ArticleThe Journal of thoracic and cardiovascular surgery2018
Admission to dedicated pediatric cardiac intensive care units is associated with decreased resource use in neonatal cardiac surgery.
Article in The Journal of thoracic and cardiovascular surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Opioid and Methadone Prescribing for Infants with Surgical Management of Congenital Heart Disease.Pediatric cardiology · 2026Observational
- Characterizing Hospitalization Cost for Term Newborns in Intensive Care: A Multi-Center Analysis Across U.S. Children's Hospitals.Research square · 2026Article
- Organization and structure of intensive care management of adult congenital heart disease in the United States.International journal of cardiology. Congenital heart disease · 2025Article
- Establishing a neonatology consultation program: extending care beyond the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2024Review
- Clinical characteristics and outcomes of patients who underwent neonatal cardiac surgery: ten years of experience in a tertiary surgery center.European journal of medical research · 2024Article
- A New Dawn for Brazilian Pediatric Cardiac Surgery Is on the Way - Issues Around and Outside the Operating Room.Brazilian journal of cardiovascular surgery · 2022Article
- Training pathways and careers for neonatologists interested in cardiovascular care.Journal of perinatology : official journal of the California Perinatal Association · 2022Review
- The Financial Burden of Surgery for Congenital Malformations-The Austrian Perspective.International journal of environmental research and public health · 2021Article
- The Impact of Dedicated Cardiac Intensive Care Units on Outcomes in Pediatric Cardiac Surgery: A Virtual Pediatric Systems Database Analysis.Journal of pediatric intensive care · 2021Article
- Integrated cardiac care models of neonates with congenital heart disease: the evolving role of the neonatologist.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Status of Multidisciplinary Collaboration in Neonatal Cardiac Care in the United States.Pediatric cardiology · 2021Article
- Factors That Contribute to Cost Differences Based on ICU of Admission in Neonates Undergoing Congenital Heart Surgery: A Novel Decomposition Analysis.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2020Article
- Long-term survival and costs following extracorporeal membrane oxygenation in critically ill children-a population-based cohort study.Critical care (London, England) · 2020Article
- Impact of dedicated perioperative care in neonatal cardiac surgery.Journal of thoracic disease · 2019Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveNeonates undergoing congenital heart surgery require highly specialized, resource-intensive care. Location of care and degree of specialization can vary between and within institutions. Using a multi-institutional cohort, we sought to determine whether location of admission is associated with an increase in health care costs, resource use and mortality.
methodsWe retrospectively analyzed admission for neonates (<30 days) undergoing congenital heart surgery between 2004 and 2013 by using the Pediatric Health Information Systems database (44 children's hospitals). Multivariate generalized estimating equations adjusted for center- and patient-specific risk factors and stratified by age at admission were performed to examine the association of admission intensive care unit (ICU) with total hospital costs, mortality, and length of stay.
resultsOf 19,984 neonates (60% male) identified, 39% were initially admitted to a cardiac ICU (CICU), 48% to a neonatal ICU (NICU), and 13% to a pediatric ICU. In adjusted models, admission to a CICU versus NICU was associated with a $20,440 reduction in total hospital cost for infants aged 2 to 7 days at admission (P = .007) and a $23,700 reduction in total cost for infants aged 8 to 14 days at admission (P = .01). Initial admission to a CICU or pediatric ICU versus NICU at <15 days of age was associated with shorter hospital and ICU length of stay and fewer days of mechanical ventilation. There was no difference in adjusted mortality by admission location.
conclusionsAdmission to an ICU specializing in cardiac care is associated with significantly decreased hospital costs and more efficient resource use for neonates requiring cardiac surgery.
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