Mortality-related resource utilization in the inpatient care of hypoplastic left heart syndrome View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2015-12

AUTHORS

David A. Danford, Quentin Karels, Aparna Kulkarni, Aysha Hussain, Yunbin Xiao, Shelby Kutty

ABSTRACT

BACKGROUND: Quantifying resource utilization in the inpatient care of congenital heart diease is clinically relevant. Our purpose is to measure the investment of inpatient care resources to achieve survival in hypoplastic left heart syndrome (HLHS), and to determine how much of that investment occurs in hospitalizations that have a fatal outcome, the mortality-related resource utilization fraction (MRRUF). METHODS: A collaborative administrative database, the Pediatric Health Information System (PHIS) containing data for 43 children's hospitals, was queried by primary diagnosis for HLHS admissions of patients ≤21 years old during 2004-2013. Institution, patient age, inpatient deaths, billed charges (BC) and length of stay (LOS) were recorded. RESULTS: In all, 11,122 HLHS admissions were identified which account for total LOS of 277,027 inpatient-days and $3,928,794,660 in BC. There were 1145 inpatient deaths (10.3%). LOS was greater among inpatient deaths than among patients discharged alive (median 17 vs. 12, p < 0.0001). BC were greater among inpatient deaths than among patients discharged alive (median 4.09 × 10(5) vs. 1.63 × 10(5), p < 0.0001). 16% of all LOS and 21% of all BC were accrued by patients who did not survive their hospitalization. These proportions showed no significant change year-by-year. The highest volume institutions had lower mortality rates, but there was no relation between institutional volume and the MRRUF. CONCLUSIONS: These data should alert providers and consumers that current practices often result in major resource expenditure for inpatient care of HLHS that does not result in survival to hospital dismissal. They highlight the need for data-driven critical review of standard practices to identify patterns of care associated with success, and to modify approaches objectively. More... »

PAGES

137

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13023-015-0355-1

DOI

http://dx.doi.org/10.1186/s13023-015-0355-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1042467237

