Inpatient Health Care Utilization in the United States Among Children, Adolescents, and Young Adults With Nephrotic Syndrome

被引:30
作者
Gipson, Debbie S. [1 ]
Messer, Kassandra L. [1 ,2 ]
Tran, Cheryl L. [3 ]
Herreshoff, Emily G. [1 ]
Samuel, Joyce P. [4 ]
Massengill, Susan F. [5 ]
Song, Peter [2 ]
Selewski, David T. [1 ]
机构
[1] Univ Michigan, Sch Publ Hlth, Dept Pediat, Div Pediat Nephrol, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Sch Publ Hlth, Dept Biostat, Ann Arbor, MI 48109 USA
[3] Mayo Clin, Rochester, MN USA
[4] Univ Texas Hlth Sci Ctr Houston, Houston, TX USA
[5] Levine Childrens Hosp, Div Pediat Nephrol, Charlotte, NC USA
关键词
Nephrotic syndrome; hospitalization; child; charges; Healthcare Cost and Utilization Project (HCUP); Kids' Inpatient Database (KID); FOCAL SEGMENTAL GLOMERULOSCLEROSIS; CHRONIC KIDNEY-DISEASE; CARDIOVASCULAR-DISEASE; RISK-FACTORS; CHILDHOOD; EPIDEMIOLOGY; OUTCOMES; HOSPITALIZATIONS; ABNORMALITIES; THERAPY;
D O I
10.1053/j.ajkd.2012.12.025
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background: Data describing inpatient health care utilization in children with nephrotic syndrome and related severe complications are limited. Our goals were to describe the charges, length of stay (LOS), and number of hospitalizations among children, adolescents, and young adults with nephrotic syndrome. Study Design: A cross-sectional analysis of the Kids' Inpatient Database (KID) database from the Healthcare Cost and Utilization Project (HCUP). The HCUP-KID is an all-payer database of hospital discharges for children, adolescents, and young adults in the United States compiled every 3 years by the Agency for Healthcare Research and Quality. Setting & Participants: HCUP-KID data were obtained for the 2006 and 2009 cohort years. We identified patients by searching discharges for nephrotic syndrome International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes. Predictor: Patient demographics, disease complications in children, adolescents, and young adults hospitalized with nephrotic syndrome. Outcome: Number of hospitalizations, mean charges, and LOS for children, adolescents, and young adults hospitalized with nephrotic syndrome. Results: There were 6,308 hospitalization discharges in children, adolescents, and young adults with a primary or secondary diagnosis of nephrotic syndrome reported by 38 and 44 states in 2006 and 2009, respectively, representing an estimated 9,934 discharges nationally. Nephrotic syndrome resulted in an estimated 48,700 inpatient days and charges totaling $259 million. The mean charge per hospitalization was similar to$26,500 (SE, $1,100) and LOS was 5 days (SE, 0.1). 16% of discharges for nephrotic syndrome had a diagnosis code for at least one severe complication, including thromboembolism (3.6%), septicemia (3.8%), peritonitis (2.6%), pneumonia (5.4%), or diabetes (2.4%). Multivariable analysis showed age 15 years or older, race, higher socioeconomic status, acute renal failure, thromboembolic disease, hypertension, and infections predicted higher mean hospitalization charges. Limitations: The HCUP-KID database collects data on a hospitalization level. Consequently, health care utilization on an individual patient level or in the outpatient environment is not possible. Conclusions: We present a comprehensive description of inpatient health care utilization in children, adolescents, and young adults with nephrotic syndrome. The complications of nephrotic syndrome, including thromboembolism, infection, and hypertension, contribute significantly to these charges. (c) 2013 by the National Kidney Foundation, Inc.
引用
收藏
页码:910 / 917
页数:8
相关论文
共 50 条
  • [31] Dental Care Utilization Among Middle Eastern and North African Children in the United States
    Brown, Kyrah K.
    Dallo, Florence J.
    Kindratt, Tiffany B.
    JOURNAL OF PUBLIC HEALTH DENTISTRY, 2025,
  • [32] Behavioral symptoms of eating disorders among adopted adolescents and young adults in the United States: Findings from the Add Health survey
    Rossman, Setareh M.
    Eddy, Kamryn T.
    Franko, Debra L.
    Rose, Jennifer
    DuBois, Russell
    Weissman, Ruth Striegel
    Dierker, Lisa C.
    Thomas, Jennifer J.
    INTERNATIONAL JOURNAL OF EATING DISORDERS, 2020, 53 (09) : 1515 - 1525
  • [33] Patient Sharing and Health Care Utilization Among Young Adults With Congenital Heart Disease
    Hardy, Rose Y.
    Keller, David
    Gurvitz, Michelle
    McManus, Beth
    Varda, Danielle
    Lindrooth, Richard C.
    MEDICAL CARE RESEARCH AND REVIEW, 2021, 78 (05) : 561 - 571
  • [34] Chronic Insomnia and Health Care Utilization in Young Adults
    Bramoweth, Adam D.
    Taylor, Daniel J.
    BEHAVIORAL SLEEP MEDICINE, 2012, 10 (02) : 106 - 121
  • [35] The effect of inpatient care on measured Health Needs in children and adolescents
    Jacobs, Brian
    Green, Jonathan
    Kroll, Leopold
    Tobias, Catherine
    Dunn, Graham
    Briskman, Jacqueline
    JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2009, 50 (10) : 1273 - 1281
  • [36] Delays in the health care system for children, adolescents, and young adults with bone tumors in Brazil
    Balmant, Nathalie, V
    Silva, Neimar de Paula
    Santos, Marceli de O.
    Reis, Rejane de S.
    de Camargo, Beatriz
    JORNAL DE PEDIATRIA, 2019, 95 (06) : 744 - 751
  • [37] Health Care Utilization Trends Across the Transition Period in a National Cohort of Adolescents and Young Adults With Type 1 Diabetes
    Garvey, Katharine C.
    Finkelstein, Jonathan A.
    Zhang, Fang
    LeCates, Robert
    Laffel, Lori
    Wharam, James F.
    DIABETES CARE, 2022, 45 (11) : 2509 - 2517
  • [38] Prescription patterns for asthma medications in children and adolescents with health care insurance in the United States
    Arellano, Felix M.
    Arana, Alejandro
    Wentworth, Charles E.
    Vidaurre, Carlos Fernandez
    Chipps, Bradley E.
    PEDIATRIC ALLERGY AND IMMUNOLOGY, 2011, 22 (05) : 469 - 476
  • [39] Circumstances and factors associated with accidental deaths among children, adolescents and young adults in Cuiaba, Brazil
    de Godoy Martins, Christine Baccarat
    Prado de Mello-Jorge, Maria Helena
    SAO PAULO MEDICAL JOURNAL, 2013, 131 (04): : 228 - 237
  • [40] Alternatives to inpatient mental health care for children and young people
    Shepperd, Sasha
    Doll, Helen
    Gowers, Simon
    James, Anthony
    Fazel, Mina
    Fitzpatrick, Ray
    Pollock, Jon
    COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2009, (02):