, Jeffrey Jacobs, Claudia Steiner, and Marshall Jacobs

Darryl Gray,, Kamal Pourmoghadam,, Alan Hsu, Vivian Dicks,, Jeffrey Jacobs, Claudia Steiner, Marshall Jacobs, Vivian Gail Dicks

Research output: Contribution to journalArticle

Abstract

Congenital Cardiology Solutions E818 JACC March 27, 2012 Volume 59, Issue 13 POPULATION-BASED TRENDS IN PEDIATRIC CARDIAC SURGERY AND INTERVENTIONAL CARDIOLOGY PROCEDURES FROM 1997 THROUGH 2009 IN THE UNITED STATES ACC Moderated Poster Contributions McCormick Place South, Hall A Sunday, March 25, 2012, 11:00 a.m.-Noon Session Title: Congenital Cardiology Solutions: Interventional Solutions Abstract Category: 27. Congenital Cardiology Solutions: Pediatric Presentation Number: 1136-142 Authors: Darryl Gray, Kamal Pourmoghadam, Alan Hsu, Vivian Dicks, Jeffrey Jacobs, Claudia Steiner, Marshall Jacobs, Agency for Healthcare Research and Quality, Rockville, MD, USA Background: The growth and success of treatment for pediatric heart disease highlight the increasing importance of tracking patterns of this care. Methods: Retrospective cross-sectional/cohort study of all-payer inpatient discharges of 0-17 year-olds with ICD-9-CM principal procedure codes for surgery or interventional catheterizations of the heart or great vessels. Data for 1997-2009 came from the Healthcare Cost and Utilization Project (HCUP)’s triennial Kids’ Inpatient Database (KID). The KID uses 10% of uncomplicated inpatient births and 80% of all other pediatric discharges from ~4,000 US sampling frame hospitals to produce robust national estimates. We queried HCUPnet (HCUP’s on-line system) to estimate national procedure volume and outcomes. Results: Inpatient procedure volumes were 30,721 cases (43.3/100,000) in 1997, vs. 29,691 cases (41.0) in 2000, 30,961 cases (42.3) in 2003, 34,434 cases (46.5) in 2006 and 32,127 cases (43.1) in 2009. Mortality fell from 4.6% in 1997 to 3.0% in 2009. Mean length of stay (MLOS) rose from 12.8 to 23.4 days. Total hospital charges (in 2009 dollars) rose from $3.1 to $7.1 billion; estimated hospital costs rose from $1.4 to $2.2 billion. In 1997, private insurance covered 56.5% of discharges, Medicaid covered 33.2%, and 3.1% were uninsured. In 2009, private insurance covered 46.8%. Medicaid cases (45.2%) generated more costs (49.6%); 1.8% were uninsured. Mirroring prior data, the 2009 KID identified 17,972 discharges (421.7/100,000) of 10% of US children) may have been under-represented. Infants had notably higher procedure rates, mortality, MLOS, costs and charges than did 1-17 year-olds. Our findings merit encounter-level study. Downloaded From: http://content.onlinejacc.org/ on 08/01/2013
Original languageEnglish
Pages (from-to)818
JournalJ. Am. Coll. Cardiolo
Volume59
DOIs
StatePublished - Mar 27 2012

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Inpatients
Cardiology
Medicaid
Pediatrics
Insurance
Length of Stay
Databases
Online Systems
Hospital Charges
Costs and Cost Analysis
Posters
Mortality
Hospital Costs
International Classification of Diseases
Cardiac Catheterization
Health Care Costs
Thoracic Surgery
Heart Diseases
Cohort Studies
Cross-Sectional Studies

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Gray, D., Pourmoghadam, K., Hsu, A., Dicks, V., Jacobs, J., Steiner, C., ... Dicks, V. G. (2012). , Jeffrey Jacobs, Claudia Steiner, and Marshall Jacobs. J. Am. Coll. Cardiolo, 59, 818. https://doi.org/10.1016/S0735-1097(12)60819-5

, Jeffrey Jacobs, Claudia Steiner, and Marshall Jacobs. / Gray, Darryl; Pourmoghadam, Kamal; Hsu, Alan; Dicks, Vivian; Jacobs, Jeffrey; Steiner, Claudia; Jacobs, Marshall; Dicks, Vivian Gail.