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26494006


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adolescent", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Child", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Child, Preschool", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Health Resources", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hospital Mortality", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hospitalization", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hypoplastic Left Heart Syndrome", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Infant", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Infant, Newborn", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Length of Stay", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Mortality", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Young Adult", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "University of Nebraska Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.266813.8", 
          "name": [
            "University of Nebraska Medical Center and Children\u2019s Hospital and Medical Center, 8200 Dodge St, 68114, Omaha, NE, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Danford", 
        "givenName": "David A.", 
        "id": "sg:person.0662607556.21", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0662607556.21"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Nebraska Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.266813.8", 
          "name": [
            "University of Nebraska Medical Center and Children\u2019s Hospital and Medical Center, 8200 Dodge St, 68114, Omaha, NE, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Karels", 
        "givenName": "Quentin", 
        "id": "sg:person.01254067301.62", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01254067301.62"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Albert Einstein College of Medicine", 
          "id": "https://www.grid.ac/institutes/grid.251993.5", 
          "name": [
            "Division of Pediatric Cardiology, Albert Einstein College of Medicine, Bronx, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kulkarni", 
        "givenName": "Aparna", 
        "id": "sg:person.01322202501.49", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01322202501.49"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Nebraska Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.266813.8", 
          "name": [
            "University of Nebraska Medical Center and Children\u2019s Hospital and Medical Center, 8200 Dodge St, 68114, Omaha, NE, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hussain", 
        "givenName": "Aysha", 
        "id": "sg:person.01370315701.04", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01370315701.04"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Nebraska Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.266813.8", 
          "name": [
            "University of Nebraska Medical Center and Children\u2019s Hospital and Medical Center, 8200 Dodge St, 68114, Omaha, NE, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Xiao", 
        "givenName": "Yunbin", 
        "id": "sg:person.01064544132.91", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01064544132.91"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Nebraska Medical Center", 
          "id": "https://www.grid.ac/institutes/grid.266813.8", 
          "name": [
            "University of Nebraska Medical Center and Children\u2019s Hospital and Medical Center, 8200 Dodge St, 68114, Omaha, NE, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kutty", 
        "givenName": "Shelby", 
        "id": "sg:person.01325513730.96", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01325513730.96"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1016/j.amjcard.2012.04.050", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000397639"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/circulationaha.113.007764", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007271380"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/circulationaha.113.007764", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007271380"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/circulationaha.113.007764", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007271380"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/1475-6773.12120", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008491177"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2012-0486", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008758825"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1017/s1047951113000127", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010075353"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/circoutcomes.111.963223", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010889670"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/circoutcomes.111.963223", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010889670"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jtcvs.2011.01.030", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014194134"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jtcvs.2012.05.020", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015831034"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1038/jp.2012.72", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017825221", 
          "https://doi.org/10.1038/jp.2012.72"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00246-013-0679-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019294134", 
          "https://doi.org/10.1007/s00246-013-0679-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1017/s1047951111001715", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1022723402"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/jaha.113.000256", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025658371"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jtcvs.2011.12.039", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026593650"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jacc.2011.09.022", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028206163"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2010-3742", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030630245"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/circoutcomes.110.958959", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034966207"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1161/circoutcomes.110.958959", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034966207"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jtcvs.2013.12.019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035784961"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00246-012-0455-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036075412", 
          "https://doi.org/10.1007/s00246-012-0455-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1017/s1047951111001739", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038803231"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/pcc.0b013e31829b1a88", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039446109"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/pcc.0b013e31829b1a88", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039446109"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1017/s1047951105001368", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042413516"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1017/s1047951105001368", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042413516"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00246-013-0747-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1043135078", 
          "https://doi.org/10.1007/s00246-013-0747-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.amjcard.2013.02.039", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045066669"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/ejcts/ezu299", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045211548"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.114.2.e160", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1067822964"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2004-2071", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1067824017"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2009-1678", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1067827951"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1542/peds.2009-3266", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1067828197"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2015-12", 
    "datePublishedReg": "2015-12-01", 
    "description": "BACKGROUND: Quantifying resource utilization in the inpatient care of congenital heart diease is clinically relevant. Our purpose is to measure the investment of inpatient care resources to achieve survival in hypoplastic left heart syndrome (HLHS), and to determine how much of that investment occurs in hospitalizations that have a fatal outcome, the mortality-related resource utilization fraction (MRRUF).\nMETHODS: A collaborative administrative database, the Pediatric Health Information System (PHIS) containing data for 43 children's hospitals, was queried by primary diagnosis for HLHS admissions of patients \u226421 years old during 2004-2013. Institution, patient age, inpatient deaths, billed charges (BC) and length of stay (LOS) were recorded.\nRESULTS: In all, 11,122 HLHS admissions were identified which account for total LOS of 277,027 inpatient-days and $3,928,794,660 in BC. There were 1145 inpatient deaths (10.3%). LOS was greater among inpatient deaths than among patients discharged alive (median 17 vs. 12, p\u2009<\u20090.0001). BC were greater among inpatient deaths than among patients discharged alive (median 4.09\u2009\u00d7\u200910(5) vs. 1.63\u2009\u00d7\u200910(5), p\u2009<\u20090.0001). 16% of all LOS and 21% of all BC were accrued by patients who did not survive their hospitalization. These proportions showed no significant change year-by-year. The highest volume institutions had lower mortality rates, but there was no relation between institutional volume and the MRRUF.\nCONCLUSIONS: These data should alert providers and consumers that current practices often result in major resource expenditure for inpatient care of HLHS that does not result in survival to hospital dismissal. They highlight the need for data-driven critical review of standard practices to identify patterns of care associated with success, and to modify approaches objectively.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/s13023-015-0355-1", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1036535", 
        "issn": [
          "1750-1172"
        ], 
        "name": "Orphanet Journal of Rare Diseases", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "10"
      }
    ], 
    "name": "Mortality-related resource utilization in the inpatient care of hypoplastic left heart syndrome", 
    "pagination": "137", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "ca4a787a44fa95f9825be64fa9ae179271fcf5cecda90635f57f49cc5382a678"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "26494006"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101266602"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/s13023-015-0355-1"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1042467237"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/s13023-015-0355-1", 
      "https://app.dimensions.ai/details/publication/pub.1042467237"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T22:32", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8690_00000515.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186%2Fs13023-015-0355-1"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s13023-015-0355-1'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s13023-015-0355-1'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s13023-015-0355-1'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s13023-015-0355-1'


 

This table displays all metadata directly associated to this object as RDF triples.

