Inpatient health care utilization by children and adolescents with systemic lupus erythematosus and kidney involvement.
Inpatient health care utilization by children and adolescents with systemic lupus erythematosus and kidney involvement.
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DOI：
10.1002/acr.21815
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发表时间：
2013-03
影响因子：
4.7
通讯作者：
Gipson, Debbie S.
中科院分区：
文献类型：
--
作者：
Tanzer, Marie;Cheryl Tran;Messer, Kassandra L.;Kroeker, Amber;Herreshoff, Emily;Wickman, Larysa;Harkness, Courtney;Song, Peter;Gipson, Debbie S.
目的评价系统性红斑狼疮(SLE)伴与不伴肾脏疾病患儿的住院医疗服务利用情况。这项分析使用了2000年、2003年和2006年的医疗保健成本和利用项目儿童住院数据库。2006年队列中的系统性红斑狼疮住院患者根据《国际疾病分类，第九版，临床修改代码》确定并分类为有肾脏受累和无肾脏受累的患者。进行分析以检查住院费用的决定因素和费用随时间的变化。在美国，2006年，7390例与系统性红斑狼疮相关的儿科住院治疗产生了2.67亿美元的总费用。在这些患者中，有4193名患者的肾脏受累。有肾脏受累的系统性红斑狼疮患者的平均住院费比没有肾脏受累的患者更高(43,100美元对28,500美元；P<；0.0001)。在多变量分析中，肾脏受累仍然是住院费用的重要预测因素，与人口统计学和医院特征无关(P<；0.0001)。系统性红斑狼疮相关的急性肾功能衰竭、移植和终末期肾脏疾病导致的住院费用比没有肾脏受累的系统性红斑狼疮分别高出74,900美元(P<；0.0001)、32,700美元(P=0.0002)和27,400美元(P<；0.0001)。在美国，2006年有7,000例系统性红斑狼疮儿童住院治疗，其中近57%表现为肾脏受累。肾脏受累是这些儿童住院费用的主要决定因素。这项研究是对系统性红斑狼疮儿童住院医疗服务利用的第一次大规模评估之一。
To evaluate inpatient health care utilization for children with systemic lupus erythematosus (SLE) with and without kidney disease. The Healthcare Cost and Utilization Project Kids’ Inpatient Database for the years 2000, 2003, and 2006 was used for this analysis. SLE hospitalizations from the 2006 cohort were identified and classified as those with versus without kidney involvement by International Classification of Diseases, Ninth Revision, Clinical Modification codes. Analyses were performed to examine determinants of hospitalization charges and changes in charges over time. In the US, 7,390 SLE-related pediatric hospitalizations generated $267 million in total charges in 2006. Of these, 4,193 discharges had kidney involvement. The average hospitalization charge was greater for SLE patients with kidney involvement compared to those without kidney involvement ($43,100 versus $28,500; P < 0.0001). In multivariate analysis, kidney involvement remained a significant predictor of hospitalization charges, independent of demographic and hospital characteristics (P < 0.0001). SLE-associated acute kidney failure, transplant, and end-stage kidney disease resulted in greater hospitalization charges than SLE without kidney involvement by $74,900 (P < 0.0001), $32,700 (P = 0.0002), and $27,400 (P < 0.0001), respectively. In the US, >7,000 hospitalizations occurred in 2006 among children with SLE, with nearly 57% demonstrating kidney involvement. Kidney involvement is a major determinant of hospitalization charges for these children. This study represents one of the first large-scale assessments of in-hospital health care utilization by children with SLE.
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DOI：
10.1002/art.21845
发表时间：
2006-04-15
期刊：
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
影响因子：
--
作者：
Brunner, HI;Sherrard, TM;Klein-Gitelman, MS
通讯作者：
Klein-Gitelman, MS
DOI：
10.2215/cjn.00490109
发表时间：
2009-12-01
影响因子：
9.8
作者：
Gibson, Keisha L.;Gipson, Debbie S.;Hogan, Susan L.
通讯作者：
Hogan, Susan L.
DOI：
10.1002/art.24545
发表时间：
2009-06-15
期刊：
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
影响因子：
--
作者：
Li, Tracy;Carls, Ginger Smith;Goetzel, Ron Z.
通讯作者：
Goetzel, Ron Z.
影响因子：
8.8
作者：
Schneider, James;Khemani, Robinder;Bart, Robert
通讯作者：
Bart, Robert
影响因子：
5.5
作者：
Descloux, Elodie;Durieu, Isabelle;Cimaz, Rolando
通讯作者：
Cimaz, Rolando