Hospital charges for pediatric heart transplant hospitalizations in the United States from 1997 to 2006

Background Heart transplantation remains a resource-intensive therapy for children. However, data regarding change in costs over time are scarce. We tested the hypothesis that hospital charges for pediatric heart transplant hospitalizations would increase from 1997 to 2006 and assessed factors assoc...

Full description

Saved in:
Bibliographic Details
Published inThe Journal of heart and lung transplantation Vol. 31; no. 5; pp. 485 - 491
Main Authors Law, Sabrina P., MD, Kim, Jeffrey J., MD, Decker, Jamie A., MD, Price, Jack F., MD, Cabrera, Antonio G., MD, Graves, Daniel E., PhD, Morales, David L.S., MD, Heinle, Jeffrey S., MD, Denfield, Susan W., MD, Dreyer, William J., MD, Rossano, Joseph W., MD
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.05.2012
Elsevier
Subjects
Online AccessGet full text

Cover

Loading…
Abstract Background Heart transplantation remains a resource-intensive therapy for children. However, data regarding change in costs over time are scarce. We tested the hypothesis that hospital charges for pediatric heart transplant hospitalizations would increase from 1997 to 2006 and assessed factors associated with hospital charges. Methods A retrospective analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database was performed on admissions surrounding heart transplantation for the years 1997, 2000, 2003, and 2006. The database is a nationwide sampling of pediatric hospital discharges and is weighted to provide national estimates. Results There were 353 (95% confidence interval, 201–505) pediatric heart transplants in 1997 and 355 (95% confidence interval, 226–485) in 2006. Mean hospital charges increased from $279,399 in 1997 to $451,738 in 2006 ( p < 0.001). This increase was similar to that observed for other pediatric surgical diseases. Increases also occurred in morbidities, including pulmonary hypertension ( p = 0.04) and sepsis ( p = 0.04), and in the use of extracorporeal membrane oxygenation ( p = 0.03). On multivariable analysis, greater hospital charges were associated with later calendar year ( p = 0.001), stroke ( p = 0.03), sepsis ( p = 0.001), renal failure ( p = 0.008), arrhythmia ( p = 0.03), and use of extracorporeal membrane oxygenation ( p < 0.001) and ventricular assist device ( p < 0.001). Conclusions From 1997 to 2006, mean charges for pediatric heart transplant hospitalizations increased by > $170,000 (160%). Although greater morbidities in the later years of the study potentially contributed to increased charges, later calendar year was independently associated with increased charges. The changes in charges for heart transplant are similar to the increases seen in other surgical procedures. Ongoing study of management strategies is needed to determine cost-effective therapies for this complex group of patients.
AbstractList Heart transplantation remains a resource-intensive therapy for children. However, data regarding change in costs over time are scarce. We tested the hypothesis that hospital charges for pediatric heart transplant hospitalizations would increase from 1997 to 2006 and assessed factors associated with hospital charges. A retrospective analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database was performed on admissions surrounding heart transplantation for the years 1997, 2000, 2003, and 2006. The database is a nationwide sampling of pediatric hospital discharges and is weighted to provide national estimates. There were 353 (95% confidence interval, 201-505) pediatric heart transplants in 1997 and 355 (95% confidence interval, 226-485) in 2006. Mean hospital charges increased from $279,399 in 1997 to $451,738 in 2006 (p < 0.001). This increase was similar to that observed for other pediatric surgical diseases. Increases also occurred in morbidities, including pulmonary hypertension (p = 0.04) and sepsis (p = 0.04), and in the use of extracorporeal membrane oxygenation (p = 0.03). On multivariable analysis, greater hospital charges were associated with later calendar year (p = 0.001), stroke (p = 0.03), sepsis (p = 0.001), renal failure (p = 0.008), arrhythmia (p = 0.03), and use of extracorporeal membrane oxygenation (p < 0.001) and ventricular assist device (p < 0.001). From 1997 to 2006, mean charges for pediatric heart transplant hospitalizations increased by > $170,000 (160%). Although greater morbidities in the later years of the study potentially contributed to increased charges, later calendar year was independently associated with increased charges. The changes in charges for heart transplant are similar to the increases seen in other surgical procedures. Ongoing study of management strategies is needed to determine cost-effective therapies for this complex group of patients.
