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Otolaryngol Head Neck Surg. 2008 Feb;138(2):233-41. doi: 10.1016/j.otohns.2007.10.015.

Resource utilization in the management of subglottic stenosis.

Author information

  • 1Division of Otolaryngology, Children's National Medical Center, The George Washington University Medical Center, Washington, DC 20010, USA. rshah@cnmc.org <rshah@cnmc.org>

Erratum in

  • Otolaryngol Head Neck Surg. 2008 Nov;139(5):744.

Abstract

OBJECTIVE:

The purpose of this study was to determine resource utilization in managing subglottic stenosis.

STUDY DESIGN:

The Kids' Inpatient Database (KID) 2003 was analyzed.

SUBJECTS AND METHODS:

International Classification of Diseases, Ninth Revision code 478.74 was the inclusion criteria.

RESULTS:

Two thousand forty-six admissions with subglottic stenosis were sampled; there were 10 deaths (0.49%). States with the most admissions were Ohio, California, and Illinois; these did not have the highest spending per admission. Two hundred eighteen (10.7%) underwent a laryngeal graft procedure; states with the most were Ohio (35.8%), Texas, California, and Florida. Indicators of increased resource utilization include length of stay, nonelective admission, race, primary payer, hospital location, and type.

CONCLUSIONS:

For subglottic stenosis, three states account for 37% of admissions, and four states account for 56% of laryngeal graft procedures in 2003. The mean total charges were $53,787; 90% of admissions had total charges less than $139,253. Patients who underwent surgical procedures had total charges of $76,409.

PMID:
18241722
[PubMed - indexed for MEDLINE]
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