TY - JOUR
T1 - Acute Pancreatitis Admission Trends
T2 - A National Estimate through the Kids' Inpatient Database
AU - Abu-El-Haija, Maisam
AU - El-Dika, Samer
AU - Hinton, Alice
AU - Conwell, Darwin L.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2018/3
Y1 - 2018/3
N2 - 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.
AB - 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.
KW - children
KW - database
KW - pancreatitis
UR - http://www.scopus.com/inward/record.url?scp=85035045835&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85035045835&partnerID=8YFLogxK
U2 - 10.1016/j.jpeds.2017.09.061
DO - 10.1016/j.jpeds.2017.09.061
M3 - Article
C2 - 29174078
AN - SCOPUS:85035045835
SN - 0022-3476
VL - 194
SP - 147-151.e1
JO - Journal of Pediatrics
JF - Journal of Pediatrics
ER -