Primary operative management for pediatric empyema

Decreases in hospital length of stay and charges in a national sample

Su-Ting Terry Li, Robert L. Gates

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Objective: To determine whether primary operative management (decortication within the first 2 days of hospitalization) decreases hospital length of stay (LOS) and total charges in children with empyema. Design: Retrospective cohort study. Setting: Nationally representative Kids' Inpatient Database for 2003. Participants: Children and adolescents aged 0 to 18 years (hereinafter referred to as children) with empyema. Main Outcome Measures: Hospital LOS and total charges. Results: A total of 1173 children with empyema were identified. Compared with children treated with primary nonoperative management, children treated with primary operative management had a shorter hospital LOS by 4.3 (95% confidence interval [CI], 2.3-6.4) days and lower total hospital charges by $21 179.80 (95% CI, $34 111.12 to -$8248.48) and were less likely to be transferred to another short-term hospital (0% vs 13.3%). In addition, children with primary operative management were less likely to have therapeutic failure (odds ratio, 0.08 [95% CI, 0.04-0.15]). There was no difference in complications between the 2 groups (odds ratio, 1.01 [95% CI, 0.59-1.74]). Conclusion: Primary operative management is associated with decreased LOS, hospital charges, and likelihood of transfer to another short-term hospital, compared with nonoperative management.

Original languageEnglish (US)
Pages (from-to)44-48
Number of pages5
JournalArchives of Pediatrics and Adolescent Medicine
Volume162
Issue number1
DOIs
StatePublished - Jan 2008

Fingerprint

Hospital Charges
Empyema
Length of Stay
Pediatrics
Confidence Intervals
Odds Ratio
Inpatients
Hospitalization
Cohort Studies
Retrospective Studies
Outcome Assessment (Health Care)
Databases

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

@article{2f7bd1d0c05e49468cb23510ed26c3fa,
title = "Primary operative management for pediatric empyema: Decreases in hospital length of stay and charges in a national sample",
abstract = "Objective: To determine whether primary operative management (decortication within the first 2 days of hospitalization) decreases hospital length of stay (LOS) and total charges in children with empyema. Design: Retrospective cohort study. Setting: Nationally representative Kids' Inpatient Database for 2003. Participants: Children and adolescents aged 0 to 18 years (hereinafter referred to as children) with empyema. Main Outcome Measures: Hospital LOS and total charges. Results: A total of 1173 children with empyema were identified. Compared with children treated with primary nonoperative management, children treated with primary operative management had a shorter hospital LOS by 4.3 (95{\%} confidence interval [CI], 2.3-6.4) days and lower total hospital charges by $21 179.80 (95{\%} CI, $34 111.12 to -$8248.48) and were less likely to be transferred to another short-term hospital (0{\%} vs 13.3{\%}). In addition, children with primary operative management were less likely to have therapeutic failure (odds ratio, 0.08 [95{\%} CI, 0.04-0.15]). There was no difference in complications between the 2 groups (odds ratio, 1.01 [95{\%} CI, 0.59-1.74]). Conclusion: Primary operative management is associated with decreased LOS, hospital charges, and likelihood of transfer to another short-term hospital, compared with nonoperative management.",
author = "Li, {Su-Ting Terry} and Gates, {Robert L.}",
year = "2008",
month = "1",
doi = "10.1001/archpediatrics.2007.10",
language = "English (US)",
volume = "162",
pages = "44--48",
journal = "JAMA Pediatrics",
issn = "2168-6203",
publisher = "American Medical Association",
number = "1",

}

TY - JOUR

T1 - Primary operative management for pediatric empyema

T2 - Decreases in hospital length of stay and charges in a national sample

AU - Li, Su-Ting Terry

AU - Gates, Robert L.

PY - 2008/1

Y1 - 2008/1

N2 - Objective: To determine whether primary operative management (decortication within the first 2 days of hospitalization) decreases hospital length of stay (LOS) and total charges in children with empyema. Design: Retrospective cohort study. Setting: Nationally representative Kids' Inpatient Database for 2003. Participants: Children and adolescents aged 0 to 18 years (hereinafter referred to as children) with empyema. Main Outcome Measures: Hospital LOS and total charges. Results: A total of 1173 children with empyema were identified. Compared with children treated with primary nonoperative management, children treated with primary operative management had a shorter hospital LOS by 4.3 (95% confidence interval [CI], 2.3-6.4) days and lower total hospital charges by $21 179.80 (95% CI, $34 111.12 to -$8248.48) and were less likely to be transferred to another short-term hospital (0% vs 13.3%). In addition, children with primary operative management were less likely to have therapeutic failure (odds ratio, 0.08 [95% CI, 0.04-0.15]). There was no difference in complications between the 2 groups (odds ratio, 1.01 [95% CI, 0.59-1.74]). Conclusion: Primary operative management is associated with decreased LOS, hospital charges, and likelihood of transfer to another short-term hospital, compared with nonoperative management.

AB - Objective: To determine whether primary operative management (decortication within the first 2 days of hospitalization) decreases hospital length of stay (LOS) and total charges in children with empyema. Design: Retrospective cohort study. Setting: Nationally representative Kids' Inpatient Database for 2003. Participants: Children and adolescents aged 0 to 18 years (hereinafter referred to as children) with empyema. Main Outcome Measures: Hospital LOS and total charges. Results: A total of 1173 children with empyema were identified. Compared with children treated with primary nonoperative management, children treated with primary operative management had a shorter hospital LOS by 4.3 (95% confidence interval [CI], 2.3-6.4) days and lower total hospital charges by $21 179.80 (95% CI, $34 111.12 to -$8248.48) and were less likely to be transferred to another short-term hospital (0% vs 13.3%). In addition, children with primary operative management were less likely to have therapeutic failure (odds ratio, 0.08 [95% CI, 0.04-0.15]). There was no difference in complications between the 2 groups (odds ratio, 1.01 [95% CI, 0.59-1.74]). Conclusion: Primary operative management is associated with decreased LOS, hospital charges, and likelihood of transfer to another short-term hospital, compared with nonoperative management.

UR - http://www.scopus.com/inward/record.url?scp=38149015374&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=38149015374&partnerID=8YFLogxK

U2 - 10.1001/archpediatrics.2007.10

DO - 10.1001/archpediatrics.2007.10

M3 - Article

VL - 162

SP - 44

EP - 48

JO - JAMA Pediatrics

JF - JAMA Pediatrics

SN - 2168-6203

IS - 1

ER -