Researchers studied the impact of adult congenital heart surgery patients on pediatric hospitals’ resources and high resource use on inpatient death. They defined high resource use as admissions exceeding the 90th percentile for total hospital charges, which in the study was more than $213,803 per hospital admission.
Results showed that adult congenital heart surgery admissions to pediatric hospitals accounted for 3.1 percent of total admissions for the procedure and 2.2 percent of total hospital charges. HRU admissions had a 16 percent mortality rate compared to a 0.7 percent mortality rate for other patients. In addition, higher case complexity, DiGeorge syndrome, depression, weekend admission and government insurance were risk factors for HRU.
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