Maisam Abu-El-Haija1, Samer El-Dika2, Alice Hinton3, Darwin L Conwell2. 1. Cincinnati Children's Hospital Medical Center, Division of Gastroenterology, Hepatology and Nutrition, Cincinnati, OH. Electronic address: maisam.haija@cchmc.org. 2. Ohio State University Wexner Medical Center, Division of Gastroenterology, Hepatology and Nutrition, Columbus, OH. 3. Ohio State University, College of Public Health, Division of Biostatistics, Columbus, OH.
Abstract
OBJECTIVES: To evaluate national health care use and costs for pediatric acute pancreatitis. STUDY DESIGN: The Kids' Inpatient Database for 2006, 2009, and 2012 was queried for patients with a principal diagnosis of acute pancreatitis. Cases were grouped by age: preschool (<5 years of age), school age (5-14 years of age), and adolescents (>14 years of age). RESULTS: A total of 27 983 discharges for acute pancreatitis were found. The number of admissions increased with age: young n = 1279, middle n = 8012, and older n = 18 692. Duration of stay was highest in preschool children (median, 3.47 days; IQR, 2.01-7.35), compared with school age (median, 3.22 days; IQR, 1.81-5.63) and adolescents (median, 2.87 days; IQR, 1.61-4.81; P < .001). The median cost of hospitalization varied with age: $6726 for preschoolers, $5400 for school-aged children, and $5889 for adolescents (P < .001). Acute pancreatitis-associated diagnoses varied by age. The presence of gallstone pancreatitis, alcohol, and hypertriglyceridemia was more common among older children compared with younger children (P < .001). There was an increasing trend in acute pancreatitis, chronic pancreatitis, and obesity for the 2 older age groups (P < .001). CONCLUSION: Admission of children for acute pancreatitis constitutes a significant healthcare burden, with a rising number of admissions with age. However, the cost and duration of stay per admission are highest in young children.
OBJECTIVES: To evaluate national health care use and costs for pediatric acute pancreatitis. STUDY DESIGN: The Kids' Inpatient Database for 2006, 2009, and 2012 was queried for patients with a principal diagnosis of acute pancreatitis. Cases were grouped by age: preschool (<5 years of age), school age (5-14 years of age), and adolescents (>14 years of age). RESULTS: A total of 27 983 discharges for acute pancreatitis were found. The number of admissions increased with age: young n = 1279, middle n = 8012, and older n = 18 692. Duration of stay was highest in preschool children (median, 3.47 days; IQR, 2.01-7.35), compared with school age (median, 3.22 days; IQR, 1.81-5.63) and adolescents (median, 2.87 days; IQR, 1.61-4.81; P < .001). The median cost of hospitalization varied with age: $6726 for preschoolers, $5400 for school-aged children, and $5889 for adolescents (P < .001). Acute pancreatitis-associated diagnoses varied by age. The presence of gallstone pancreatitis, alcohol, and hypertriglyceridemia was more common among older children compared with younger children (P < .001). There was an increasing trend in acute pancreatitis, chronic pancreatitis, and obesity for the 2 older age groups (P < .001). CONCLUSION: Admission of children for acute pancreatitis constitutes a significant healthcare burden, with a rising number of admissions with age. However, the cost and duration of stay per admission are highest in young children.
Authors: Veronique D Morinville; Sohail Z Husain; Harrison Bai; Bradley Barth; Rabea Alhosh; Peter R Durie; Steven D Freedman; Ryan Himes; Mark E Lowe; John Pohl; Steven Werlin; Michael Wilschanski; Aliye Uc Journal: J Pediatr Gastroenterol Nutr Date: 2012-09 Impact factor: 2.839
Authors: Joseph J Palermo; Tom K Lin; Lindsey Hornung; C Alexander Valencia; Abhinav Mathur; Kimberly Jackson; Lin Fei; Maisam Abu-El-Haija Journal: Pancreas Date: 2016-10 Impact factor: 3.327
Authors: Sarah Jane Schwarzenberg; Melena Bellin; Sohail Z Husain; Monika Ahuja; Bradley Barth; Heather Davis; Peter R Durie; Douglas S Fishman; Steven D Freedman; Cheryl E Gariepy; Matthew J Giefer; Tanja Gonska; Melvin B Heyman; Ryan Himes; Soma Kumar; Veronique D Morinville; Mark E Lowe; Neil E Nuehring; Chee Y Ooi; John F Pohl; David Troendle; Steven L Werlin; Michael Wilschanski; Elizabeth Yen; Aliye Uc Journal: J Pediatr Date: 2014-12-30 Impact factor: 4.406
Authors: Chaitanya Pant; Abhishek Deshpande; Mojtaba Olyaee; Michael P Anderson; Anas Bitar; Marilyn I Steele; Pat F Bass; Thomas J Sferra Journal: PLoS One Date: 2014-05-07 Impact factor: 3.240
Authors: Anna C Gay; Nicolas B Barreto; Sheree M Schrager; Christopher J Russell Journal: J Pediatr Gastroenterol Nutr Date: 2018-08 Impact factor: 2.839
Authors: Maisam Abu-El-Haija; Anna S Gukovskaya; Dana K Andersen; Timothy B Gardner; Peter Hegyi; Stephen J Pandol; Georgios I Papachristou; Ashok K Saluja; Vikesh K Singh; Aliye Uc; Bechien U Wu Journal: Pancreas Date: 2018 Nov/Dec Impact factor: 3.327
Authors: Abdul R Shahein; J Antonio Quiros; Ricardo A Arbizu; Candi Jump; Steven D Lauzon; Susan S Baker Journal: Pediatr Gastroenterol Hepatol Nutr Date: 2020-07-03
Authors: Tom K Lin; Maisam Abu-El-Haija; Jaimie D Nathan; Joseph P Palermo; Bradley Barth; Melena Bellin; Douglas S Fishman; Steven D Freedman; Cheryl E Gariepy; Matthew J Giefer; Tanja Gonska; Melvin B Heyman; Ryan Himes; Sohail Z Husain; Quin Liu; Asim Maqbool; Maria Mascarenhas; Brian McFerron; Veronique D Morinville; Chee Y Ooi; Emily Perito; John F Pohl; Sue Rhee; Sarah Jane Schwarzenberg; Uzma Shah; David Troendle; Steven L Werlin; Michael Wilschanski; M Bridget Zimmerman; Mark E Lowe; Aliye Uc Journal: J Clin Gastroenterol Date: 2019-07 Impact factor: 3.062
Authors: Yaling Yi; Xingshen Sun; Bo Liang; Nan He; Katherine N Gibson-Corley; Andrew W Norris; John F Engelhardt; Aliye Uc Journal: Pancreatology Date: 2021-05-11 Impact factor: 3.977