254 TRIPLES      21 PREDICATES      72 URIs      36 LITERALS      24 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/s13023-015-0355-1 schema:about N0355dcbc64d34e3b9ee1d805f7cf390e
2 N143414717fb04579b009c1c18708a479
3 N1bba3184023b46ce8a34e85390ad0ad1
4 N20ca3cf86d4846bc91d38e624c44d29d
5 N26f427a6690542f5a8794f8c1f33ace2
6 N362da47ff60a470399ffb57ce2063cbf
7 N44235fb7dcf744c9ba41965269edf784
8 N8a76a2e17759460a9c71e1196bc204f5
9 N8fab45181c6846f78836851eda5b7f46
10 N9377bb0bc70e483c94d0b8d08fc19ab8
11 Na49c8a1f138049bcbad285c732110022
12 Na843a3fec44b4e09b6ea9db4c0c4202e
13 Naa8ac1cdc6ad4282b37bf6e6231d8069
14 Nb951f9e609604bd593e31061fde2db42
15 Nfaa18bf0fdb94be38843b342d26bbc61
16 anzsrc-for:11
17 anzsrc-for:1117
18 schema:author N4154b0261759455790db033bff034264
19 schema:citation sg:pub.10.1007/s00246-012-0455-9
20 sg:pub.10.1007/s00246-013-0679-3
21 sg:pub.10.1007/s00246-013-0747-8
22 sg:pub.10.1038/jp.2012.72
23 https://doi.org/10.1016/j.amjcard.2012.04.050
24 https://doi.org/10.1016/j.amjcard.2013.02.039
25 https://doi.org/10.1016/j.jacc.2011.09.022
26 https://doi.org/10.1016/j.jtcvs.2011.01.030
27 https://doi.org/10.1016/j.jtcvs.2011.12.039
28 https://doi.org/10.1016/j.jtcvs.2012.05.020
29 https://doi.org/10.1016/j.jtcvs.2013.12.019
30 https://doi.org/10.1017/s1047951105001368
31 https://doi.org/10.1017/s1047951111001715
32 https://doi.org/10.1017/s1047951111001739
33 https://doi.org/10.1017/s1047951113000127
34 https://doi.org/10.1093/ejcts/ezu299
35 https://doi.org/10.1097/pcc.0b013e31829b1a88
36 https://doi.org/10.1111/1475-6773.12120
37 https://doi.org/10.1161/circoutcomes.110.958959
38 https://doi.org/10.1161/circoutcomes.111.963223
39 https://doi.org/10.1161/circulationaha.113.007764
40 https://doi.org/10.1161/jaha.113.000256
41 https://doi.org/10.1542/peds.114.2.e160
42 https://doi.org/10.1542/peds.2004-2071
43 https://doi.org/10.1542/peds.2009-1678
44 https://doi.org/10.1542/peds.2009-3266
45 https://doi.org/10.1542/peds.2010-3742
46 https://doi.org/10.1542/peds.2012-0486
47 schema:datePublished 2015-12
48 schema:datePublishedReg 2015-12-01
49 schema:description BACKGROUND: Quantifying resource utilization in the inpatient care of congenital heart diease is clinically relevant. Our purpose is to measure the investment of inpatient care resources to achieve survival in hypoplastic left heart syndrome (HLHS), and to determine how much of that investment occurs in hospitalizations that have a fatal outcome, the mortality-related resource utilization fraction (MRRUF). METHODS: A collaborative administrative database, the Pediatric Health Information System (PHIS) containing data for 43 children's hospitals, was queried by primary diagnosis for HLHS admissions of patients ≤21 years old during 2004-2013. Institution, patient age, inpatient deaths, billed charges (BC) and length of stay (LOS) were recorded. RESULTS: In all, 11,122 HLHS admissions were identified which account for total LOS of 277,027 inpatient-days and $3,928,794,660 in BC. There were 1145 inpatient deaths (10.3%). LOS was greater among inpatient deaths than among patients discharged alive (median 17 vs. 12, p < 0.0001). BC were greater among inpatient deaths than among patients discharged alive (median 4.09 × 10(5) vs. 1.63 × 10(5), p < 0.0001). 16% of all LOS and 21% of all BC were accrued by patients who did not survive their hospitalization. These proportions showed no significant change year-by-year. The highest volume institutions had lower mortality rates, but there was no relation between institutional volume and the MRRUF. CONCLUSIONS: These data should alert providers and consumers that current practices often result in major resource expenditure for inpatient care of HLHS that does not result in survival to hospital dismissal. They highlight the need for data-driven critical review of standard practices to identify patterns of care associated with success, and to modify approaches objectively.