BACKGROUNDHeart transplantation remains a resource-intensive therapy for children. However, data regarding change in costs over time are scarce. We tested the hypothesis that hospital charges for pediatric heart transplant hospitalizations would increase from 1997 to 2006 and assessed factors associated with hospital charges.METHODSA retrospective analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database was performed on admissions surrounding heart transplantation for the years 1997, 2000, 2003, and 2006. The database is a nationwide sampling of pediatric hospital discharges and is weighted to provide national estimates.RESULTSThere were 353 (95% confidence interval, 201-505) pediatric heart transplants in 1997 and 355 (95% confidence interval, 226-485) in 2006. Mean hospital charges increased from $279,399 in 1997 to $451,738 in 2006 (p < 0.001). This increase was similar to that observed for other pediatric surgical diseases. Increases also occurred in morbidities, including pulmonary hypertension (p = 0.04) and sepsis (p = 0.04), and in the use of extracorporeal membrane oxygenation (p = 0.03). On multivariable analysis, greater hospital charges were associated with later calendar year (p = 0.001), stroke (p = 0.03), sepsis (p = 0.001), renal failure (p = 0.008), arrhythmia (p = 0.03), and use of extracorporeal membrane oxygenation (p < 0.001) and ventricular assist device (p < 0.001).CONCLUSIONSFrom 1997 to 2006, mean charges for pediatric heart transplant hospitalizations increased by > $170,000 (160%). Although greater morbidities in the later years of the study potentially contributed to increased charges, later calendar year was independently associated with increased charges. The changes in charges for heart transplant are similar to the increases seen in other surgical procedures. Ongoing study of management strategies is needed to determine cost-effective therapies for this complex group of patients.
Background Heart transplantation remains a resource-intensive therapy for children. However, data regarding change in costs over time are scarce. We tested the hypothesis that hospital charges for pediatric heart transplant hospitalizations would increase from 1997 to 2006 and assessed factors associated with hospital charges. Methods A retrospective analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database was performed on admissions surrounding heart transplantation for the years 1997, 2000, 2003, and 2006. The database is a nationwide sampling of pediatric hospital discharges and is weighted to provide national estimates. Results There were 353 (95% confidence interval, 201–505) pediatric heart transplants in 1997 and 355 (95% confidence interval, 226–485) in 2006. Mean hospital charges increased from $279,399 in 1997 to $451,738 in 2006 ( p < 0.001). This increase was similar to that observed for other pediatric surgical diseases. Increases also occurred in morbidities, including pulmonary hypertension ( p = 0.04) and sepsis ( p = 0.04), and in the use of extracorporeal membrane oxygenation ( p = 0.03). On multivariable analysis, greater hospital charges were associated with later calendar year ( p = 0.001), stroke ( p = 0.03), sepsis ( p = 0.001), renal failure ( p = 0.008), arrhythmia ( p = 0.03), and use of extracorporeal membrane oxygenation ( p < 0.001) and ventricular assist device ( p < 0.001). Conclusions From 1997 to 2006, mean charges for pediatric heart transplant hospitalizations increased by > $170,000 (160%). Although greater morbidities in the later years of the study potentially contributed to increased charges, later calendar year was independently associated with increased charges. The changes in charges for heart transplant are similar to the increases seen in other surgical procedures. Ongoing study of management strategies is needed to determine cost-effective therapies for this complex group of patients.
Author Kim, Jeffrey J., MD
Graves, Daniel E., PhD
Heinle, Jeffrey S., MD
Rossano, Joseph W., MD
Cabrera, Antonio G., MD
Morales, David L.S., MD
Dreyer, William J., MD
Price, Jack F., MD
Law, Sabrina P., MD
Denfield, Susan W., MD
Decker, Jamie A., MD
Author_xml – sequence: 1
  fullname: Law, Sabrina P., MD
– sequence: 2
  fullname: Kim, Jeffrey J., MD
– sequence: 3
  fullname: Decker, Jamie A., MD
