Stephens John R, Steiner Michael J, DeJong Neal, Rodean Jonathan, Hall Matt, Richardson Troy, Berry Jay G
1 University of North Carolina School of Medicine, Chapel Hill, NC, USA.
2 Children's Hospital Association, Overland Park, KS, USA.
Clin Pediatr (Phila). 2018 Jan;57(1):40-45. doi: 10.1177/0009922817691818. Epub 2017 Feb 13.
We studied constipation-related health care among children before and after constipation admission. Index admissions for constipation in 2010-2011 were identified in the Truven Marketscan Database, which includes children receiving Medicaid in 10 states. We measured number of and spending for outpatient constipation visits 12 months before and after index hospitalizations. We also measured spending for constipation hospitalizations and rehospitalization rate. There were 780 index constipation admissions. The median number of outpatient constipation visits was 1 (interquartile range [IQR] = 0, 3) in the 12 months before and 2 (IQR [0, 4]) after admission ( P = .001). Median outpatient spending for constipation was $110 (IQR [0, 429]) before and $132 (IQR [0, 431]) after admission ( P = .2). Median spending for index constipation admissions was $5295 (IQR [2756, 8267]); 78 children (10%) were rehospitalized for constipation within 12 months. Constipation-related health care utilization increased after constipation admission. Median spending for one constipation admission was 50 times the median spending for 12 months of outpatient constipation visits.
我们研究了儿童便秘入院前后与便秘相关的医疗保健情况。在Truven Marketscan数据库中确定了2010 - 2011年便秘的索引入院病例，该数据库涵盖了10个州接受医疗补助的儿童。我们测量了索引住院前后12个月门诊便秘就诊的次数和费用。我们还测量了便秘住院费用和再住院率。共有780例索引便秘入院病例。入院前12个月门诊便秘就诊次数的中位数为1次（四分位间距[IQR]=0，3），入院后为2次（IQR[0,4]）（P = 0.001）。便秘门诊费用中位数入院前为110美元（IQR[0,429]），入院后为132美元（IQR[0,431]）（P = 0.2）。索引便秘入院费用中位数为5295美元（IQR[2756,8267]）；78名儿童（10%）在12个月内因便秘再次住院。便秘入院后，与便秘相关的医疗保健利用率有所增加。一次便秘入院的费用中位数是门诊便秘就诊12个月费用中位数的50倍。
