Cheng Jeffrey, Liu Beiyu, Farjat Alfredo E, Routh Jonathan
Department of Surgery, Division of Head and Neck Surgery and Communication Sciences, Duke University Medical Center.
Department of Biostatistics & Bioinformatics, Duke University.
J Pediatr Hematol Oncol. 2018 Apr;40(3):221-223. doi: 10.1097/MPH.0000000000001078.
With ever increasing demands to manage finite resources for health care utilization, we performed an investigation to identify inpatient clinical characteristics and trends in children with lymphatic malformations using the Kids' Inpatient Database, years 2000 to 2009, to help identify populations best suited for resource deployment. Subjects included children 18 years and below with International Classification of Diseases (ICD), ninth revision code: 228.1-lymphangioma, any site. In the United States, between 2000 and 2009, inpatient pediatric patients with lymphatic malformations most commonly affected children aged 3 years and younger, urban hospital locations, and the South and West regions. There was no significant change in age of children with lymphatic malformations or the distribution of their age from year to year, P=0.948 and 0.4223, respectively. No significant evidence for seasonal variation or effect on inpatient admission was identified, P=0.7071. A great majority of admissions (>96%) were in urban locations across each year. There was also no significant change in breakdown of admissions by geographic location, P=0.7133. Further investigation may help to elucidate how to improve access to multidisciplinary vascular anomalies teams to optimize care for these children with unique and complex lymphatic malformations.
随着管理有限医疗资源以满足医疗保健利用需求的不断增加，我们利用2000年至2009年的儿童住院数据库进行了一项调查，以确定淋巴管畸形患儿的住院临床特征和趋势，从而帮助确定最适合资源调配的人群。研究对象包括18岁及以下患有国际疾病分类（ICD）第九版编码为228.1——淋巴管瘤（任何部位）的儿童。在美国，2000年至2009年期间，患有淋巴管畸形的住院儿科患者最常见于3岁及以下儿童、城市医院以及南部和西部地区。淋巴管畸形患儿的年龄或其年龄分布逐年均无显著变化，P值分别为0.948和0.4223。未发现季节性变化或对住院入院有影响的显著证据，P值为0.7071。每年绝大多数入院患者（>96%）都在城市地区。按地理位置划分的入院情况也没有显著变化，P值为0.7133。进一步的调查可能有助于阐明如何改善获得多学科血管异常团队的服务，以优化对这些患有独特且复杂淋巴管畸形儿童的护理。