– sequence: 4
  fullname: Price, Jack F., MD
– sequence: 5
  fullname: Cabrera, Antonio G., MD
– sequence: 6
  fullname: Graves, Daniel E., PhD
– sequence: 7
  fullname: Morales, David L.S., MD
– sequence: 8
  fullname: Heinle, Jeffrey S., MD
– sequence: 9
  fullname: Denfield, Susan W., MD
– sequence: 10
  fullname: Dreyer, William J., MD
– sequence: 11
  fullname: Rossano, Joseph W., MD
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25789508$$DView record in Pascal Francis
https://www.ncbi.nlm.nih.gov/pubmed/22306440$$D View this record in MEDLINE/PubMed
BookMark eNqFkk1v1DAQhi1URL_4Bwj5gjgl-CN2kgsSqmiLVIlD27Pl2JOul6wdbKdS-fU43aVIXDjZh2femXk0p-jIBw8IvaOkpoTKT9t6A3pafM0IpTVlNSHdK3RChWgrTml7VP5E8Io1fXeMTlPaEkIYF-wNOmaME9k05AQ9XIc0u6wnbDY6PkDCY4h4But0js7g0iNmnKP2aZ60z3hz4N0vnV3wCTuP8wbwvXcZLL7NOq8hMeww7fsW54AZIfIcvR71lODt4T1D95df7y6uq5vvV98uvtxUpmlkrmTLmBxYw7gdiBwsSEHLfgKYHo2kYEfRGt1BJ2zfdlaC7SQQM1jdSMb6gZ-hj_vcOYafC6Ssdi4ZmMrsEJak-p4Xe7wjhWz2pIkhpQijmqPb6fikKFGrYbVVe8NqNawoU8VwKXt_aLAMO7AvRX-UFuDDAdDJ6Gks6oxLfznRdr14Dvq856DoeHQQVTIOvCnqI5isbHD_m-TfADM570rPH_AEaRuW6ItqRVUqBep2vYb1GGiJLFMI_huIeLGo
CitedBy_id crossref_primary_10_1097_TP_0000000000002202
crossref_primary_10_1200_JOP_2015_010330
crossref_primary_10_1007_s00246_018_2011_8
crossref_primary_10_1016_j_ahj_2017_08_014
crossref_primary_10_1111_petr_13168
crossref_primary_10_1097_PCC_0000000000000647
crossref_primary_10_1007_s00246_017_1712_8
crossref_primary_10_1097_MAT_0000000000000253
crossref_primary_10_1111_petr_12936
crossref_primary_10_1007_s00467_012_2251_4
crossref_primary_10_1111_petr_12857
crossref_primary_10_1016_j_athoracsur_2017_04_003
crossref_primary_10_1177_2150135112469040
crossref_primary_10_1161_CIRCULATIONAHA_113_003615
crossref_primary_10_1111_petr_13095
crossref_primary_10_1007_s40258_015_0170_9
crossref_primary_10_1111_petr_12685
crossref_primary_10_1097_PCC_0000000000000616
crossref_primary_10_1016_j_amjcard_2018_01_007
crossref_primary_10_1016_j_jtcvs_2018_11_023
crossref_primary_10_1007_s00246_015_1308_0
crossref_primary_10_1097_NNA_0000000000000005
crossref_primary_10_1111_petr_12403
crossref_primary_10_1017_S1047951115002280
crossref_primary_10_1111_epi_12869
crossref_primary_10_1016_j_jpedsurg_2015_01_012
crossref_primary_10_1016_j_cardfail_2018_11_014
Cites_doi 10.1016/j.healun.2005.11.443
10.1161/CIRCULATIONAHA.108.798751
10.1097/01.mlg.0000150698.61624.3c
10.1016/j.cardfail.2008.04.007
10.1016/S0041-1345(00)02813-X
10.1016/j.athoracsur.2010.04.107
10.1001/archoto.2010.38
10.1161/CIRCULATIONAHA.106.179918
10.1016/j.eplepsyres.2009.07.008
10.1161/CIRCOUTCOMES.110.958959
10.1213/ane.0b013e318163feaf
10.1097/HCO.0b013e328345aff4
10.1111/j.1432-2277.2004.00063.x
10.1016/j.healun.2011.08.004
10.1007/s12265-010-9218-2
10.1016/S0002-8703(96)90093-9
10.1542/peds.99.2.175
10.1016/j.healun.2003.11.397
ContentType Journal Article
Copyright International Society for Heart and Lung Transplantation
2012 International Society for Heart and Lung Transplantation
2015 INIST-CNRS
Copyright © 2012 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.
Copyright_xml – notice: International Society for Heart and Lung Transplantation
– notice: 2012 International Society for Heart and Lung Transplantation
– notice: 2015 INIST-CNRS
– notice: Copyright © 2012 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.
DBID IQODW
CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
7X8
DOI 10.1016/j.healun.2011.12.008
DatabaseName Pascal-Francis
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
MEDLINE - Academic
DatabaseTitleList MEDLINE

MEDLINE - Academic

Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
EISSN 1557-3117
EndPage 491
ExternalDocumentID 10_1016_j_healun_2011_12_008
22306440
25789508
S1053249811012575
1_s2_0_S1053249811012575
Genre Journal Article
GeographicLocations United States
North America
America
GeographicLocations_xml – name: United States
GroupedDBID ---
--K
.1-
.FO
.GJ
0R~
123
1B1
1P~
1~5
29K
4.4
457
4G.
53G
5RE
5VS
7-5
71M
AAEDT
AAEDW
AALRI
AAQFI
AAQQT
AAQXK
AAXUO
ABFRF
ABJNI
ABLJU
ABMAC
ABOCM
ACGFO
ACIUM
ADBBV
ADMUD
ADPAM
ADVLN
AEFWE
AENEX
AEVXI
AFCTW
AFJKZ
AFRHN
AFTJW
AITUG
AJUYK
AKRWK
ALMA_UNASSIGNED_HOLDINGS
AMRAJ
ASPBG
AVWKF
AZFZN
BELOY
C5W
CS3
D-I
DU5
EBS
EFJIC
EJD
F5P
FDB
FEDTE
FGOYB
GBLVA
HVGLF
HZ~
IHE
J1W
J5H
KOM
M41
MO0
N9A
NQ-
O9-
OA-
OL.
