Hospital characteristics affect outcomes for common pediatric surgical conditions
Appendicitis, hypertrophic pyloric stenosis (HPS), and intussusception are common conditions treated in most hospitals. In which hospital settings are children with these conditions treated? Are there differences in outcomes based on hospital characteristics? Our purpose was to use a nationwide data...
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| Veröffentlicht in: | The American surgeon 2006-08, Vol.72 (8), p.739-745 |
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| creator | COSPER, Graham H HAMANN, Mary Sue STILES, Anquonette NAKAYAMA, Don K |
| description | Appendicitis, hypertrophic pyloric stenosis (HPS), and intussusception are common conditions treated in most hospitals. In which hospital settings are children with these conditions treated? Are there differences in outcomes based on hospital characteristics? Our purpose was to use a nationwide database to address these questions. Data were extracted from Kids' Inpatient Database 2000. Data were queried by International Classification of Diseases procedure code for appendectomy and pyloromyotomy and by diagnosis code for intussusception. Length of stay (LOS) and hospital charges were analyzed based on hospital size, location, teaching status, and specialty designation. There were 73,618 appendectomies, with 5,910 (8%) in children's hospitals. Overall LOS was 3.1 days, and was the longest in children's hospitals (3.9). Overall charges were dollar 10,562, with the highest in children's hospitals (dollar 14,124). There were 11,070 pyloromyotomies, with 2,960 (27%) in children's hospitals. Overall LOS was 2.7 days, the shortest being in children's hospitals (2.5). Overall charges were dollar 7,938, with the highest in children's hospitals (dollar 8,676). There were 2,677 intussusceptions, with 921 (34%) in children's hospitals. Overall LOS was 3.0 days, the shortest being in children's hospitals (2.8). Overall charges were dollar 9,558, with the highest in children's hospitals (dollar 10,844). Most children with appendicitis, HPS, and intussusception are treated in nonspecialty hospitals. HPS (27%) and intussusception (34%) are more likely than appendicitis (8%) to be treated in children's hospitals. Children's hospitals have higher charges for all three conditions despite shorter LOS for HPS and intussusception. |
| doi_str_mv | 10.1177/000313480607200815 |
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In which hospital settings are children with these conditions treated? Are there differences in outcomes based on hospital characteristics? Our purpose was to use a nationwide database to address these questions. Data were extracted from Kids' Inpatient Database 2000. Data were queried by International Classification of Diseases procedure code for appendectomy and pyloromyotomy and by diagnosis code for intussusception. Length of stay (LOS) and hospital charges were analyzed based on hospital size, location, teaching status, and specialty designation. There were 73,618 appendectomies, with 5,910 (8%) in children's hospitals. Overall LOS was 3.1 days, and was the longest in children's hospitals (3.9). Overall charges were dollar 10,562, with the highest in children's hospitals (dollar 14,124). There were 11,070 pyloromyotomies, with 2,960 (27%) in children's hospitals. Overall LOS was 2.7 days, the shortest being in children's hospitals (2.5). Overall charges were dollar 7,938, with the highest in children's hospitals (dollar 8,676). There were 2,677 intussusceptions, with 921 (34%) in children's hospitals. Overall LOS was 3.0 days, the shortest being in children's hospitals (2.8). Overall charges were dollar 9,558, with the highest in children's hospitals (dollar 10,844). Most children with appendicitis, HPS, and intussusception are treated in nonspecialty hospitals. HPS (27%) and intussusception (34%) are more likely than appendicitis (8%) to be treated in children's hospitals. Children's hospitals have higher charges for all three conditions despite shorter LOS for HPS and intussusception.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313480607200815</identifier><identifier>PMID: 16913320</identifier><identifier>CODEN: AMSUAW</identifier><language>eng</language><publisher>Atlanta, GA: Southeastern Surgical Congress</publisher><subject>Appendectomy ; Appendicitis ; Appendicitis - surgery ; Appendix ; Biological and medical sciences ; Child ; Children & youth ; Confidence intervals ; Digestive System Surgical Procedures - statistics & numerical data ; General aspects ; Health care ; Hospitals ; Hospitals, General - statistics & numerical data ; Humans ; Intussusception - surgery ; Medical residencies ; Medical sciences ; Middle Aged ; Outcome Assessment (Health Care) ; Patient Discharge - statistics & numerical data ; Patients ; Physicians ; Pyloric Stenosis - surgery ; Risk factors ; Rural Population ; Surgeons ; United States ; Urban areas ; Urban Population</subject><ispartof>The American surgeon, 2006-08, Vol.72 (8), p.739-745</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright The Southeastern Surgical Congress Aug 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3175-ceb3eca015d81c9d0a5ef39ba1a23d373601f33fdf86b3c142830650bddf9d2c3</citedby><cites>FETCH-LOGICAL-c3175-ceb3eca015d81c9d0a5ef39ba1a23d373601f33fdf86b3c142830650bddf9d2c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18061245$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16913320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>COSPER, Graham H</creatorcontrib><creatorcontrib>HAMANN, Mary Sue</creatorcontrib><creatorcontrib>STILES, Anquonette</creatorcontrib><creatorcontrib>NAKAYAMA, Don K</creatorcontrib><title>Hospital characteristics affect outcomes for common