Resource utilization in the management of subglottic stenosis

Otolaryngol Head Neck Surg. 2008 Feb;138(2):233-41. doi: 10.1016/j.otohns.2007.10.015.

Abstract

Objective: The purpose of this study was to determine resource utilization in managing subglottic stenosis.

Study design: The Kids' Inpatient Database (KID) 2003 was analyzed.

Subjects and methods: International Classification of Diseases, Ninth Revision code 478.74 was the inclusion criteria.

Results: Two thousand forty-six admissions with subglottic stenosis were sampled; there were 10 deaths (0.49%). States with the most admissions were Ohio, California, and Illinois; these did not have the highest spending per admission. Two hundred eighteen (10.7%) underwent a laryngeal graft procedure; states with the most were Ohio (35.8%), Texas, California, and Florida. Indicators of increased resource utilization include length of stay, nonelective admission, race, primary payer, hospital location, and type.

Conclusions: For subglottic stenosis, three states account for 37% of admissions, and four states account for 56% of laryngeal graft procedures in 2003. The mean total charges were $53,787; 90% of admissions had total charges less than $139,253. Patients who underwent surgical procedures had total charges of $76,409.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Child, Preschool
  • Female
  • Glottis
  • Health Resources / statistics & numerical data*
  • Hospital Charges / statistics & numerical data*
  • Hospitalization / economics*
  • Hospitalization / trends
  • Humans
  • Laryngostenosis / mortality
  • Laryngostenosis / surgery*
  • Male
  • Otorhinolaryngologic Surgical Procedures / economics
  • Otorhinolaryngologic Surgical Procedures / methods*
  • Prosthesis Implantation / economics*
  • Prosthesis Implantation / methods
  • Survival Rate
  • United States / epidemiology