Evidence map›Paper›PMID 29858364›Full record

ArticleJournal of the American Heart Association2018

Resource Utilization in Pediatric Patients Supported With Ventricular Assist Devices in the United States: A Multicenter Study From the Pediatric Interagency Registry for Mechanically Assisted Circulatory Support and the Pediatric Health Information System.

Joseph W Rossano, Ryan S Cantor, Dingwei Dai, Pirouz Shamszad, Yuan-Shung Huang, Matthew Hall, Kimberly Y Lin, R Erik Edens, P Eugene Parrino, James K Kirklin

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Joseph W RossanoThe Cardiac Center, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA rossanoj@email.chop.edu.
Ryan S CantorCardiothoracic Surgery, The University of Alabama at Birmingham, AL.
Dingwei DaiHealthcare Analytics Unit, Center for Pediatric Clinical Effectiveness and PolicyLab, The Children's Hospital of Philadelphia, PA.
Pirouz ShamszadThe Cardiac Center, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Yuan-Shung HuangHealthcare Analytics Unit, Center for Pediatric Clinical Effectiveness and PolicyLab, The Children's Hospital of Philadelphia, PA.
Matthew HallChildren's Hospital Association, Lenexa, KS.
Kimberly Y LinThe Cardiac Center, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
R Erik EdensPediatrics, University of Iowa, Iowa City, IA.
P Eugene ParrinoCardiothoracic Surgery, Oschner Medical Center, New Orleans, LA.
James K KirklinCardiothoracic Surgery, The University of Alabama at Birmingham, AL.

Funding

National Heart, Lung, and Blood Institute HHSN268201100025C
6 · The paper itself

Abstract

backgroundFew data exist on resource utilization with pediatric ventricular assist devices (VADs). We tested the hypothesis that device type and adverse events are associated with increased resource utilization in pediatric patients supported with VADs. METHODS AND

resultsThe Pediatric Interagency Registry for Mechanically Assisted Circulatory Support, a national registry of VADs in patients <19 years old, and the Pediatric Health Information System, an administrative database, were merged. Univariate analysis was performed assessing the association of all factors with the total cost and length of stay first. Significant variables (

conclusionVADs in pediatric patients are associated with high resource utilization. Increased resource utilization was associated with lower-volume VAD centers, disease severity at VAD implantation, and the presence of complex chronic medical conditions. Further study is needed to develop cost-effective strategies in this complex population.

Indexed as

RegistriesAdolescentChildChild, PreschoolFemaleFollow-Up StudiesHealth Information SystemsHealth ResourcesHeart-Assist DevicesHeart FailureHospital CostsHumansInfantInfant, NewbornMaleRetrospective Studiescostpediatricresource utilizationventricular assist device

Identifiers

PMID29858364
PMCPMC6015374

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.