Costs and complications of hospitalizations for children with cerebral palsy

Abstract

Hospitalization of children with CP represents a major expenditure for health care systems. Studies to improve the management of conditions associated with CP could result in better outcomes for children and families and potentially decrease costs associated with hospitalization.

Trends in Resource Utilization by Children with Neurological Impairment in the United States Inpatient Health Care System: A Repeat Cross-Sectional Study

“…They have a disproportionately high use of emergency care health services, and they experience frequent hospitalizations, with subsequently high readmission rates [12],[13]. When hospitalized, they tend to stay longer and have more expensive admissions than other children [14]. It is estimated that a large proportion of lifetime health-related costs for a children with severe NI is attributable to inpatient care [15].…”

A microcosting study of the surgical correction of upper extremity deformity in children with spastic cerebral palsy

“…This difference may be attributed to a difference in hospital care between adults and children, and the costs of inpatient stay may be higher when patients had surgery compared to a hospitalization without surgery. However, Murphy et al 22 showed average costs of US$ 15 478 (EURO 2014: €15 606, converted with PPP 11 ) per hospitalization related to musculoskeletal and connective tissue system disorders in the US (resource use collection was done in 1997), which is more than twice calculated hospital costs in this article. This may be due to the inclusion of more costly operations, e.g., operations on the lower extremities, spine, and hip.…”

“…[8][9][10]22 To gain more insight into the total health care costs of children with CP, further research is needed on costs of other treatments for children with, also other types of, CP. Furthermore, it is desired to weight costs against clinical parameters, providing hospital managers, insurance companies, and policy makers with valuable information on the relative efficiency of alternative options.…”

Retained foreign bodies during surgery in pediatric patients: a national perspective

“…A Medline search of articles from the United States did not find such aggregate data specific to our country. Fortunately, the Kids Inpatient Database, KID 2003, developed by the Agency for Health care Research and Quality [1] provides an optimal source for such data that enables the ability to study rare, infrequent disease processes on a macro scale [2][3][4][5][6][7][8]. This database is ideally suited to study the incidence and resource use associated with retained foreign bodies during surgery.…”