Costs associated with acute kidney injury in critically Ill neonates with patent Ductus arteriosus: pediatric health information system (PHIS) analysis.
J Perinatol
; 42(12): 1669-1673, 2022 12.
Article
em En
| MEDLINE
| ID: mdl-36071104
ABSTRACT
OBJECTIVE:
Compare costs of hospitalization between critically-ill neonates with patent ductus arteriosus (PDA) who did and did not develop acute kidney injury (AKI). STUDYDESIGN:
Using the Children's Hospital Association's Pediatric Health Information System (PHIS) database, we ascertained the marginal estimated total cost of hospitalization between those who did and did not develop AKI.RESULTS:
Query of 49 PHIS centers yielded 14,217 neonates with PDA, 1697 with AKI and 12,520 without AKI. Predictors of cost included AKI, birth weight, ethnicity, race, length of stay (LOS), and Feudtner Complex Chronic Conditions Classification System. LOS was the strongest predictor (AKI median 71 days [IQR 28-130]; No AKI 28 days [10-76]; p < 0.01). Neonates with AKI had $48,416 greater costs (95% CI $43,804-53,227) after adjusting for these predictors (AKI $190,063, 95% CI $183,735-196,610; No AKI $141,647, 95% CI $139,931-143,383 l; p < 0.01).CONCLUSION:
AKI is independently associated with increased hospital costs in critically-ill neonates with PDA.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome da Persistência do Padrão de Circulação Fetal
/
Permeabilidade do Canal Arterial
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Injúria Renal Aguda
/
Sistemas de Informação em Saúde
Tipo de estudo:
Etiology_studies
/
Health_economic_evaluation
/
Observational_studies
/
Risk_factors_studies
Limite:
Child
/
Humans
/
Newborn
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article