Fouda Mohammed A, Riordan Coleman P, Zurakowski David, Goumnerova Liliana C
Department of Neurosurgery, Boston Children's Hospital - Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.
Dana Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.
Childs Nerv Syst. 2020 Dec;36(12):3007-3012. doi: 10.1007/s00381-020-04640-4. Epub 2020 May 3.
To recognize the national trends in management of pediatric craniopharyngioma and to address the significant predictors of discharge disposition.
We utilized the Kids' Inpatient Database (KID), a pediatric inpatient sample generated by the Healthcare Cost and Utilization Project (HCUP) triennially from 1997 to 2016.
KID contains 2141 pediatric craniopharyngioma admissions. Patient demographics had no effect on discharge disposition. Based on the multivariable logistic regression analysis, we confirmed a significantly higher non-routine discharge rate among patients with hydrocephalus (P = 0.01). Patients who developed diabetes insipidus were at higher risk for non-routine discharge (P = 0.02). Admission of patients to a freestanding children's hospital increased the likelihood of routine discharge (P = 0.001).
Hydrocephalus, diabetes insipidus, and admission to a freestanding children's hospital are significant independent predictors of discharge disposition.
了解小儿颅咽管瘤治疗的全国趋势，并探讨出院处置的重要预测因素。
我们使用了儿童住院数据库（KID），这是医疗成本与利用项目（HCUP）每三年（1997年至2016年）生成的一个儿科住院患者样本。
KID包含2141例小儿颅咽管瘤入院病例。患者人口统计学特征对出院处置没有影响。基于多变量逻辑回归分析，我们证实脑积水患者的非常规出院率显著更高（P = 0.01）。发生尿崩症的患者非常规出院风险更高（P = 0.02）。患者入住独立儿童医院会增加常规出院的可能性（P = 0.001）。
脑积水、尿崩症以及入住独立儿童医院是出院处置的重要独立预测因素。
