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https://www.readbyqxmd.com/read/27903117/risk-factors-associated-with-the-surgical-management-of-craniopharyngiomas-in-pediatric-patients-analysis-of-1961-patients-from-a-national-registry-database
#1
Joshua Bakhsheshian, Diana L Jin, Ki-Eun Chang, Ben A Strickland, Dan A Donoho, Steven Cen, William J Mack, Frank Attenello, Eisha A Christian, Gabriel Zada
OBJECTIVE Patient demographic characteristics, hospital volume, and admission status have been shown to impact surgical outcomes of sellar region tumors in adults; however, the data available following the resection of craniopharyngiomas in the pediatric population remain limited. The authors sought to identify potential risk factors associated with outcomes following surgical management of pediatric craniopharyngiomas. METHODS The Nationwide Inpatient Sample database and Kids' Inpatient Database were analyzed to include admissions for pediatric patients (≤ 18 years) who underwent a transcranial or transsphenoidal craniotomy for resection of a craniopharyngioma...
December 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27890332/impact-of-hospital-transfer-on-surgical-outcomes-of-intestinal-atresia
#2
T Erickson, P G Vana, B A Blanco, S A Brownlee, H N Paddock, P C Kuo, A N Kothari
BACKGROUND: Examine effects of hospital transfer into a quaternary care center on surgical outcomes of intestinal atresia. METHODS: Children <1 yo principally diagnosed with intestinal atresia were identified using the Kids' Inpatient Database (2012). Exposure variable was patient transfer status. Outcomes measured were inpatient mortality, hospital length of stay (LOS) and discharge status. Linearized standard errors, design-based F tests, and multivariable logistic regression were performed...
November 12, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27878447/morbidity-and-healthcare-costs-of-vascular-anomalies-a-national-study
#3
Jina Kim, Zhifei Sun, Harold J Leraas, Uttara P Nag, Ehsan Benrashid, Alexander C Allori, Waleska M Pabon-Ramos, Henry E Rice, Cynthia K Shortell, Elisabeth T Tracy
PURPOSE: This study aimed to define morbidities and costs related to modern-day medical care for children with vascular anomalies. METHODS: We reviewed the 2003-2009 Kids' Inpatient Database for pediatric patients (age < 21 years) hospitalized with hemangioma, arteriovenous malformation (AVM), or lymphatic malformation (LM). Patient characteristics, hospital complications, and hospital charges were compared by vascular anomaly type. Multivariable linear regression modeling was used to determine predictors of increasing hospital costs for patients with AVMs...
November 22, 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27865430/apnea-in-the-otherwise-healthy-term-newborn-national-prevalence-and-utilization-during-the-birth-hospitalization
#4
Jonathan C Levin, Jisun Jang, Lawrence M Rhein
OBJECTIVES: To describe the prevalence of apnea in otherwise healthy term newborns, identify attributable length of stay (LOS) and healthcare utilization (cost) of apnea, and measure hospital variation in attributable LOS and cost of apnea in this population. STUDY DESIGN: We conducted a secondary analysis of a national administrative dataset, the 2012 Kids' Inpatient Database, which included 3.4 million newborn discharges in the US. The birth hospitalizations of approximately 2...
November 17, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27863650/perioperative-considerations-and-complications-in-pediatric-parathyroidectomy
#5
Curtis Hanba, Michael Bobian, Peter F Svider, Anthony Sheyn, Bianca Siegel, Ho-Sheng Lin, S Naweed Raza
OBJECTIVES/HYPOTHESIS: To evaluate perioperative considerations and post-operative complications associated with parathyroidectomy in the pediatric population. METHODS: The Kids' Inpatient Database 21 (KID) was searched for patients who underwent parathyroidectomy in 2009 and 2012. Patient demographics, hospital stay, associated charges, and post-operative adverse sequelae were evaluated in all patients and included patient comorbidity and additional procedure requirement analysis...
December 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27850149/509-ligation-of-patent-ductus-arteriosus-in-neonates-an-analysis-of-kids-inpatient-database
#6
Venkat Raju, Balagangadhar Totapally
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27821192/the-impact-of-femoral-arterial-thrombosis-in-paediatric-cardiac-catheterisation-a-national-study
#7
Jina Kim, Zhifei Sun, Ehsan Benrashid, Kevin W Southerland, Jeffrey H Lawson, Gregory A Fleming, Kevin D Hill, Elisabeth T Tracy
BACKGROUND: Previous studies have identified risk factors for femoral arterial thrombosis after paediatric cardiac catheterisation, but none of them have evaluated the clinical and economic significance of this complication at the population level. Therefore, we examined the national prevalence and economic impact of femoral arterial thrombosis after cardiac catheterisation in children. METHODS: Patients⩽18 years of age who underwent cardiac catheterisation were identified in the 2003-2009 Kids' Inpatient Database...