50 schema:genre research_article
51 schema:inLanguage en
52 schema:isAccessibleForFree true
53 schema:isPartOf Nad5440e9225e4b22bfcf250cb8478d8c
54 Nb6d5b0fe3cd54f0d9b8a47f3fdc6f1e4
55 sg:journal.1036535
56 schema:name Mortality-related resource utilization in the inpatient care of hypoplastic left heart syndrome
57 schema:pagination 137
58 schema:productId N2d6c25e98db94b3a8e5ab7a02e162db9
59 N527341c8524d4c5d9d3dc7865c1209d9
60 N795496f3f1384b1bba466b01ce845f92
61 Nb14b7a2e733b4c3daae8224a97bb8412
62 Nb3706a75fa1b427db3f718c6ef6476a6
63 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042467237
64 https://doi.org/10.1186/s13023-015-0355-1
65 schema:sdDatePublished 2019-04-10T22:32
66 schema:sdLicense https://scigraph.springernature.com/explorer/license/
67 schema:sdPublisher Nf5b30ef11d6f4ea99029f5fb9c78141a
68 schema:url http://link.springer.com/10.1186%2Fs13023-015-0355-1
69 sgo:license sg:explorer/license/
70 sgo:sdDataset articles
71 rdf:type schema:ScholarlyArticle
72 N0355dcbc64d34e3b9ee1d805f7cf390e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
73 schema:name Young Adult
74 rdf:type schema:DefinedTerm
75 N143414717fb04579b009c1c18708a479 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
76 schema:name Length of Stay
77 rdf:type schema:DefinedTerm
78 N1bba3184023b46ce8a34e85390ad0ad1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
79 schema:name Humans
80 rdf:type schema:DefinedTerm
81 N20ca3cf86d4846bc91d38e624c44d29d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
82 schema:name Male
83 rdf:type schema:DefinedTerm
84 N26f427a6690542f5a8794f8c1f33ace2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
85 schema:name Child, Preschool
86 rdf:type schema:DefinedTerm
87 N2d6c25e98db94b3a8e5ab7a02e162db9 schema:name pubmed_id
88 schema:value 26494006
89 rdf:type schema:PropertyValue
90 N362da47ff60a470399ffb57ce2063cbf schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
91 schema:name Hospitalization
92 rdf:type schema:DefinedTerm
93 N4154b0261759455790db033bff034264 rdf:first sg:person.0662607556.21
94 rdf:rest Na1e1f22a7d8f409a8a261da56197e738
95 N44235fb7dcf744c9ba41965269edf784 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
96 schema:name Infant
97 rdf:type schema:DefinedTerm
98 N527341c8524d4c5d9d3dc7865c1209d9 schema:name doi
99 schema:value 10.1186/s13023-015-0355-1
100 rdf:type schema:PropertyValue
101 N771aa98422034b769f6a280d861437ab rdf:first sg:person.01370315701.04
102 rdf:rest Nb718e9fecfb5458997e0ece90466642b
103 N795496f3f1384b1bba466b01ce845f92 schema:name readcube_id
104 schema:value ca4a787a44fa95f9825be64fa9ae179271fcf5cecda90635f57f49cc5382a678
105 rdf:type schema:PropertyValue
106 N8a76a2e17759460a9c71e1196bc204f5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
107 schema:name Child
108 rdf:type schema:DefinedTerm
109 N8fab45181c6846f78836851eda5b7f46 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
110 schema:name Mortality
111 rdf:type schema:DefinedTerm
112 N9377bb0bc70e483c94d0b8d08fc19ab8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
113 schema:name Health Resources
114 rdf:type schema:DefinedTerm
115 Na1e1f22a7d8f409a8a261da56197e738 rdf:first sg:person.01254067301.62
116 rdf:rest Necc1e4431fd74b8888a45b4e9432fde6
117 Na49c8a1f138049bcbad285c732110022 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
118 schema:name Hypoplastic Left Heart Syndrome
119 rdf:type schema:DefinedTerm
120 Na843a3fec44b4e09b6ea9db4c0c4202e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
121 schema:name Hospital Mortality
122 rdf:type schema:DefinedTerm
123 Naa8ac1cdc6ad4282b37bf6e6231d8069 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
124 schema:name Adolescent
125 rdf:type schema:DefinedTerm