R2-
RIG
ROL
RPZ
SDG
SEL
SES
SSZ
UV1
XH2
Z5R
ZGI
ZXP
AAIAV
AGZHU
ALXNB
ZA5
ABPTK
IQODW
CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
ACRPL
CITATION
7X8
ID FETCH-LOGICAL-c446t-67226b2423db06bde6512015e2afc61edf57ca8e85d978d6ed86e0cbda46229b3
ISSN 1053-2498
IngestDate Fri Aug 16 07:31:45 EDT 2024
Fri Dec 06 01:03:17 EST 2024
Sat Sep 28 07:57:51 EDT 2024
Sun Oct 22 16:07:24 EDT 2023
Fri Feb 23 02:20:47 EST 2024
Tue Oct 15 22:54:13 EDT 2024
IsPeerReviewed true
IsScholarly true
Issue 5
Keywords health care economics
charges
cost
heart transplantation
pediatrics
Human
Heart
Pediatrics
Transplantation
Hospitalization
Homotransplantation
Phlebology
Treatment
Surgery
Graft
Circulatory system
Hospital
Cardiology
Child
Language English
License CC BY 4.0
Copyright © 2012 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.
https://www.elsevier.com/tdm/userlicense/1.0
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c446t-67226b2423db06bde6512015e2afc61edf57ca8e85d978d6ed86e0cbda46229b3
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
PMID 22306440
PQID 993101380
PQPubID 23479
PageCount 7
ParticipantIDs proquest_miscellaneous_993101380
crossref_primary_10_1016_j_healun_2011_12_008
pubmed_primary_22306440
pascalfrancis_primary_25789508
elsevier_sciencedirect_doi_10_1016_j_healun_2011_12_008
elsevier_clinicalkeyesjournals_1_s2_0_S1053249811012575
PublicationCentury 2000
PublicationDate 2012-05-01
PublicationDateYYYYMMDD 2012-05-01
PublicationDate_xml – month: 05
  year: 2012
  text: 2012-05-01
  day: 01
PublicationDecade 2010
PublicationPlace New York, NY
PublicationPlace_xml – name: New York, NY
– name: United States
PublicationTitle The Journal of heart and lung transplantation
PublicationTitleAlternate J Heart Lung Transplant
PublicationYear 2012
Publisher Elsevier Inc
Elsevier
Publisher_xml – name: Elsevier Inc
– name: Elsevier
References Williams, Weiss, Patel, Nwakanma, Reeb, Conte (bib2) 2008; 14
Morales, Zafar, Rossano (bib13) 2010; 90
(bib5) 2008 and 2009
Odetola, Gebremariam, Davis (bib20) 2010; 11
Gajarski, Towbin, Garson (bib3) 1996; 131
bib15
bib11
Pasquali, Sun, d'Almada (bib22) 2011; 4
Shah, Patel, Lander, Choi (bib8) 2010; 136
Koubeissi, Syed, Syed, Jordan, Alshekhlee, Kossoff (bib9) 2009; 87
Odetola, Gebremariam, Davis (bib12) 2010; 11
Bryant, Steiner, St Louis (bib14) 2010; 3
bib29
Slaughter, Meyer, Birks (bib16) 2011; 26
bib28
Digiorgi, Reel, Thornton, Burton, Naka, Oz (bib17) 2005
Jalowiec, Grady, White-Williams (bib25) 2011
Dayton, Kanter, Vincent, Mahle (bib4) 2006; 25
Day, Gauvreau, Shulman, Newburger (bib6) 2009; 119
Christie, Edwards, Kucheryavaya (bib27) 2011; 30
Stern, Yueh, Lewis, Norton, Sie (bib7) 2005; 115
bib24
Oostenbrink, Kok, Verheul (bib18) 2005; 18
Csete (bib26) 2008; 107
(bib21) 2007; 56
Wall, Fargason, Johnson (bib19) 1997; 99
(bib10) 2008
Rosamond, Flegal, Friday (bib1) 2007; 115
Shireman, Martin, Whiting (bib23) 2001; 33
Oostenbrink (10.1016/j.healun.2011.12.008_bib18) 2005; 18
Pasquali (10.1016/j.healun.2011.12.008_bib22) 2011; 4
Rosamond (10.1016/j.healun.2011.12.008_bib1) 2007; 115
Wall (10.1016/j.healun.2011.12.008_bib19) 1997; 99
(10.1016/j.healun.2011.12.008_bib21) 2007; 56
Odetola (10.1016/j.healun.2011.12.008_bib20) 2010; 11
Morales (10.1016/j.healun.2011.12.008_bib13) 2010; 90
Williams (10.1016/j.healun.2011.12.008_bib2) 2008; 14
Digiorgi (10.1016/j.healun.2011.12.008_bib17) 2005
Koubeissi (10.1016/j.healun.2011.12.008_bib9) 2009; 87
Jalowiec (10.1016/j.healun.2011.12.008_bib25) 2011
(10.1016/j.healun.2011.12.008_bib10) 2008
Csete (10.1016/j.healun.2011.12.008_bib26) 2008; 107
Day (10.1016/j.healun.2011.12.008_bib6) 2009; 119
Christie (10.1016/j.healun.2011.12.008_bib27) 2011; 30
Stern (10.1016/j.healun.2011.12.008_bib7) 2005; 115
Odetola (10.1016/j.healun.2011.12.008_bib12) 2010; 11
Shireman (10.1016/j.healun.2011.12.008_bib23) 2001; 33
Shah (10.1016/j.healun.2011.12.008_bib8) 2010; 136
Dayton (10.1016/j.healun.2011.12.008_bib4) 2006; 25
Bryant (10.1016/j.healun.2011.12.008_bib14) 2010; 3
Slaughter (10.1016/j.healun.2011.12.008_bib16) 2011; 26
(10.1016/j.healun.2011.12.008_bib5) 2008
Gajarski (10.1016/j.healun.2011.12.008_bib3) 1996; 131
References_xml – volume: 26
  start-page: 232
  year: 2011
  end-page: 236
  ident: bib16