November 8, 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/27816222/congenital-heart-disease-in-premature-infants-25-32-weeks-gestational-age
#8
Patricia Y Chu, Jennifer S Li, Andrzej S Kosinski, Christoph P Hornik, Kevin D Hill
OBJECTIVE: To determine the birth prevalence of congenital heart defects (CHDs) across the spectrum of common defects in very/extremely premature infants and to compare mortality rates between premature infants with and without CHDs. STUDY DESIGN: The Kids' Inpatient Databases (2003-2012) were used to estimate the birth prevalence of CHDs (excluding patent ductus arteriosus) in very/extremely premature infants born between 25 and 32 weeks' gestational age. Birth prevalence was compared with term infants for a subset of "severe" defects expected to be near universally diagnosed in the neonatal period...
November 3, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27802492/national-trends-in-hospitalizations-for-opioid-poisonings-among-children-and-adolescents-1997-to-2012
#9
Julie R Gaither, John M Leventhal, Sheryl A Ryan, Deepa R Camenga
Importance: National data show a parallel relationship between recent trends in opioid prescribing practices and hospitalizations for opioid poisonings in adults. No similar estimates exist describing hospitalizations for opioid poisonings in children and adolescents. Objective: To describe the incidence and characteristics of hospitalizations attributed to opioid poisonings in children and adolescents. Design, Setting, and Participants: Retrospective analysis of serial cross-sectional data from a nationally representative sample of US pediatric hospital discharge records collected every 3 years from January 1, 1997, through December 31, 2012...
October 31, 2016: JAMA Pediatrics
https://www.readbyqxmd.com/read/27779579/epidemiology-and-outcomes-of-children-with-accidental-hypothermia-a-propensity-matched-study
#10
Abhinav Totapally, Michael Leoncio, Fernando Beltramo, Keith Meyer, Andre Raszynski, Balagangadhar R Totapally
BACKGROUND: The purpose of this study was to explore the epidemiology and outcomes of hospitalized children with a diagnosis of accidental hypothermia. METHODS: The 2012 Kids' Inpatient Database, detailing discharge diagnoses in children admitted to US hospitals, was analyzed using ICD-9-DM codes to filter out relevant patients. Children ages 1 month to 17 years were included in the analysis. Demographic and outcome variables in the hypothermia group were compared with the rest of the patients...
October 25, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27665041/hospitalization-cost-model-of-pediatric-surgical-treatment-of-chiari-type-1-malformation
#11
Sandi K Lam, Rory R Mayer, Thomas G Luerssen, I Wen Pan
OBJECTIVES: To develop a cost model for hospitalization costs of surgery among children with Chiari malformation type 1 (CM-1) and to examine risk factors for increased costs. STUDY DESIGN: Data were extracted from the US National Healthcare Cost and Utilization Project 2009 Kids' Inpatient Database. The study cohort was comprised of patients aged 0-20 years who underwent CM-1 surgery. Patient charges were converted to costs by cost-to-charge ratios. Simple and multivariable generalized linear models were used to construct cost models and to determine factors associated with increased hospital costs of CM-1 surgery...
September 21, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27662382/spine-injuries-in-child-abuse
#12
Julio J Jauregui, Dean C Perfetti, Frank S Cautela, David B Frumberg, Qais Naziri, Carl B Paulino
BACKGROUND: Although rare, spinal injuries associated with abuse can have potentially devastating implications in the pediatric population. We analyzed the association of pediatric spine injury in abused children and determined the anatomic level of the spine affected, while also focusing on patient demographics, length of stay, and total hospital charges compared with spine patients without a diagnosis of abuse. METHODS: A retrospective review of the Kids' Inpatient Database was conducted from 2000 to 2012 to identify pediatric patients (below 18 y) who sustained vertebral column fractures or spinal cord injuries...
September 22, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27637142/cost-varies-with-procedure-type-in-pediatric-gi-foreign-bodies
#13
Rachel S Kennedy, Rebecca A Starker, Kelly A Feldman, Jun Tashiro, Eduardo A Perez, Fernando G Mendoza, Juan E Sola
BACKGROUND/PURPOSE: In pediatric cases of ingested foreign bodies, gastrointestinal foreign bodies (GIFB) have distinct factors contributing to longer and more costly hospitalizations. METHODS: Patients admitted with ingested foreign bodies were identified in the Kids' Inpatient Database (1997-2009). RESULTS: Overall, 7480 cases were identified. Patients were most commonly <5years of age (44%), male (54%), and Caucasian (57%). A total of 2506 procedures were performed, GI surgical procedures (57%) most frequently, followed by GI endoscopy (24%), esophagoscopy (11%), and bronchoscopy - in cases of inhaled objects (9%)...
September 1, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27626904/pediatric-pituitary-resection-characterizing-surgical-approaches-and-complications
#14
Curtis Hanba, Peter F Svider, Mahdi A Shkoukani, Anthony Sheyn, Jeffrey T Jacob, Jean Anderson Eloy, Adam J Folbe
BACKGROUND: Although there has been extensive study evaluating adult pituitary surgery, there has been scant analysis among children. Our objective was to evaluate a population-based resource to characterize nationwide trends in surgical approach, hospital stay, and complications among children undergoing pituitary surgery. METHODS: The Kids' Inpatient-Database (KID) files (2009/2012) were evaluated for pituitary gland excisions. Procedure, patient demographics, length of inpatient stay, inpatient costs, hospital setting, and surgical complications were analyzed...