126 Nad5440e9225e4b22bfcf250cb8478d8c schema:volumeNumber 10
127 rdf:type schema:PublicationVolume
128 Nb14b7a2e733b4c3daae8224a97bb8412 schema:name dimensions_id
129 schema:value pub.1042467237
130 rdf:type schema:PropertyValue
131 Nb3706a75fa1b427db3f718c6ef6476a6 schema:name nlm_unique_id
132 schema:value 101266602
133 rdf:type schema:PropertyValue
134 Nb6d5b0fe3cd54f0d9b8a47f3fdc6f1e4 schema:issueNumber 1
135 rdf:type schema:PublicationIssue
136 Nb718e9fecfb5458997e0ece90466642b rdf:first sg:person.01064544132.91
137 rdf:rest Ncb01af399bcd46759c8623ee2b83c77b
138 Nb951f9e609604bd593e31061fde2db42 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
139 schema:name Female
140 rdf:type schema:DefinedTerm
141 Ncb01af399bcd46759c8623ee2b83c77b rdf:first sg:person.01325513730.96
142 rdf:rest rdf:nil
143 Necc1e4431fd74b8888a45b4e9432fde6 rdf:first sg:person.01322202501.49
144 rdf:rest N771aa98422034b769f6a280d861437ab
145 Nf5b30ef11d6f4ea99029f5fb9c78141a schema:name Springer Nature - SN SciGraph project
146 rdf:type schema:Organization
147 Nfaa18bf0fdb94be38843b342d26bbc61 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
148 schema:name Infant, Newborn
149 rdf:type schema:DefinedTerm
150 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
151 schema:name Medical and Health Sciences
152 rdf:type schema:DefinedTerm
153 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
154 schema:name Public Health and Health Services
155 rdf:type schema:DefinedTerm
156 sg:journal.1036535 schema:issn 1750-1172
157 schema:name Orphanet Journal of Rare Diseases
158 rdf:type schema:Periodical
159 sg:person.01064544132.91 schema:affiliation https://www.grid.ac/institutes/grid.266813.8
160 schema:familyName Xiao
161 schema:givenName Yunbin
162 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01064544132.91
163 rdf:type schema:Person
164 sg:person.01254067301.62 schema:affiliation https://www.grid.ac/institutes/grid.266813.8
165 schema:familyName Karels
166 schema:givenName Quentin
167 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01254067301.62
168 rdf:type schema:Person
169 sg:person.01322202501.49 schema:affiliation https://www.grid.ac/institutes/grid.251993.5
170 schema:familyName Kulkarni
171 schema:givenName Aparna
172 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01322202501.49
173 rdf:type schema:Person
174 sg:person.01325513730.96 schema:affiliation https://www.grid.ac/institutes/grid.266813.8
175 schema:familyName Kutty
176 schema:givenName Shelby
177 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01325513730.96
178 rdf:type schema:Person
179 sg:person.01370315701.04 schema:affiliation https://www.grid.ac/institutes/grid.266813.8
180 schema:familyName Hussain
181 schema:givenName Aysha
182 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01370315701.04
183 rdf:type schema:Person
184 sg:person.0662607556.21 schema:affiliation https://www.grid.ac/institutes/grid.266813.8
185 schema:familyName Danford
186 schema:givenName David A.
187 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0662607556.21
188 rdf:type schema:Person
189 sg:pub.10.1007/s00246-012-0455-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036075412
190 https://doi.org/10.1007/s00246-012-0455-9
191 rdf:type schema:CreativeWork
192 sg:pub.10.1007/s00246-013-0679-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019294134
193 https://doi.org/10.1007/s00246-013-0679-3
194 rdf:type schema:CreativeWork
195 sg:pub.10.1007/s00246-013-0747-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1043135078
196 https://doi.org/10.1007/s00246-013-0747-8
197 rdf:type schema:CreativeWork
198 sg:pub.10.1038/jp.2012.72 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017825221
199 https://doi.org/10.1038/jp.2012.72
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1016/j.amjcard.2012.04.050 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000397639
