Objectives: To examine trends in hospital length of stay and total costs in PID patients. MethOds: The latest available 2015 National Inpatient Sample (NIS) data set of hospital admissions from the Healthcare Cost and Utilization Project was utilized in order to determine the number of hospital admissions for patients with PID (identified by ICD-9 for Q1-Q3 and ICD-10 codes for Q4). The LOS and costs were compared by payer type, race and age groups. Results: Based on our inclusion criteria we found 13,393 admissions, representing 0.155% of all hospitalizations. The mean age was 50.04 years (SD: 25.46, Median 57 years). The overall mean LOS was 8.05 days (SD: 13.61, Median 5 days). Majority of the hospitalizations were in patients age 60+ (46%), followed by age 45-59 (20%). Mean (SD) LOS by age: 0-18: 11 days (SD: 25, n= 1725), 18-45: 7.1 days (SD: 10.98, n= 1696), 45-59: 7.11 days (SD: 10.14, n= 2002) and 60+: 7.39 days (SD: 8.48, n= 4622). The mean LOS by payer: Medicare: 7.22 days (SD: 7.82), Medicaid: 9.99 days (SD: 21.48) and Private: 7.94 days (SD: 13.23). The overall mean charges were $90,602
Isolated mineralocorticoid deficiency is described in a 5-week-old boy. The deficiency progressed to general adrenal insufficiency during the boy's first year of life. The family history suggested X-linked inheritance. At 18 months of age the patient developed acute bilateral infantile striatal necrosis, which might suggest a possible relationship between both entities.
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