Navigation Links
U-M Study: Children Dependent on Long-Term Mechanical Ventilation Require Longer, More Expensive Hospital Care
Date:5/24/2011

ANN ARBOR, Mich., May 24, 2011 /PRNewswire-USNewswire/ -- Despite significant technological improvements, children reliant on long-term mechanical ventilation often require extensive additional care, including costly hospital stays and emergency visits.

A new study led by University of Michigan researchers found that children with complex chronic conditions who require long-term mechanical ventilation have significantly higher mortality, longer length of hospitalizations, higher mean charges, and more emergency department admissions.

The results of this study, led by Brian D. Benneyworth, M.D., M.S., Pediatric Critical Care and Health Service Research Fellow with the Child Health Evaluation and Research (CHEAR) unit at the U-M Medical School, are available now online in the journal Pediatrics.

The study found that the length of initial hospitalizations for children requiring long term mechanical ventilation remained the same between 2000 and 2006, but total admissions (for these children) were up 55%.

Until now, researchers were unclear as to how often this technology was used and how often children requiring long-term mechanical ventilation were admitted for additional care. In an effort to improve patient care and anticipate continued growth in this group of patients, U-M researchers analyzed trends in relevant discharges nationally between 2000 and 2006.

Pediatricians use long-term mechanical ventilation technology to treat lung failure in children with various complex chronic conditions such as muscular dystrophy and premature birth.  These ventilation systems are preferred, because they can be used at home.

The study, which analyzed all hospitalizations for children 0-20 years of age requiring long term mechanical ventilation, also found that infants and young children consume the highest proportion of health care resources for this particular demographic.

"Infants less than one year old made up 25% of the population, but used about 50% of the healthcare resources for all the children requiring long-term medical ventilation," says Benneyworth, who also treats patients at the U-M C.S. Mott Children's Hospital. "This means that there may be tremendous opportunities to improve the care that these young children receive."

The study also finds that infants have the longest length of hospitalization and the highest in-hospital mortality rates which may be important goals for additional research.

"Programs in many hospitals have been working to improve the discharge process and home care resources available to these children," says Benneyworth. "But these young children, with their long and expensive hospital stays, have different needs that we should identify."

The study showed a 55% growth in additional hospitalizations for children needing long-term mechanical ventilation support and a 70% increase in subsequent health care cost. Analysis also shows that in the final years of the study, the demand for additional care was greatest in patients between one and four years of age.

Most notably, infants less than a year old make up a small part of the total population, but also used about half of the total healthcare resources, demonstrating an opportunity for continued optimization in the care of young children requiring long-term mechanical ventilation.

Additional authors: Achamyeleh Gebremariam, M.S., Sarah J. Clark, M.P.H., Thomas P. Shanley, M.D., Matthew M. Davis, M.D., M.A.P.P.

Funding: Funded by the National Institutes of Health (NIH)

Disclosures: None

Citation: DOI: 10.1542 / Peds: 2010-2026

The University of Michigan C.S. Mott Children's Hospital is consistently ranked as one of the best hospitals in the country. It was nationally ranked in all ten pediatric specialties in the U.S. News Media Group's 2011 edition of "America's Best Children's Hospitals" including third in the country for heart and heart surgery. In November, the hospital moves to a new 1.1 million square feet, $754 million state-of-the-art facility that will be home to cutting-edge specialty services for newborns, children and women.


'/>"/>
SOURCE University of Michigan Health System
Copyright©2010 PR Newswire.
All rights reserved

Related medicine technology :

1. New Study: Pine Bark Extract Boosts Nitric Oxide (NO) Production
2. New Study: Pine Bark Significantly Reduces Menstrual Pain
3. New Study: Antidepressants Commonly Prescribed with Tamoxifen Put Women at Much Higher Risk for Recurrent Breast Cancer
4. Medco Study: Despite FDA Warnings, Nearly One-Third of Asthma Patients Still Treated with Long-Acting Beta Agonists Without Controller Medications, Increasing Their Risk for Complications and Hospitalizations
5. New Study: Physician Adoption of Live Video Detailing Has Doubled Since 2008, But Will Likely Plateau Until 2012 as Pharma Optimizes Targeting
6. New Study: Overuse of Combination Drug Therapy in Patients with Mild Asthma Leads to Increased Costs
7. New NCPA Study: Medicaid Pharmacy Modernization Could Save States Billions Without Limiting Access
8. Study Suggests High-Dose Fish Oil May Significantly Improve Behavior in Children with ADHD
9. DEFLUX(R) Significantly Reduces Urinary Tract Infections in Children With Vesicoureteral Reflux
10. Quest Diagnostics Introduces ClariSure(TM) Test for Identifying Chromosome Abnormalities Associated With 85 Developmental Disorders in Children
11. Norditropin(R) Approved for Treatment of Children with Short Stature Associated with Turner Syndrome
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2016)... ALBANY, New York , May 26, 2016 ... Transparency Market Research "Medical Waste Management Market - U.S. Industry ... the medical waste management market in the U.S. was valued ... expand at a CAGR of 3.4% from 2015 to 2023 ... report provides exhaustive analysis of current and emerging needle free ...
(Date:5/26/2016)... May 26, 2016   Change Healthcare ... analytics, network solutions and technology-enabled services designed ... entered into a strategic channel partnership with ... software solutions and revenue cycle management services ... and rehabilitation clinics to optimize revenue, operational ...
(Date:5/25/2016)... -- According to a new market research ... by Therapeutic Area (Oncology, Cosmeceutical/Plastic Surgery), by Application (Drug ... Hospitals/ Clinics) - Forecast to 2021", published by MarketsandMarkets, ... the forecast period of 2016 to 2021. This market ... from USD 117.3 Million in 2016, at a CAGR ...
Breaking Medicine Technology:
(Date:5/31/2016)... , ... May 31, 2016 , ... ... 4, 2016 Cool Vendors in Security Infrastructure Protection report by Gartner1 Inc. , ... a series of research reports evaluating these innovative vendors and their products and ...
(Date:5/31/2016)... (PRWEB) , ... May 31, 2016 , ... ... multichannel marketing services firm and statement solutions provider, for the tenth consecutive ... the May 2016 issue of Advertising Age, and SourceLink ranked eighteenth in the ...
(Date:5/31/2016)... N.J. (PRWEB) , ... May 31, 2016 , ... ... and print media enterprise focused on patients with cancer, has added Cancer ... readers and website visitors with more timely content on continuing successful careers while ...
(Date:5/30/2016)... ... May 30, 2016 , ... As the CDC relaxes ... children and their efforts to keep their households lice free. , According to ... enacting new policies that keep kids in the classroom despite the fact that they ...
(Date:5/30/2016)... ... May 30, 2016 , ... Zane Benefits, ... publication of an original infographic, " Health Benefits Reimbursement Compliance Timeline ." ... Zane Benefits complies with various federal regulations and reforms. , Navigating the new ...
Breaking Medicine News(10 mins):