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An update on the epidemiology, length of stay, and cost of Kawasaki disease hospitalisation in the United States

Published online by Cambridge University Press:  06 June 2019

Laxmi V. Ghimire Open the ORCID record for Laxmi V. Ghimire [Opens in a new window] ,
Fu-Sheng Chou ,
Narayan B. Mahotra  and
Sharan P. Sharma
Laxmi V. Ghimire*
Affiliation:
Section of Pediatrics and Section of Cardiology, Department of Medicine, Lakes Region General Hospital, Laconia, NH, USA Department of Pediatrics, University of New England Biddeford, ME, USA
Fu-Sheng Chou
Affiliation:
Division of Neonatology, Children’s Mercy Hospital, Kansas City, MO, USA Department of Pediatrics, University of Missouri-Kansas City, Kansas City, MO, USA Department of Pediatrics, University of Kansas Medical Center, Kansas City, KS, USA
Narayan B. Mahotra
Affiliation:
Department of Clinical Physiology, Tribhuvan University, Institute of Medicine, Kathmandu, Nepal
Sharan P. Sharma
Affiliation:
Department of Medicine, Lakes Region General Hospital, Laconia, NH, USA
*
Author for correspondence: Laxmi V. Ghimire, MD, Section of Pediatrics and Section of Cardiology, Lakes Region General Hospital, Laconia, NH 03246, USA. Tel: +603 528-0995; Email: [email protected]
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Abstract

Background:

Kawasaki disease is an acute vasculitis of childhood and is the leading cause of acquired heart disease in the developed countries.

Methods:

Data from hospital discharge records were obtained from the National Kids Inpatient Database for years 2009 and 2012. Hospitalisations by months, hospital regions, timing of admission, insurance types, and ethnicity were analysed. Length of stay and total charges were also analysed.

Results:

There were 10,486 cases of Kawasaki disease from 12,678,005 children hospitalisation. Kawasaki disease was more common between 0 and 5 years old, in male, and in Asian. The January–March quarter had the highest rate compared to the lowest in the July–September quarter (OR=1.62, p < 0.001). Admissions on the weekend had longer length of stay [4.1 days (95 % CI: 3.97–4.31)] as compared to admissions on a weekday [3.72 days (95 % CI: 3.64–3.80), p < 0.001]. Blacks had the longest length of stay and whites had the shortest [4.33 days (95 % CI: 4.12–4.54 days) versus 3.60 days (95 % CI: 3.48–3.72 days), p < 0.001]. Coronary artery aneurysm was identified in 2.7 % of all patients with Kawasaki disease. Children with coronary artery aneurysm were hospitalised longer and had higher hospital charge. Age, admission during weekend, and the presence of coronary artery aneurysm had significant effect on the length of stay.

Conclusions:

This report provides the most updated epidemiological information on Kawasaki disease hospitalisation. Age, admissions during weekend, and the presence of coronary artery aneurysm are significant contributors to the length of stay.

Keywords

Kawasaki diseasecoronary aneurysmUnited States
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 6 , June 2019 , pp. 828 - 832
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Copyright
© Cambridge University Press 2019 

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