ArticleHealth services research2014
Hospital costs and inpatient mortality among children undergoing surgery for congenital heart disease.
Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Health-related quality of life and influencing factors in parents of children with congenital heart disease: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- A Systematic Review of the Association Between Hospital Cost/price and the Quality of Care.Applied health economics and health policy · 2020Pooled it
- Charitable funding of congenital heart surgery in China: A cost-effectiveness analysis from the National Center for Cardiovascular Diseases.JTCVS open · 2026Article
- Determinants of hospitalization expenditure for pediatric congenital heart disease: a single-center study from Xinjiang, China.Frontiers in public health · 2025Article
- Inpatient costs of congenital heart surgery in China: results from the National Centre for Cardiovascular Diseases.The Lancet regional health. Western Pacific · 2023Article
- A deep learning-based method for pediatric congenital heart disease detection with seven standard views in echocardiography.World journal of pediatric surgery · 2023Article
- Examining the Relationship between Cost and Quality of Care in the Neonatal Intensive Care Unit and Beyond.Children (Basel, Switzerland) · 2020Review
- Costs of postoperative morbidity following paediatric cardiac surgery: observational study.Archives of disease in childhood · 2020Observational
- Is there variation in private payor payments to cancer surgeons? A cross-sectional study in the USA.BMJ open · 2020Article
- Impact of Confounding on Cost, Survival, and Length-of-Stay Outcomes for Neonates with Hypoplastic Left Heart Syndrome Undergoing Stage 1 Palliation Surgery.Pediatric cardiology · 2020Article
- Early Childhood Inpatient Costs of Critical Congenital Heart Disease.The Journal of pediatrics · 2018Article
- How Well Do All Patient Refined-Diagnosis-Related Groups Explain Costs of Pediatric Cancer Chemotherapy Admissions in the United States?Journal of oncology practice · 2016Article
- Mortality-related resource utilization in the inpatient care of hypoplastic left heart syndrome.Orphanet journal of rare diseases · 2015Article
- Quality-Cost Relationship in Congenital Heart Surgery.The Annals of thoracic surgery · 2015Article
- Statewide Hospital Discharge Data: Collection, Use, Limitations, and Improvements.Health services research · 2015Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo determine the association between hospital costs and risk-adjusted inpatient mortality among children undergoing surgery for congenital heart disease (CHD) in U.S. acute-care hospitals. DATA SOURCES/STUDY SETTINGS: Retrospective cohort study of 35,446 children in 2003, 2006, and 2009 Kids' Inpatient Database (KID). STUDY
designCross-sectional logistic regression of risk-adjusted inpatient mortality and hospital costs, adjusting for a variety of patient-, hospital-, and community-level confounders. DATA COLLECTION/EXTRACTION
methodsWe identified relevant discharges in the KID using the AHRQ Pediatric Quality Indicator for pediatric heart surgery mortality, and linked these records to hospital characteristics from American Hospital Association Surveys and community characteristics from the Census. PRINCIPAL
findingsChildren undergoing CHD surgery in higher cost hospitals had lower risk-adjusted inpatient mortality (p=.002). An increase from the 25th percentile of treatment costs to the 75th percentile was associated with a 13.6 percent reduction in risk-adjusted mortality.
conclusionsGreater hospital costs are associated with lower risk-adjusted inpatient mortality for children undergoing CHD surgery. The specific mechanisms by which greater costs improve mortality merit further exploration.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.