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15923

Epidemiology of Hospital Based Emergency Department Visits Due to Central Venous Catheter Related Blood Stream Infection Among Children In United States

Sunday, October 21, 2012
Room 210 (Morial Convention Center)
Veerajalandhar Allareddy, MD, MBA1, Ingrid M. Anderson, MD1, Veerasathpurush Allareddy, BDS, MBA, PhD2 and Min Kyeong Lee, DMD3, (1)Pediatric Critical Care and Pharmacology, University Hospitals, Rainbow Babies Children's Hospital., Cleveland, OH, (2)Dental Medicine, Harvard University, Boston, MA, (3)Department of Developmental Biology, Harvard School of Dental Medicine, Boston, MA

Purpose Central line associated blood stream infections (CLABSI’s) are a major cause of morbidity and mortality in hospitalized patients. The objective of this study is to provide nationwide estimates and outcomes of pediatric emergency department (ED) visits for central venous catheter related blood stream infection among children.

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.  

Results

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.