Methods The Nationwide Emergency Department Sample dataset for the years 2008 of the patients between age 0-17 were included. The ICD-9-CM diagnostic codes for Central Venous Catheter Related Blood Stream Infection (999.31) were selected for analysis.
A total of 4,212 pediatric ED visits occurred in 2008. Mean age at admission was 5.6 years among this cohort. Males comprised 60.5% of the ED visits. Payers were Medicare and Medicaid (60%), private insurance (34%), uninsured (1%), and other government plans (4%). Most ED visits (93%) were admitted to the same hospital. The mean ED charge per visit was $1,226, and the total US hospitalization ED charges was $2.8 million. Among those were admitted to the same hospital, the mean hospitalization charge was $123,297, and the total US charge was $481 million. The mean length of stay after admission into hospital was 17.6 days, and the total hospitalization days was 68,975.
Conclusion In children, CLABSI’s as the primary cause of ED visit accounts for significant resource utilization.