Charges and resource utilization for pediatric heart transplantation across a positive virtual and/or cytotoxicity crossmatch

2017 ◽  
Vol 22 (1) ◽  
pp. e13095 ◽  
Author(s):  
Shawn C. West ◽  
Steven A. Webber ◽  
Adriana Zeevi ◽  
Susan A. Miller ◽  
Victor O. Morell ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Resource Utilization ◽  
Pediatric Heart Transplantation

Resource Utilization for Initial Hospitalization in Pediatric Heart Transplantation in the United States

2018 ◽  
Vol 121 (8) ◽  
pp. 981-985 ◽  
Author(s):  
Dana M. Boucek ◽  
Ashwin K. Lal ◽  
Aaron W. Eckhauser ◽  
Hsin-Yi Cindy Weng ◽  
Xiaoming Sheng ◽  
...  
Keyword(s):  
United States ◽  
Heart Transplantation ◽  
Resource Utilization ◽  
The United States ◽  
Pediatric Heart Transplantation ◽  
Initial Hospitalization

Abstract 18039: Resource Utilization for Initial Hospitalization in Pediatric Heart Transplantation in the United States

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Dana M Boucek ◽  
Ashwin K Lal ◽  
Nelangi M Pinto ◽  
Hsin-Yi Cindy Weng ◽  
Jacob F Wilkes ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Resource Utilization ◽  
Resource Use ◽  
The United States ◽  
Total Charge ◽  
Factors Associated ◽  
Center Volume ◽  
Event Driven ◽  
Pediatric Heart Transplantation ◽  
Initial Hospitalization

Background: Pediatric heart transplantation (HT) is resource intensive. Event driven pediatric HT databases do not capture data on resource use. The objective of this study was to evaluate resource utilization and identify associated factors during initial hospitalization for pediatric HT in a large multi-institutional cohort. Methods: This is a multicenter retrospective cohort study using the PHIS database (43 US children’s hospitals) of children ≤ 19 years of age who underwent HT between 1/07 and 7/13. Data collected: Demographic variables including site, payer, distance and time to center, clinical pre and post-transplant variables, mortality, cost and charge. Total length of stay (LOS) and charge for initial hospitalization were used as surrogates for resource use. Charges were inflation adjusted to 2013 $. Gamma regression analysis was performed to evaluate factors associated with resource use. Results: Of 1629 subjects, 54% were male, and the median age at HT was 5 years (IQR 0-13). The median total and ICU LOS were 51 (IQR: 23-98) and 23 (IQR: 9-58) days respectively, and mortality occurred in 82 (5%). Total charge and cost for hospitalization were $852,713 ($464,900-$1,609,300) and $383,600 ($214,900-$681,000) respectively. Factors associated with resource use on multivariate analysis are shown in Table 1. Younger age, lower center volume, southern region, and comorbidities prior to HT were associated with higher resource use. In later years, costs increased despite shorter LOS. Conclusions: This large multicenter study provides novel insight into factors associated with resource use in pediatric HT that cannot be assessed in alternative event driven transplant databases. Peri-transplant morbidities are associated with increased cost and LOS. Reducing costs in line with LOS will improve health care value. Regional and center volume differences need further investigation for optimizing value-based care and efficient use of scarce resources.

Neuropsychological Functioning After Pediatric Heart Transplantation

2010 ◽  
Author(s):  
Kelly L. Konopacki ◽  
Jennifer L. Bruno ◽  
Amy M. Wisniewski ◽  
Shelli R. Kesler ◽  
David N. Rosenthal ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Neuropsychological Functioning ◽  
Pediatric Heart Transplantation

Health‐related quality of life after pediatric heart transplantation in early childhood

2020 ◽  
Vol 24 (7) ◽  
Author(s):  
Gonzalo Garcia Guerra ◽  
Gwen Y. Bond ◽  
Ari R. Joffe ◽  
Irina A Dinu ◽  
Morteza Hajihosseini ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Early Childhood ◽  
Heart Transplantation ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Pediatric Heart Transplantation

scholarly journals Neurologic Events Following Pediatric Heart Transplantation

2021 ◽  
Vol 40 (4) ◽  
pp. S198-S199
Author(s):  
A. Power ◽  
J.M. Murray ◽  
J.C. Dykes ◽  
D.N. Rosenthal ◽  
S.A. Hollander
Keyword(s):  
Heart Transplantation ◽  
Pediatric Heart Transplantation
Sign in / Sign up

Export Citation Format

Share Document