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Multicenter Study
. 2022 Mar 1;23(3):171-180.
doi: 10.1097/PCC.0000000000002878.

Hospital Charges Associated With Critical Bronchiolitis From 2009 to 2019

Katherine N Slain  1   2 , Sindhoosha Malay  1   2 , Steven L Shein  1   2
Affiliations
Multicenter Study

Hospital Charges Associated With Critical Bronchiolitis From 2009 to 2019

Katherine N Slain et al. Pediatr Crit Care Med. .

Erratum in

Abstract

Objectives: To evaluate the contribution of PICU care to increasing hospital charges for patients with bronchiolitis over a 10-year study period.

Design: In this retrospective multicenter study, changes in annual hospital charges (adjusted for inflation) were analyzed using linear regression for subjects admitted to the PICU with invasive mechanical ventilation (PICU + IMV) and without IMV (PICU - IMV), and for children not requiring PICU care.

Setting: Free-standing children's hospitals contributing to the Pediatric Health Information System (PHIS) database.

Subjects: Children less than 2 years with bronchiolitis discharged from a PHIS hospital between July 2009 and June 2019. Subjects were categorized as high risk if they were born prematurely or had a chronic complex condition.

Interventions: None.

Measurements and main results: PICU patients were 26.5% of the 283,006 included subjects but accrued 66% of the total $14.83 billion in charges. Annual charges increased from $1.01 billion in 2009-2010 to $2.07 billion in 2018-2019, and PICU patients accounted for 83% of this increase. PICU + IMV patients were 22% of all PICU patients and accrued 64% of all PICU charges, but PICU - IMV patients without a high-risk condition had the highest relative increase in annual charges, increasing from $76.7 million in 2009-2010 to $377.9 million in 2018-2019 (374% increase, ptrend < 0.001).

Conclusions: In a multicenter cohort study of children hospitalized with bronchiolitis, PICU patients, especially low-risk children without the need for IMV, were the highest driver of increased hospital charges over a 10-year study period.

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Conflict of interest statement

Dr. Shein received funding from Hill Ward Henderson. The remaining authors have disclosed that they do not have any potential conflicts of interest.

Comment in

References

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