : The objective of the present study was to quantify the national pediatric inpatient inflammatory bowel disease (IBD) burden in terms of the number of IBD-related hospitalizations, the number of days spent in the hospital, and hospitalization costs. METHODS: : Hospitalizations for children and adolescents 20 years and younger with a primary diagnosis of either Crohn disease (CD) or ulcerative colitis (UC) were selected from the 2006 Kids' Inpatient Database (KID). Length of the hospital stay in days (LOS) and charges for the hospitalization were found directly in the Kids' Inpatient Database, and cost was calculated using the hospital's cost-to-charge ratio. Predictor variables included patient characteristics, such as age and severity of illness, and hospital characteristics. Ordinary-least-squares regressions were developed and estimated to explain hospitalization costs. RESULTS: : In 2006, there were 10,777 IBD-related hospitalizations. The total and mean costs for CD were $66.3 million and $10,176 (95% confidence interval [CI] $9647-$10,705), and for UC were $48.6 million and $11,836 (95% CI $10,760-$12,912). For CD, 0- to 5-year-old patients had the highest mean LOS (8.10, 95% CI 5.53-10.67, days) and mean cost ($13,894, 95% CI $9053-$18,735), whereas, for UC, 11- to 15-year-old patients had the highest mean LOS (7.49, 95% CI 6.88-8.10, 95% CI 5.53-10.67, days) and mean cost ($13,407, 95% CI $11,704-$15,110). CONCLUSIONS: : For a pediatric disease with a rather low prevalence rate, the estimated annual inpatient pediatric burden of IBD is a sizeable $152.4 million (2010 US$) and 64,985 days spent in the hospital. As medications and outpatient treatments improve for the treatment of IBD, there is an opportunity for significant reduction in inpatient burden. SN - 1536-4801 UR - https://www.unboundmedicine.com/medline/citation/22027564/National_burden_of_pediatric_hospitalizations_for_inflammatory_bowel_disease:_results_from_the_2006_Kids'_Inpatient_Database_ L2 - http://dx.doi.org/10.1097/MPG.0b013e318239bc79 DB - PRIME DP - Unbound Medicine ER -