  article-title: Destination therapy with left ventricular assist devices: patient selection and outcomes
  publication-title: Curr Opin Cardiol
  contributor:
    fullname: Birks
– volume: 33
  start-page: 1920
  year: 2001
  end-page: 1921
  ident: bib23
  article-title: The cost of transplant graft maintenance following solid organ transplantation
  publication-title: Transplant Proc
  contributor:
    fullname: Whiting
– volume: 3
  start-page: 612
  year: 2010
  end-page: 617
  ident: bib14
  article-title: Current use of the EXCOR pediatric ventricular assist device
  publication-title: J Cardiovasc Transl Res
  contributor:
    fullname: St Louis
– volume: 18
  start-page: 437
  year: 2005
  end-page: 443
  ident: bib18
  article-title: A comparative study of resource use and costs of renal, liver and heart transplantation
  publication-title: Transpl Int
  contributor:
    fullname: Verheul
– volume: 87
  start-page: 47
  year: 2009
  end-page: 53
  ident: bib9
  article-title: Hemispherectomy-associated complications from the Kids' Inpatient Database
  publication-title: Epilepsy Res
  contributor:
    fullname: Kossoff
– ident: bib11
– volume: 115
  start-page: 125
  year: 2005
  end-page: 131
  ident: bib7
  article-title: Recent epidemiology of pediatric cochlear implantation in the United States: disparity among children of different ethnicity and socioeconomic status
  publication-title: Laryngoscope
  contributor:
    fullname: Sie
– year: 2008 and 2009
  ident: bib5
  article-title: HCUP Kids' Inpatient Database (KID)
– volume: 90
  start-page: 1313
  year: 2010
  end-page: 1318
  ident: bib13
  article-title: Use of ventricular assist devices in children across the United States: analysis of 7.5 million pediatric hospitalizations
  publication-title: Ann Thorac Surg
  contributor:
    fullname: Rossano
– volume: 56
  start-page: 25
  year: 2007
  end-page: 29
  ident: bib21
  article-title: Hospital stays, hospital charges, and in-hospital deaths among infants with selected birth defects—United States, 2003
  publication-title: MMWR Morb Mortal Wkly Rep
– volume: 99
  start-page: 175
  year: 1997
  end-page: 179
  ident: bib19
  article-title: Comparison of inpatient charges between academic and nonacademic services in a children's hospital
  publication-title: Pediatrics
  contributor:
    fullname: Johnson
– start-page: 200
  year: 2005
  end-page: 204
  ident: bib17
  article-title: Heart transplant and left ventricular assist device costs
  publication-title: J Heart Lung Transplant
  contributor:
    fullname: Oz
– start-page: 283
  year: 2008
  end-page: 343
  ident: bib10
  article-title: Coders' desk reference for ICD-9-CM procedures
– ident: bib28
  article-title: Guidelines for ensuring the quality of information disseminated to the public agency for healthcare research and quality
– ident: bib24
– volume: 11
  start-page: 457
  year: 2010
  end-page: 463
  ident: bib20
  article-title: Comorbid illnesses among critically ill hospitalized children: Impact on hospital resource use and mortality, 1997-2006
  publication-title: Pediatr Crit Care Med
  contributor:
    fullname: Davis
– volume: 25
  start-page: 409
  year: 2006
  end-page: 415
  ident: bib4
  article-title: Cost-effectiveness of pediatric heart transplantation
  publication-title: J Heart Lung Transplant
  contributor:
    fullname: Mahle
– volume: 131
  start-page: 1169
  year: 1996
  end-page: 1174
  ident: bib3
  article-title: Fontan palliation versus heart transplantation: a comparison of charges
  publication-title: Am Heart J
  contributor:
    fullname: Garson
– ident: bib15
  article-title: Pumps for Kids, Infants and Neonates (PumpKIN)
– year: 2011
  ident: bib25
  article-title: First-year clinical outcomes in sex-mismatched heart transplant recipients
  publication-title: J Cardiovasc Nurs
  contributor:
    fullname: White-Williams
– volume: 136
  start-page: 373
  year: 2010
  end-page: 379
  ident: bib8
  article-title: Management of foreign bodies obstructing the airway in children
  publication-title: Arch Otolaryngol Head Neck Surg
  contributor:
    fullname: Choi
– volume: 30
  start-page: 1104
  year: 2011
  end-page: 1122
  ident: bib27
  article-title: The Registry of the International Society for Heart and Lung Transplantation: twenty-eighth adult lung and heart-lung transplant report–2011