September 14, 2016: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/27618592/a-national-analysis-of-pediatric-trauma-care-utilization-and-outcomes-in-the-united-states
#15
Sage R Myers, Charles C Branas, Benjamin French, Michael L Nance, Brendan G Carr
OBJECTIVES: More childhood deaths are attributed to trauma than all other causes combined. Our objectives were to provide the first national description of the proportion of injured children treated at pediatric trauma centers (TCs), and to provide clarity to the presumed benefit of pediatric TC verification by comparing injury mortality across hospital types. METHODS: We performed a population-based cohort study using the 2006 Healthcare Cost and Utilization Project Kids Inpatient Database combined with national TC inventories...
September 9, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27618284/financial-loss-for-inpatient-care-of-medicaid-insured-children
#16
Jeffrey D Colvin, Matt Hall, Jay G Berry, Laura M Gottlieb, Jessica L Bettenhausen, Samir S Shah, Evan S Fieldston, Patrick H Conway, Paul J Chung
Importance: Medicaid payments tend to be less than the cost of care. Federal Disproportionate Share Hospital (DSH) payments help hospitals recover such uncompensated costs of Medicaid-insured and uninsured patients. The Patient Protection and Affordable Care Act reduces DSH payments in anticipation of fewer uninsured patients and therefore decreased uncompensated care. However, unlike adults, few hospitalized children are uninsured, while many have Medicaid coverage. Therefore, DSH payment reductions may expose extensive Medicaid financial losses for hospitals serving large absolute numbers of children...
September 12, 2016: JAMA Pediatrics
https://www.readbyqxmd.com/read/27596741/nationwide-epidemiological-survey-of-childhood-iga-vasculitis-associated-hospitalization-in-the-usa
#17
Yusuke Okubo, Kotaro Nochioka, Hiroshi Sakakibara, Hiroshi Hataya, Toshiro Terakawa, Marcia Testa, Robert P Sundel
At the national level, IgA vasculitis-related hospitalizations among children in the USA are scarce. Furthermore, nationwide epidemiology and hospital course of children with IgA vasculitis have not been fully described in the USA, and disparities by race/ethnicity remain unknown. Hospital discharge records of patients aged 19 years or younger were obtained from the 2003, 2006, 2009, and 2012 Kids' Inpatient Database, and they were weighted to estimate the annual hospitalization rates with respect to age, gender, and race/ethnicity in the USA...
November 2016: Clinical Rheumatology
https://www.readbyqxmd.com/read/27574294/pediatric-hospitalizations-for-inflammatory-bowel-disease-based-on-annual-case-volume-results-from-the-kids-inpatient-database-2012
#18
Chaitanya Pant, Abhishek Deshpande, Thomas J Sferra, Osama Almadhoun, Daisy Batista, Asad Pervez, Venkat Nutalapati, Mojtaba Olyaee
To study differences related to pediatric inflammatory bowel disease (IBD) care among hospitals that were stratified based on annual case volume. This is a cross-sectional study using data from the United States Healthcare Cost and Utilization Project Kids' Inpatient Database (KID). IBD-related hospitalizations were identified using International Classification of Diseases-9-Clinical Modification codes. Hospital volume was divided into low or high by assigning cut-off values of 1-20 and >20 annual IBD hospitalizations...
August 29, 2016: Journal of Investigative Medicine: the Official Publication of the American Federation for Clinical Research
https://www.readbyqxmd.com/read/27494548/operative-volume-and-outcomes-of-cerebrovascular-neurosurgery-in-children
#19
Kimon Bekelis, Ian D Connolly, Huy M Do, Omar Choudhri
OBJECTIVE The impact of procedural volume on the outcomes of cerebrovascular surgery in children has not been determined. In this study, the authors investigated the association of operative volume on the outcomes of cerebrovascular neurosurgery in pediatric patients. METHODS The authors performed a cohort study of all pediatric patients who underwent a cerebrovascular procedure between 2003 and 2012 and were registered in the Kids' Inpatient Database (KID). To control for confounding, the authors used multivariable regression models, propensity-score conditioning, and mixed-effects analysis to account for clustering at the hospital level...
August 5, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27488481/the-effect-of-gun-control-laws-on-hospital-admissions-for-children-in-the-united-states
#20
Jun Tashiro, Rebecca S Lane, Lawrence W Blass, Eduardo A Perez, Juan E Sola
BACKGROUND: Gun control laws vary greatly between states within the United States. We hypothesized that states with strict gun laws have lower mortality and resource utilization rates from pediatric firearms-related injury admissions. METHODS: Kids' Inpatient Database (1997-2012) was searched for accidental (E922), self-inflicted (E955), assault (E965), legal intervention-related (E970), or undetermined circumstance (E985) firearm injuries. Patients were younger than 20 years and admitted for their injuries...
October 2016: Journal of Trauma and Acute Care Surgery
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