Hospital Resource Utilization for Common Noncardiac Diagnoses in Adult Survivors of Single Cardiac Ventricle

Seckeler, Michael D.; Moe, Tabitha G.; Thomas, I. D.; Meziab, Omar; Andrews, Jennifer; Heller, Elissa; Klewer, Scott E.

doi:10.1016/j.amjcard.2015.09.008

Cited by 15 publications

(5 citation statements)

References 25 publications

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“…They also showed higher utilization in those with severe lesions . In a study of patients with single ventricles compared to age‐matched patients without CHD, patients with single ventricles aged 30‐45 years had longer lengths of stay for noncardiac conditions and they incurred higher costs for treatment . In the surgical realm, Bhatt and colleagues and Kim and colleagues reported that ACHD admissions may disproportionately consume resources and are associated with longer lengths of stay and higher inpatient mortality .…”

Section: Discussionmentioning

confidence: 99%

“…25 In a study of patients with single ventricles compared to age-matched patients without CHD, patients with single ventricles aged 30–45 years had longer lengths of stay for noncardiac conditions and they incurred higher costs for treatment. 26 In the surgical realm, Bhatt and colleagues and Kim and colleagues reported that ACHD admissions may disproportionately consume resources and are associated with longer lengths of stay and higher inpatient mortality. 27,28 In one study of patients with ACHD who died in the hospital, 67% died in the ICU, with 44% mechanically ventilated and 15% undergoing renal replacement therapy at the time of death.…”

Section: Discussionmentioning

confidence: 99%

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Hospital resource utilization and presence of advance directives at the end of life for adults with congenital heart disease

Steiner

Kirkpatrick

Heckbert

et al. 2018

Congenital Heart Disease

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hospital resource utilization and presence of advance directives at the end of life for adults with congenital heart disease

Steiner

Kirkpatrick

Heckbert

et al. 2018

Congenital Heart Disease

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“…The lack of granularity in the coding schemes – for example, detailed anatomic diagnoses or procedures – and the lack of standardised definitions may give a coarse overview of the diagnoses or the patient’s clinical status. Hence, researchers are limited to investigating broad classes of defects such as severe CHD, 3 , 51 simple CHD, 59 univentricular, 19 , 22 , 24 , 26 , 31 , 33 or valvular diseases 58 . More rarely, CHD with an unequivocal definition as coarctation of the aorta, 28 , 47 , 65 or, for example tetralogy of Fallot, 48 have been published specifically.…”

Section: Discussionmentioning

confidence: 99%

Administrative health databases for addressing emerging issues in adults with CHD: a systematic review

et al. 2018

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The need for population-based studies of adults with CHD has motivated the growing use of secondary analyses of administrative health data in a variety of jurisdictions worldwide. We aimed at systematically reviewing all studies using administrative health data sources for adult CHD research from 2006 to 2016. Using PubMed and Embase (1 January, 2006 to 1 January, 2016), we identified 2217 abstracts, from which 59 studies were included in this review. These comprised 12 different data sources from six countries. Of these, 55% originated in the United States of America, 28% in Canada, and 17% in Europe and Asia. No study was published before 2007, after which the number of publications grew exponentially. In all, 41% of the studies were cross-sectional and 25% were retrospective cohort studies with a wide variation in the availability of patient-level compared with hospitalisation-level episodes of care; 58% of studies from eight different data sources linked administrative data at a patient level; and 37% of studies reported validation procedures. Assessing resource utilisation and temporal trends of relevant epidemiological and outcome end points were the most reported objectives. The median impact factor of publication journals was 4.04, with an interquartile range of 3.15, 7.44. Although not designed for research purposes, administrative health databases have become powerful data sources for studying adult CHD populations because of their large sample sizes, comprehensive records, and long observation periods, providing a useful tool to further develop quality of care improvement programmes. Data linkage with electronic records will become important in obtaining more granular life-long adult CHD data. The health services nature of the data optimises the impact on policy and public health.

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“… 7–9 Other patient characteristics influence the cost of care in non-hospital based practices and, within the CHD population, certain subsets of cardiac lesions are associated with increased cost of care due to their complexity. 1 5 6 10 …”

Section: Manuscriptmentioning

confidence: 99%

Congenital heart disease and the cost of mortality

Czosek

Anderson

2016

Open Heart

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Hospital Resource Utilization for Common Noncardiac Diagnoses in Adult Survivors of Single Cardiac Ventricle

Cited by 15 publications

References 25 publications

Hospital resource utilization and presence of advance directives at the end of life for adults with congenital heart disease

Hospital resource utilization and presence of advance directives at the end of life for adults with congenital heart disease

Administrative health databases for addressing emerging issues in adults with CHD: a systematic review

Congenital heart disease and the cost of mortality

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