Dean Kennedy , Jonathan M. Carnino , Nicholas Wilson , Amos M. Mwaura , Tingting Xi , Jessica R. Levi
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引用次数: 0
摘要
目标调查美国因阻塞性睡眠呼吸暂停（OSA）而接受扁桃体切除术的儿科患者住院时间（LOS）的地区差异。方法我们利用2016年医疗成本与利用项目（HCUP）儿童住院患者数据库（KID），分析了0-20岁儿科OSA患者的数据。我们比较了美国不同地区的LOS，并采用统计检验来评估其显著性。结果在儿科OSA患者中观察到LOS的地区差异。与西部和东北部相比，中西部和南部地区的住院时间更长。值得注意的是，中西部和南部地区住院时间的标准偏差很大，表明存在显著差异。延长住院时间会给儿童和家庭带来巨大负担。找出并减少造成这些差异的因素对于提高护理质量和效率至关重要，最终为全国范围内的小儿 OSA 患者争取更公平的医疗服务。
Discrepancies in pediatric OSA surgery hospital stay length across regions
Objective
To investigate regional disparities in the length of hospital stay (LOS) for pediatric patients undergoing tonsillectomy for obstructive sleep apnea (OSA) in the United States.
Methods
We utilized the Healthcare Cost and Utilization Project (HCUP) Kid Inpatient Database (KID) for 2016, analyzing data on pediatric OSA patients aged 0–20. We compared LOS in different U.S. regions and employed statistical tests to assess significance.
Results
Regional variation in LOS was observed among pediatric OSA patients. The Midwest and South regions showed longer LOS compared to the West and Northeast. Notably, standard deviations for LOS in the Midwest and South were substantial, signifying significant variability.
Conclusion
Our findings emphasize the importance of addressing regional differences in pediatric OSA care. Prolonged hospital stays can impose significant burdens on children and families. Identifying and mitigating factors driving these disparities is crucial for enhancing the quality and efficiency of care, ultimately striving for more equitable healthcare for pediatric OSA patients nationwide.
期刊介绍：
The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.
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