目的:本研究调查了患者特征和人口统计学对扁桃体切除术治疗小儿阻塞性睡眠呼吸暂停(OSA)的医院费用的影响。目的是确定医院收费方面的潜在差异,并为公平获得护理的努力做出贡献。
方法:分析了来自2016年医疗保健成本和利用项目(HCUP)儿童住院数据库(KID)的数据。样本包括3,304例接受扁桃体切除术±腺样体切除术治疗OSA的儿科患者。变量,如年龄,种族,逗留时间,医院区域,住宅位置,付款人信息,并收集了家庭收入中位数。主要结果变量是住院费用。统计分析,包括t检验,方差分析,和多元线性回归,进行了。
结果:在3,304名接受扁桃体切除术的小儿OSA患者中。扁桃体切除术的平均总费用为$26,400,平均住院时间为1.70天。根据患者种族,观察到费用的显着差异,医院区域,和付款人信息。根据性别没有发现显著差异,排放季度,住宅位置,或家庭收入中位数。多元线性回归显示种族,医院区域,和居住地点是医院总费用的重要预测因素。
结论:本研究强调了患者的人口统计学和区域因素对OSA患儿儿童扁桃体切除术的住院费用的影响。这些发现强调了解决医疗保健获取和资源分配方面的潜在差异的重要性,以确保对OSA儿童的公平照顾。应该努力促进所有儿科OSA患者的公平和负担得起的治疗,不管他们的人口背景。
OBJECTIVE: This study investigates the impact of patient characteristics and demographics on hospital charges for tonsillectomy as a treatment for pediatric obstructive sleep apnea (OSA). The aim is to identify potential disparities in hospital charges and contribute to efforts for equitable access to care.
METHODS: Data from the 2016 Healthcare Cost and Utilization Project (HCUP) Kid Inpatient Database (KID) was analyzed. The sample included 3,304 pediatric patients undergoing tonsillectomy ± adenoidectomy for OSA. Variables such as age, race, length of stay, hospital region, residential location, payer information, and median household income were collected. The primary outcome variable was hospital charge. Statistical analyses, including t-tests, ANOVA, and multiple linear regression, were conducted.
RESULTS: Among 3,304 pediatric patients undergoing tonsillectomy for OSA. The average total charges for tonsillectomy were $26,400, with a mean length of stay of 1.70 days. Significant differences in charges were observed based on patient race, hospital region, and payer information. No significant differences were found based on gender, discharge quarter, residential location, or median household income. Multiple linear regression showed race, hospital region, and residential location were significant predictors of total hospital charges.
CONCLUSIONS: This study highlights the influence of patient demographics and regional factors on hospital charges for pediatric tonsillectomy in OSA cases. These findings underscore the importance of addressing potential disparities in healthcare access and resource allocation to ensure equitable care for children with OSA. Efforts should be made to promote fair and affordable treatment for all pediatric OSA patients, regardless of their demographic backgrounds.