Pediatric sports-related lower extremity fractures: hospital length of stay and charges: what is the role of the primary payer?

Yubo Gao; Richard C Johnston; Matthew Karam

$Pediatric sports-related lower extremity fractures: hospital length of stay and charges: what is the role of the primary payer?$

Journal article

Open access

Peer reviewed

Pediatric sports-related lower extremity fractures: hospital length of stay and charges: what is the role of the primary payer?

Yubo Gao, Richard C Johnston and Matthew Karam

The Iowa orthopaedic journal, Vol.30, pp.115-118

2010

PMCID: PMC2958282

PMID: 21045983

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958282/View

Published (Version of record) Open Access

Abstract

The purposes of this study were (a) to evaluate the distribution by primary payer (public vs. private) of U.S. pediatric patients aged 5-18 years who were hospitalized with a sports-related lower extremity fracture and (b) to discern the adjusted mean hospital length of stay and mean charge per day by payer type. Children who were aged 5 to 18 years and had diagnoses of lower extremity fracture and sports-related injury in the 2006 Healthcare Cost and Utilization Project Kids' Inpatient Database were included. Lower extremity fractures are defined as International Classification of Diseases, 9th Revision, Clinical Modification codes 820-829 under Section "Injury and Poisoning (800-999)," while sports-related external cause of injury codes (E-codes) are E886.0, E917.0, and E917.5. Differences in hospital length of stay and cost per day by payer type were assessed via adjusted least square mean analysis. The adjusted mean hospital length of stay was 20% higher for patients with a public payer (2.50 days) versus a private payer (2.08 days). The adjusted mean charge per day differed about 10% by payer type (public, US$7,900; private, US$8,794). Further research is required to identify factors that are associated with different length of stay and mean charge per day by payer type, and explore whether observed differences in hospital length of stay are the result of private payers enhancing patient care, thereby discharging patients in a more efficient manner.

Length of Stay - economics

Humans

Athletic Injuries - classification

Athletic Injuries - economics

Child, Preschool

Male

Financing, Government - classification

Fractures, Bone - economics

Insurance, Health - classification

Bones of Lower Extremity - injuries

Clinical Coding

Financing, Government - economics

Hospital Charges - statistics & numerical data

Adolescent

Patient Discharge - statistics & numerical data

Female

Retrospective Studies

Child

Fractures, Bone - classification

Insurance, Health - economics

Details

Title: Subtitle: Pediatric sports-related lower extremity fractures: hospital length of stay and charges: what is the role of the primary payer?
Creators: Yubo Gao - University of Iowa, Department of Orthopaedics and Rehabilitation, 200 Hawkins Drive Iowa City, IA 52242, USA
Richard C Johnston
Matthew Karam
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.30, pp.115-118
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 21045983
PMCID: PMC2958282
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2010
Academic Unit: Orthopedics and Rehabilitation; Internal Medicine
Record Identifier: 9984040585802771

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