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1016/j.amjcard.2013.02.039 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045066669
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1016/j.jacc.2011.09.022 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028206163
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1016/j.jtcvs.2011.01.030 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014194134
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1016/j.jtcvs.2011.12.039 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026593650
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1016/j.jtcvs.2012.05.020 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015831034
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1016/j.jtcvs.2013.12.019 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035784961
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1017/s1047951105001368 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042413516
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1017/s1047951111001715 schema:sameAs https://app.dimensions.ai/details/publication/pub.1022723402
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1017/s1047951111001739 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038803231
220 rdf:type schema:CreativeWork
221 https://doi.org/10.1017/s1047951113000127 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010075353
222 rdf:type schema:CreativeWork
223 https://doi.org/10.1093/ejcts/ezu299 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045211548
224 rdf:type schema:CreativeWork
225 https://doi.org/10.1097/pcc.0b013e31829b1a88 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039446109
226 rdf:type schema:CreativeWork
227 https://doi.org/10.1111/1475-6773.12120 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008491177
228 rdf:type schema:CreativeWork
229 https://doi.org/10.1161/circoutcomes.110.958959 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034966207
230 rdf:type schema:CreativeWork
231 https://doi.org/10.1161/circoutcomes.111.963223 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010889670
232 rdf:type schema:CreativeWork
233 https://doi.org/10.1161/circulationaha.113.007764 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007271380
234 rdf:type schema:CreativeWork
235 https://doi.org/10.1161/jaha.113.000256 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025658371
236 rdf:type schema:CreativeWork
237 https://doi.org/10.1542/peds.114.2.e160 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067822964
238 rdf:type schema:CreativeWork
239 https://doi.org/10.1542/peds.2004-2071 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067824017
240 rdf:type schema:CreativeWork
241 https://doi.org/10.1542/peds.2009-1678 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067827951
242 rdf:type schema:CreativeWork
243 https://doi.org/10.1542/peds.2009-3266 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067828197
244 rdf:type schema:CreativeWork
245 https://doi.org/10.1542/peds.2010-3742 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030630245
246 rdf:type schema:CreativeWork
247 https://doi.org/10.1542/peds.2012-0486 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008758825
248 rdf:type schema:CreativeWork
249 https://www.grid.ac/institutes/grid.251993.5 schema:alternateName Albert Einstein College of Medicine
250 schema:name Division of Pediatric Cardiology, Albert Einstein College of Medicine, Bronx, NY, USA
251 rdf:type schema:Organization
252 https://www.grid.ac/institutes/grid.266813.8 schema:alternateName University of Nebraska Medical Center
253 schema:name University of Nebraska Medical Center and Children’s Hospital and Medical Center, 8200 Dodge St, 68114, Omaha, NE, USA
254 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...