Costs and complications of hospitalizations for children with cerebral palsy.
Costs and complications of hospitalizations for children with cerebral palsy.
复制标题
DOI：
10.1080/13638490500079476
复制
发表时间：
2006-01-01
期刊：
影响因子：
--
通讯作者：
Young, P C
中科院分区：
文献类型：
--
作者：
Murphy, N A;Hoff, C;Young, P C
背景技术背景：虽然许多脑瘫儿童（CP）发展为需要住院治疗的继发性疾病，但这一人群的住院医院利用率尚未得到表征。目的：利用大型国家数据集，描述脑瘫儿童的住院情况，并将其与非脑瘫儿童的住院情况进行比较。对1997年美国医院儿科出院病例的加权调查--医疗保健利用项目儿童住院患者数据库的分析。1997年，37 000名患有脑瘫的儿童住院，产生的费用接近6亿美元。CP患儿住院时间较长（6.3 vs 4.1天，p < 0.001），总费用较高（16，024 vs 9952美元，p < 0.001），诊断次数较多（5.6 vs 3.0，p < 0.001），每次入院的手术次数较多（1.7 vs 1.1，p < 0.001）。五种主要诊断类别占CP患儿出院诊断的83.2%（非CP患儿为48.6%，p < 0.001）。CP儿童更经常转移到其他设施（p < 0.001）或规定的家庭卫生保健（p < 0.001）出院后。结论：CP儿童的住院治疗是卫生保健系统的主要支出。改善CP相关疾病管理的研究可能会为儿童和家庭带来更好的结果，并可能降低与住院相关的费用。
BACKGROUND: Although many children with cerebral palsy (CP) develop secondary conditions requiring hospitalization, in-patient hospital utilization by this population has not been characterized.OBJECTIVE: To characterize hospitalizations in children with CP and to compare them with hospitalizations of those without CP using a large national data set.METHODS: Analysis of the Healthcare Utilization Project Kid Inpatient Database, a weighted survey of paediatric discharges from US hospitals in 1997.RESULTS: In 1997, 37,000 children with CP were hospitalized, generating charges approaching 600 million dollars. Children with CP demonstrated longer lengths of stay (6.3 vs 4.1 days, p < 0.001), higher total charges (16,024 vs 9952 dollars, p < 0.001), more diagnoses (5.6 vs 3.0, p < 0.001) and more procedures (1.7 vs 1.1, p < 0.001) per admission. Five major diagnostic categories accounted for 83.2% of the discharge diagnoses for children with CP (48.6% for those without CP, p < 0.001). Children with CP were more often transferred to other facilities (p < 0.001) or prescribed home health care (p < 0.001) upon discharge.CONCLUSIONS: Hospitalization of children with CP represents a major expenditure for health care systems. Studies to improve the management of conditions associated with CP could result in better outcomes for children and families and potentially decrease costs associated with hospitalization.