Pediatric Academic Societies Annual Meeting

Pediatric Academic Societies Annual Meeting

May 03, 2016
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Hospitalizations longer, costlier for children with aspiration pneumonia

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BALTIMORE — Children diagnosed with aspiration pneumonia had longer and costlier hospitalizations than those with community-acquired pneumonia, according to recent study data presented at the Pediatric Academic Societies Meeting.

“Our study is the first to describe the clinical and hospital characteristics of a broad cohort of children hospitalized with aspiration pneumonia,” Alexander Hirsch, MD, chief resident at Boston Children’s Hospital, told Infectious Diseases in Children.

Alexander Hirsch, MD

Alexander Hirsch

Hirsch and colleagues utilized Pediatric Health Information System data to identify children hospitalized with aspiration pneumonia or community-acquired pneumonia (CAP) between 2009 and 2014 at 43 hospitals. Data indicated that 12,097 children were hospitalized with aspiration pneumonia, and 121,489 were hospitalized with CAP.

Patient characteristics such as age and percent with a complex chronic condition and hospital characteristics such as length of stay, ICU admission, cost, and 30-day readmission rate were assessed and compared for differences between children with aspiration pneumonia and CAP. Seasonal variability among the conditions also was evaluated.

“When compared to children with CAP, children hospitalized with aspiration pneumonia are more likely to have a chronic condition and are more likely to receive care in an ICU, have higher costs of hospitalization and higher 30-day readmission rates after hospital discharge,” Hirsch said.

Overall, the average cost for hospitalization was 2.4 times greater for patients with aspiration pneumonia than for CAP, and the researchers detected seasonal variability for CAP hospitalizations, but not for aspiration pneumonia.

“Our study underscores the need for future research to optimize coordination of care and treatment for children at risk of aspiration pneumonia,” Hirsch said. – by Alaina Tedesco

Reference:

Hirsch A, et al. Abstract 1486.294. Presented at: Pediatric Academic Societies Meeting; April 30-May 3, 2016; Baltimore.

Disclosure: The researchers report no relevant financial disclosures.