Abstract 13740: Increasing Prevalence and Hospital Charges in Pediatric Heart Failure Related Hospitalizations in the United States: A Population-Based Study
Introduction: Heart failure admissions and cost have increased dramatically over time among adult patients. However, there are very little data regarding the prevalence and cost of pediatric heart failure hospitalizations.
Hypothesis: The prevalence of pediatric heart failure admissions and hospital charges for those admissions has increased over the 7 year period from 2000 -2006.
Methods: A retrospective analysis of the Healthcare Cost and Utilization Project (HCUP) Kids’ Inpatient Database was performed for pediatric (age ≤ 18 years) heart failure related admissions for the years 2000, 2003, and 2006. The database is a nationwide sampling of pediatric hospital discharges and is weighted to provide national estimates.
Results: In 2000 there were 10,936 (95%CI 9,954 to 14,434) pediatric heart failure related admissions (14.3 per 100,000 children) and in 2006 there were 13,892 (95%CI 11,528 to 16,256) admissions (17.08 per 100,000 children) (p<0.01) (Table). Total hospital charges increased from $697,621,390 ($70,031 per patient) in 2000 to $1,842,582,541 ($137,721 per patient) in 2006 (p<0.01). The hospital mortality was unchanged at 7%. The percentage of patients with cardiomyopathy and myocarditis was stable, while the percentage of patients with congenital heart disease and those undergoing cardiac surgery increased (p<0.01). Hospital length of stay increased, as did morbidities such as sepsis, acute renal failure, respiratory failure, and the use of extracorporeal membrane oxygenation (p<0.01).
Conclusions: There were almost 3,000 more heart failure related hospitalizations in children in 2006 than in 2000 with an increase in total hospital charges of over 1 billion dollars (197% increase per admission). Morbidities and length of stay also increased; however, overall hospital mortality was unchanged. Ongoing study of management strategies is needed to improve the morbidity, mortality, and cost of caring for this complex group of patients.
- © 2010 by American Heart Association, Inc.