  publication-title: J Heart Lung Transplant
  contributor:
    fullname: Kucheryavaya
– volume: 14
  start-page: 547
  year: 2008
  end-page: 554
  ident: bib2
  article-title: Surgical ventricular restoration versus cardiac transplantation: a comparison of cost, outcomes, and survival
  publication-title: J Card Fail
  contributor:
    fullname: Conte
– ident: bib29
  article-title: Transplants by donor type
– volume: 115
  start-page: e169
  year: 2007
  end-page: e171
  ident: bib1
  article-title: Heart disease and stroke statistics—2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
  publication-title: Circulation
  contributor:
    fullname: Friday
– volume: 11
  start-page: 457
  year: 2010
  end-page: 463
  ident: bib12
  article-title: Comorbid illnesses among critically ill hospitalized children: impact on hospital resource use and mortality, 1997-2006
  publication-title: Pediatr Crit Care Med
  contributor:
    fullname: Davis
– volume: 107
  start-page: 232
  year: 2008
  end-page: 238
  ident: bib26
  article-title: Gender issues in transplantation
  publication-title: Anesth Analg
  contributor:
    fullname: Csete
– volume: 119
  start-page: 865
  year: 2009
  end-page: 870
  ident: bib6
  article-title: Characteristics of children hospitalized with infective endocarditis
  publication-title: Circulation
  contributor:
    fullname: Newburger
– volume: 4
  start-page: 306
  year: 2011
  end-page: 312
  ident: bib22
  article-title: Center variation in hospital costs for patients undergoing congenital heart surgery
  publication-title: Circ Cardiovasc Qual Outcomes
  contributor:
    fullname: d'Almada
– volume: 25
  start-page: 409
  year: 2006
  ident: 10.1016/j.healun.2011.12.008_bib4
  article-title: Cost-effectiveness of pediatric heart transplantation
  publication-title: J Heart Lung Transplant
  doi: 10.1016/j.healun.2005.11.443
  contributor:
    fullname: Dayton
– start-page: 283
  year: 2008
  ident: 10.1016/j.healun.2011.12.008_bib10
  article-title: Coders' desk reference for ICD-9-CM procedures
– volume: 11
  start-page: 457
  year: 2010
  ident: 10.1016/j.healun.2011.12.008_bib12
  article-title: Comorbid illnesses among critically ill hospitalized children: impact on hospital resource use and mortality, 1997-2006
  publication-title: Pediatr Crit Care Med
  contributor:
    fullname: Odetola
– volume: 119
  start-page: 865
  year: 2009
  ident: 10.1016/j.healun.2011.12.008_bib6
  article-title: Characteristics of children hospitalized with infective endocarditis
  publication-title: Circulation
  doi: 10.1161/CIRCULATIONAHA.108.798751
  contributor:
    fullname: Day
– volume: 115
  start-page: 125
  year: 2005
  ident: 10.1016/j.healun.2011.12.008_bib7
  article-title: Recent epidemiology of pediatric cochlear implantation in the United States: disparity among children of different ethnicity and socioeconomic status
  publication-title: Laryngoscope
  doi: 10.1097/01.mlg.0000150698.61624.3c
  contributor:
    fullname: Stern
– volume: 14
  start-page: 547
  year: 2008
  ident: 10.1016/j.healun.2011.12.008_bib2
  article-title: Surgical ventricular restoration versus cardiac transplantation: a comparison of cost, outcomes, and survival
  publication-title: J Card Fail
  doi: 10.1016/j.cardfail.2008.04.007
  contributor:
    fullname: Williams
– volume: 33
  start-page: 1920
  year: 2001
  ident: 10.1016/j.healun.2011.12.008_bib23
  article-title: The cost of transplant graft maintenance following solid organ transplantation
  publication-title: Transplant Proc
  doi: 10.1016/S0041-1345(00)02813-X
  contributor:
    fullname: Shireman
– volume: 90
  start-page: 1313
  year: 2010
  ident: 10.1016/j.healun.2011.12.008_bib13
  article-title: Use of ventricular assist devices in children across the United States: analysis of 7.5 million pediatric hospitalizations
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2010.04.107
  contributor:
    fullname: Morales
– volume: 136
  start-page: 373
  year: 2010
  ident: 10.1016/j.healun.2011.12.008_bib8
  article-title: Management of foreign bodies obstructing the airway in children
  publication-title: Arch Otolaryngol Head Neck Surg
  doi: 10.1001/archoto.2010.38
  contributor:
    fullname: Shah
– volume: 115
  start-page: e169