In: J. Am. Coll. Cardiolo, Vol. 59, 27.03.2012, p. 818.

Research output: Contribution to journalArticle

Gray, D, Pourmoghadam, K, Hsu, A, Dicks, V, Jacobs, J, Steiner, C, Jacobs, M & Dicks, VG 2012, ', Jeffrey Jacobs, Claudia Steiner, and Marshall Jacobs', J. Am. Coll. Cardiolo, vol. 59, pp. 818. https://doi.org/10.1016/S0735-1097(12)60819-5
Gray, D, Pourmoghadam, K, Hsu A, Dicks, V, Jacobs J, Steiner C et al. , Jeffrey Jacobs, Claudia Steiner, and Marshall Jacobs. J. Am. Coll. Cardiolo. 2012 Mar 27;59:818. https://doi.org/10.1016/S0735-1097(12)60819-5
Gray, Darryl ; Pourmoghadam, Kamal ; Hsu, Alan ; Dicks, Vivian ; Jacobs, Jeffrey ; Steiner, Claudia ; Jacobs, Marshall ; Dicks, Vivian Gail. / , Jeffrey Jacobs, Claudia Steiner, and Marshall Jacobs. In: J. Am. Coll. Cardiolo. 2012 ; Vol. 59. pp. 818.
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abstract = "Congenital Cardiology Solutions E818 JACC March 27, 2012 Volume 59, Issue 13 POPULATION-BASED TRENDS IN PEDIATRIC CARDIAC SURGERY AND INTERVENTIONAL CARDIOLOGY PROCEDURES FROM 1997 THROUGH 2009 IN THE UNITED STATES ACC Moderated Poster Contributions McCormick Place South, Hall A Sunday, March 25, 2012, 11:00 a.m.-Noon Session Title: Congenital Cardiology Solutions: Interventional Solutions Abstract Category: 27. Congenital Cardiology Solutions: Pediatric Presentation Number: 1136-142 Authors: Darryl Gray, Kamal Pourmoghadam, Alan Hsu, Vivian Dicks, Jeffrey Jacobs, Claudia Steiner, Marshall Jacobs, Agency for Healthcare Research and Quality, Rockville, MD, USA Background: The growth and success of treatment for pediatric heart disease highlight the increasing importance of tracking patterns of this care. Methods: Retrospective cross-sectional/cohort study of all-payer inpatient discharges of 0-17 year-olds with ICD-9-CM principal procedure codes for surgery or interventional catheterizations of the heart or great vessels. Data for 1997-2009 came from the Healthcare Cost and Utilization Project (HCUP)’s triennial Kids’ Inpatient Database (KID). The KID uses 10{\%} of uncomplicated inpatient births and 80{\%} of all other pediatric discharges from ~4,000 US sampling frame hospitals to produce robust national estimates. We queried HCUPnet (HCUP’s on-line system) to estimate national procedure volume and outcomes. Results: Inpatient procedure volumes were 30,721 cases (43.3/100,000) in 1997, vs. 29,691 cases (41.0) in 2000, 30,961 cases (42.3) in 2003, 34,434 cases (46.5) in 2006 and 32,127 cases (43.1) in 2009. Mortality fell from 4.6{\%} in 1997 to 3.0{\%} in 2009. Mean length of stay (MLOS) rose from 12.8 to 23.4 days. Total hospital charges (in 2009 dollars) rose from $3.1 to $7.1 billion; estimated hospital costs rose from $1.4 to $2.2 billion. In 1997, private insurance covered 56.5{\%} of discharges, Medicaid covered 33.2{\%}, and 3.1{\%} were uninsured. In 2009, private insurance covered 46.8{\%}. Medicaid cases (45.2{\%}) generated more costs (49.6{\%}); 1.8{\%} were uninsured. Mirroring prior data, the 2009 KID identified 17,972 discharges (421.7/100,000) of 10{\%} of US children) may have been under-represented. Infants had notably higher procedure rates, mortality, MLOS, costs and charges than did 1-17 year-olds. Our findings merit encounter-level study. Downloaded From: http://content.onlinejacc.org/ on 08/01/2013",
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