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Cardiac diagnoses, procedures, and healthcare utilisation in inpatients with Ellis–van Creveld syndrome

Published online by Cambridge University Press:  29 October 2013

Matthew J. O’Connor ,
Xinyu Tang  and
R. Thomas Collins II
Matthew J. O’Connor*
Affiliation:
Department of Pediatrics, Pediatric Cardiology Division, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital, Little Rock, Arkansas, United States of America
Xinyu Tang
Affiliation:
Biostatistics Program, Department of Pediatrics, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital, Little Rock, Arkansas, United States of America
R. Thomas Collins II
Affiliation:
Department of Pediatrics, Pediatric Cardiology Division, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital, Little Rock, Arkansas, United States of America
*
Correspondence to: Dr M. J. O’Connor, MD, Pediatric Cardiology Division, Arkansas Children’s Hospital, Slot 512-3, 1 Children’s Way, Little Rock, AR 72212, United States of America. Tel: (501) 364-1479; Fax: 501-364-3667; E-mail: mjoconnor@uams.edu
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Abstract

Introduction

Ellis–van Creveld syndrome is a rare condition associated with a very high incidence of congenital malformations of the heart. Prior reports have suggested increased morbidity and mortality following surgery for congenital malformations of the heart in patients with Ellis–van Creveld syndrome.

Materials and methods

The Pediatric Health Information System database, an administrative database containing data from 43 free-standing paediatric hospitals in North America, was queried to search for patients with the diagnostic code for Ellis–van Creveld syndrome between 2004 and 2011. Those patients who underwent cardiac procedures were compared with those who did not with respect to measures of healthcare utilisation.

Results

A total of 138 admissions occurred in 93 patients with Ellis–van Creveld syndrome during the study period. Of these, 74% had an underlying diagnosis of congenital malformations of the heart. Half of the patients in the sample underwent a cardiac surgical or interventional catheterisation procedure. Patients who underwent a cardiac procedure had a longer hospital length of stay, higher incidence of intensive care unit admission, and higher total and per day hospital charges than patients who did not undergo cardiac surgery during admission.

Conclusions

In a large group of inpatients with Ellis–van Creveld syndrome, the prevalence of congenital malformations of the heart was similar to that reported in prior studies. Cardiac surgical and interventional procedures appear to drive a substantial portion of healthcare utilisation in these patients.

Keywords

Ellis–van Creveld syndromecardiac surgeryinpatienthealthcare utilisation
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 1 , January 2015 , pp. 95 - 101
Copyright
Copyright © Cambridge University Press 2013 

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