Resource Utilization in the First 2 Years Following Operative Correction for Tetralogy of Fallot: Study Using Data From the Optum's De-Identified Clinformatics Data Mart Insurance Claims Database.

Published on Aug 4, 2020in Journal of the American Heart Association5.501
· DOI :10.1161/JAHA.120.016581
Grace DeCost1
Estimated H-index: 1
(UPenn: University of Pennsylvania),
Joseph W. Rossano44
Estimated H-index: 44
(UPenn: University of Pennsylvania)
Background Despite excellent operative survival, correction of tetralogy of Fallot frequently is accompanied by residual lesions that may affect health beyond the incident hospitalization. Measurin...
Abstract Background There is ongoing debate about the best strategy to treat patients with tetralogy of Fallot who are symptomatic in the neonatal period. Objectives The aim of this study was to compare the outcomes of complete versus staged surgery (i.e., initial palliative procedure for possible later complete repair). Methods A retrospective cohort study was performed using the Pediatric Health Information System database, including patients who underwent complete or staged tetralogy of Fallo...
#1Elisabeth M.J.P. Mouws (EUR: Erasmus University Rotterdam)H-Index: 7
#2Natasja M.S. de Groot (EUR: Erasmus University Rotterdam)H-Index: 19
Last. Ad J.J.C. Bogers (EUR: Erasmus University Rotterdam)H-Index: 76
view all 7 authors...
Only few studies have reported long-term outcome of the transatrial-transpulmonary approach in the current era of management of tetralogy of Fallot (ToF). We investigated 15-year outcome of correction via a transatrial-transpulmonary approach in a large cohort of successive patients operated in the 21st century. All infant ToF patients undergoing transatrial-transpulmonary ToF correction between 2000 and 2015 were included (N = 177, 106 male, median follow-up 7.1 (interquartile range 3.0–10.9) y...
#1Michael L. O'Byrne (UPenn: University of Pennsylvania)H-Index: 19
#2Marisa E. Millenson (Children's Hospital of Philadelphia)H-Index: 4
Last. Andrew C. Glatz (UPenn: University of Pennsylvania)H-Index: 33
view all 11 authors...
Abstract Background The risks and benefits of pharmacologic treatment and operative closure of patent ductus arteriosus (O-PDA) in premature infants remain controversial. Recent series have demonstrated the feasibility of transcatheter PDA closure (TC-PDA) in increasingly small infants. The effect of this change on practice has not been evaluated. Methods A multicenter observational study of infants treated in neonatal intensive care units in hospitals contributing data to the Pediatric Health I...
#1Michael L. O'Byrne (UPenn: University of Pennsylvania)H-Index: 19
#2Andrew C. Glatz (UPenn: University of Pennsylvania)H-Index: 33
Last. Peter W. Groeneveld (UPenn: University of Pennsylvania)H-Index: 33
view all 12 authors...
Background Cardiac catheterization is an important but costly component of health care for young patients with cardiac disease. Measurement of variation in their cost between hospitals and identifi...
#1Shihai Yang (Boston Children's Hospital)H-Index: 1
#2Linlin Wen (Boston Children's Hospital)H-Index: 1
Last. Jianming Wang (Boston Children's Hospital)H-Index: 1
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Background This study aimed to investigate whether age at complete repair of tetralogy of Fallot (TOF) impacts postoperative morbidity and length of hospital stay in infants less than 365 days of age.
#1Ruben Willems (UGent: Ghent University)H-Index: 5
#2Philip Tack (UGent: Ghent University)H-Index: 3
Last. Lieven Annemans (UGent: Ghent University)H-Index: 53
view all 4 authors...
Objectives: The recent trend to optimize the efficiency of health-care systems requires objective clinical and economic data. European data on the cost of surgical procedures to repair or palliate congenital heart disease in pediatric patients are lacking. Methods: A single-center study was conducted. Bootstrap analysis of variance and bootstrap independent t test assessed the excess direct medical costs associated with minor and major complications in nine surgical procedure types, from a healt...
#1Clayton A. Smith (Emory University)H-Index: 2
#2Courtney McCracken (Emory University)H-Index: 30
Last. Lazaros Kochilas (Emory University)H-Index: 12
view all 8 authors...
Importance Tetralogy of Fallot (TOF) is a surgically repairable form of cyanotic congenital heart disease. Multicenter data for long-term survival following repair are sparse. Objective To evaluate the long-term transplant-free survival of TOF by surgical strategy adjusted for era and patient characteristics. Design, Setting, and Participants Retrospective cohort study enriched with data from the National Death Index and the Organ Procurement and Transplantation Network through 2014. Multicenter...
#4Heather M. Griffis (Children's Hospital of Philadelphia)H-Index: 7
Background: The arterial switch operation (ASO) is the gold standard operative correction of neonates with transposition of the great arteries and intact ventricular septum, with excellent operativ...
#3Grace DeCost (UPenn: University of Pennsylvania)H-Index: 1
Background We sought to identify patient and surgical factors associated with time to hospital discharge in patients undergoing complete repair for tetralogy of Fallot. Methods and Results We performed a prospective cohort study of patients with tetralogy of Fallot admitted for complete repair between May 1, 2012 and June 2, 2017 at Children9s Hospital of Philadelphia with detailed demographic, clinical, and operative characteristics. The primary outcome was time to hospital discharge. Cox propo...
#1Luma Essaid (UNC: University of North Carolina at Chapel Hill)H-Index: 5
#2Paula D. Strassle (UNC: University of North Carolina at Chapel Hill)H-Index: 18
Last. Jennifer S. Nelson (UNC: University of North Carolina at Chapel Hill)H-Index: 7
view all 4 authors...
Hypoplastic left heart syndrome (HLHS) is a highly resource-intensive diagnosis. Geographic variation in cost and length of stay (LOS) in HLHS is not well described. Neonates diagnosed with HLHS between 2000 and 2012 were identified using the Kids’ Inpatient Database. Hospitalizations were stratified into two groups: (1) birth and (2) secondary. United States regional differences in hospital charges and LOS were compared using adjusted linear regression. Of 2431 birth hospitalizations, 449 neona...
Cited By1
#9Maryam Y. Naim (Children's Hospital of Philadelphia)H-Index: 2
Introduction: Tetralogy of Fallot (TOF) repair is associated with excellent operative survival. However, a subset of patients experiences post-operative complications, which can significantly alter the early and late post-operative course. We utilized a machine learning approach to identify risk factors for post-operative complications after TOF repair. Methods: We conducted a single-center prospective cohort study of children <2 years of age with TOF undergoing surgical repair. The outcome was ...
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