  year: 2007
  ident: 10.1016/j.healun.2011.12.008_bib1
  article-title: Heart disease and stroke statistics—2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
  publication-title: Circulation
  doi: 10.1161/CIRCULATIONAHA.106.179918
  contributor:
    fullname: Rosamond
– volume: 87
  start-page: 47
  year: 2009
  ident: 10.1016/j.healun.2011.12.008_bib9
  article-title: Hemispherectomy-associated complications from the Kids' Inpatient Database
  publication-title: Epilepsy Res
  doi: 10.1016/j.eplepsyres.2009.07.008
  contributor:
    fullname: Koubeissi
– volume: 4
  start-page: 306
  year: 2011
  ident: 10.1016/j.healun.2011.12.008_bib22
  article-title: Center variation in hospital costs for patients undergoing congenital heart surgery
  publication-title: Circ Cardiovasc Qual Outcomes
  doi: 10.1161/CIRCOUTCOMES.110.958959
  contributor:
    fullname: Pasquali
– volume: 107
  start-page: 232
  year: 2008
  ident: 10.1016/j.healun.2011.12.008_bib26
  article-title: Gender issues in transplantation
  publication-title: Anesth Analg
  doi: 10.1213/ane.0b013e318163feaf
  contributor:
    fullname: Csete
– volume: 26
  start-page: 232
  year: 2011
  ident: 10.1016/j.healun.2011.12.008_bib16
  article-title: Destination therapy with left ventricular assist devices: patient selection and outcomes
  publication-title: Curr Opin Cardiol
  doi: 10.1097/HCO.0b013e328345aff4
  contributor:
    fullname: Slaughter
– volume: 18
  start-page: 437
  year: 2005
  ident: 10.1016/j.healun.2011.12.008_bib18
  article-title: A comparative study of resource use and costs of renal, liver and heart transplantation
  publication-title: Transpl Int
  doi: 10.1111/j.1432-2277.2004.00063.x
  contributor:
    fullname: Oostenbrink
– volume: 11
  start-page: 457
  year: 2010
  ident: 10.1016/j.healun.2011.12.008_bib20
  article-title: Comorbid illnesses among critically ill hospitalized children: Impact on hospital resource use and mortality, 1997-2006
  publication-title: Pediatr Crit Care Med
  contributor:
    fullname: Odetola
– year: 2011
  ident: 10.1016/j.healun.2011.12.008_bib25
  article-title: First-year clinical outcomes in sex-mismatched heart transplant recipients
  publication-title: J Cardiovasc Nurs
  contributor:
    fullname: Jalowiec
– volume: 30
  start-page: 1104
  year: 2011
  ident: 10.1016/j.healun.2011.12.008_bib27
  article-title: The Registry of the International Society for Heart and Lung Transplantation: twenty-eighth adult lung and heart-lung transplant report–2011
  publication-title: J Heart Lung Transplant
  doi: 10.1016/j.healun.2011.08.004
  contributor:
    fullname: Christie
– volume: 56
  start-page: 25
  year: 2007
  ident: 10.1016/j.healun.2011.12.008_bib21
  article-title: Hospital stays, hospital charges, and in-hospital deaths among infants with selected birth defects—United States, 2003
  publication-title: MMWR Morb Mortal Wkly Rep
– volume: 3
  start-page: 612
  year: 2010
  ident: 10.1016/j.healun.2011.12.008_bib14
  article-title: Current use of the EXCOR pediatric ventricular assist device
  publication-title: J Cardiovasc Transl Res
  doi: 10.1007/s12265-010-9218-2
  contributor:
    fullname: Bryant
– volume: 131
  start-page: 1169
  year: 1996
  ident: 10.1016/j.healun.2011.12.008_bib3
  article-title: Fontan palliation versus heart transplantation: a comparison of charges
  publication-title: Am Heart J
  doi: 10.1016/S0002-8703(96)90093-9
  contributor:
    fullname: Gajarski
– volume: 99
  start-page: 175
  year: 1997
  ident: 10.1016/j.healun.2011.12.008_bib19
  article-title: Comparison of inpatient charges between academic and nonacademic services in a children's hospital
  publication-title: Pediatrics
  doi: 10.1542/peds.99.2.175
  contributor:
    fullname: Wall
– year: 2008
  ident: 10.1016/j.healun.2011.12.008_bib5
– start-page: 200
  year: 2005
  ident: 10.1016/j.healun.2011.12.008_bib17
  article-title: Heart transplant and left ventricular assist device costs
  publication-title: J Heart Lung Transplant
  doi: 10.1016/j.healun.2003.11.397
  contributor:
    fullname: Digiorgi
SSID ssj0002352
Score 2.2209256
Snippet Background Heart transplantation remains a resource-intensive therapy for children. However, data regarding change in costs over time are scarce. We tested the...