pediatric surgical conditions</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Appendicitis, hypertrophic pyloric stenosis (HPS), and intussusception are common conditions treated in most hospitals. In which hospital settings are children with these conditions treated? Are there differences in outcomes based on hospital characteristics? Our purpose was to use a nationwide database to address these questions. Data were extracted from Kids' Inpatient Database 2000. Data were queried by International Classification of Diseases procedure code for appendectomy and pyloromyotomy and by diagnosis code for intussusception. Length of stay (LOS) and hospital charges were analyzed based on hospital size, location, teaching status, and specialty designation. There were 73,618 appendectomies, with 5,910 (8%) in children's hospitals. Overall LOS was 3.1 days, and was the longest in children's hospitals (3.9). Overall charges were dollar 10,562, with the highest in children's hospitals (dollar 14,124). There were 11,070 pyloromyotomies, with 2,960 (27%) in children's hospitals. Overall LOS was 2.7 days, the shortest being in children's hospitals (2.5). Overall charges were dollar 7,938, with the highest in children's hospitals (dollar 8,676). There were 2,677 intussusceptions, with 921 (34%) in children's hospitals. Overall LOS was 3.0 days, the shortest being in children's hospitals (2.8). Overall charges were dollar 9,558, with the highest in children's hospitals (dollar 10,844). Most children with appendicitis, HPS, and intussusception are treated in nonspecialty hospitals. HPS (27%) and intussusception (34%) are more likely than appendicitis (8%) to be treated in children's hospitals. Children's hospitals have higher charges for all three conditions despite shorter LOS for HPS and intussusception.</description><subject>Appendectomy</subject><subject>Appendicitis</subject><subject>Appendicitis - surgery</subject><subject>Appendix</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Children & youth</subject><subject>Confidence intervals</subject><subject>Digestive System Surgical Procedures - statistics & numerical data</subject><subject>General aspects</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Hospitals, General - statistics & numerical data</subject><subject>Humans</subject><subject>Intussusception - surgery</subject><subject>Medical residencies</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient Discharge - statistics & numerical data</subject><subject>Patients</subject><subject>Physicians</subject><subject>Pyloric Stenosis - 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Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>COSPER, Graham H</au><au>HAMANN, Mary Sue</au><au>STILES, Anquonette</au><au>NAKAYAMA, Don K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospital characteristics affect outcomes for common pediatric surgical conditions</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2006-08</date><risdate>2006</risdate><volume>72</volume><issue>8</issue><spage>739</spage><epage>745</epage><pages>739-745</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><coden>AMSUAW</coden><abstract>Appendicitis, hypertrophic pyloric stenosis (HPS), and intussusception are common conditions treated in most hospitals. In which hospital settings are children with these conditions treated? Are there differences in outcomes based on hospital characteristics? Our purpose was to use a nationwide database to address these questions. Data were extracted from Kids' Inpatient Database 2000. Data were queried by International Classification of Diseases procedure code for appendectomy and pyloromyotomy and by diagnosis code for intussusception. Length of stay (LOS) and hospital charges were analyzed based on hospital size, location, teaching status, and specialty designation. There were 73,618 appendectomies, with 5,910 (8%) in children's hospitals. Overall LOS was 3.1 days, and was the longest in children's hospitals (3.9). Overall charges were dollar 10,562, with the highest in children's hospitals (dollar 14,124). There were 11,070 pyloromyotomies, with 2,960 (27%) in children's hospitals. Overall LOS was 2.7 days, the shortest being in children's hospitals (2.5). Overall charges were dollar 7,938, with the highest in children's hospitals (dollar 8,676). There were 2,677 intussusceptions, with 921 (34%) in children's hospitals. Overall LOS was 3.0 days, the shortest being in children's hospitals (2.8). Overall charges were dollar 9,558, with the highest in children's hospitals (dollar 10,844). Most children with appendicitis, HPS, and intussusception are treated in nonspecialty hospitals. HPS (27%) and intussusception (34%) are more likely than appendicitis (8%) to be treated in children's hospitals. Children's hospitals have higher charges for all three conditions despite shorter LOS for HPS and intussusception.</abstract><cop>Atlanta, GA</cop><pub>Southeastern Surgical Congress</pub><pmid>16913320</pmid><doi>10.1177/000313480607200815</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Appendectomy Appendicitis Appendicitis - surgery Appendix Biological and medical sciences Child Children & youth Confidence intervals Digestive System Surgical Procedures - statistics & numerical data General aspects Health care Hospitals Hospitals, General - statistics & numerical data Humans Intussusception - surgery Medical residencies Medical sciences Middle Aged Outcome Assessment (Health Care) Patient Discharge - statistics & numerical data Patients Physicians Pyloric Stenosis - surgery Risk factors Rural Population Surgeons United States Urban areas Urban Population |
| title | Hospital characteristics affect outcomes for common pediatric surgical conditions |
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