Heart transplantation remains a resource-intensive therapy for children. However, data regarding change in costs over time are scarce. We tested the hypothesis...
BACKGROUNDHeart transplantation remains a resource-intensive therapy for children. However, data regarding change in costs over time are scarce. We tested the...
SourceID proquest
crossref
pubmed
pascalfrancis
elsevier
SourceType Aggregation Database
Index Database
Publisher
StartPage 485
SubjectTerms Adolescent
Arrhythmias, Cardiac - epidemiology
Biological and medical sciences
Cardiology. Vascular system
charges
Child
Child, Preschool
Comorbidity
cost
Female
health care economics
heart transplantation
Heart Transplantation - economics
Hospital Charges - statistics & numerical data
Hospital Charges - trends
Hospitalization - economics
Hospitals, Pediatric - economics
Humans
Infant
Male
Medical sciences
pediatrics
Retrospective Studies
Sepsis - epidemiology
Stroke - epidemiology
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
United States
Young Adult
Title Hospital charges for pediatric heart transplant hospitalizations in the United States from 1997 to 2006
URI https://www.clinicalkey.es/playcontent/1-s2.0-S1053249811012575
https://dx.doi.org/10.1016/j.healun.2011.12.008
https://www.ncbi.nlm.nih.gov/pubmed/22306440
https://search.proquest.com/docview/993101380
Volume 31
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bb9MwGLWq7gUJIRC3cpn8wFuUKhfHSR8rYJo6hBBsYm-W47jQqUurJnnh_-x_7vtiO0k3BoyXqMrFSX2O7WP7uxDyDmiSaZ7OoCEtZzBBYdqXeRD7Ki7CWQLtKdZttM_P_PiMLc6T89HoamC11NT5VP36rV_J_6AK5wBX9JK9B7JdoXACfgO-cASE4fhPGLukH14b70i3oRW8rUu-gSJwV2MSiLLarqEGvZ_2fud76Ywc94Sn8ThpLUNAl-JawFDA9q5ka6szd8ZGfd2YhBP2XXsb_J-k2UCS-W5VSu_LtN_5vxy4k3mL7sIH7cw9FvJypb15d6XLU4_RAbyj6XDZAu0_nJGg7Wmh9fsw98uGXXEcDiiXDPpVZvL62CGamQRft3p_sxBxMUWN3ZQmPiuu9QZZP9q5Hf4bg2Bnmuis3i6EKUVgKSKMROtSfoDxFtmYHMxPvn4_6Yb8KE7Mtrr9T85HszUkvP01d2mgh1tZQctcmpQqd895Wu1z-pg8snjTuWHgEzLS5VPyw7GPWvZRYB_t2EdbatCeEfQm--iqpMA-athHDfsoso8i-2i9oci-Z-Ts6OPp-2Pfpu3wFWO89nkKkj5HnV7kAc8LzUFUgurUkVwqHupimaRKZjpLilmaFVwXGdeBygvJeBTN8vg5GZebUr8kNGQpzqhZpljKIq1ydNsOuZKguwsVqQnxXUWKrYnOIv4E4ISkrraF8zyGsVJXtlFXIhQV3Cm-IZSIZIjx72BKM3zSalOjOQWQ7y_vPNyDtftQHCwxB_OEUIezgL4dN-xkqTdNJWDuEKIlQTAhLwz-_cPt0gELXt2zBl6TB31rfEPG9a7Rb0FW1_mhJfU1iRrNEA
link.rule.ids 314,780,784,27924,27925
linkProvider Library Specific Holdings
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Hospital+charges+for+pediatric+heart+transplant+hospitalizations+in+the+United+States+from+1997+to+2006&rft.jtitle=The+Journal+of+heart+and+lung+transplantation&rft.au=Law%2C+Sabrina+P.&rft.au=Kim%2C+Jeffrey+J.&rft.au=Decker%2C+Jamie+A.&rft.au=Price%2C+Jack+F.&rft.date=2012-05-01&rft.issn=1053-2498&rft.volume=31&rft.issue=5&rft.spage=485&rft.epage=491&rft_id=info:doi/10.1016%2Fj.healun.2011.12.008&rft.externalDBID=n%2Fa&rft.externalDocID=10_1016_j_healun_2011_12_008
thumbnail_m http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fcdn.clinicalkey.com%2Fck-thumbnails%2F10532498%2FS1053249812X00068%2Fcov150h.gif