Abstract
We conducted a retrospective study to compare the quality and costs of care among rural and urban hospitals for low severity pediatric bronchiolitis admissions. The Agency for Healthcare Research and Quality 2009 Kids’ Inpatient Database provided the data for analysis. Diagnosis and severity of illness levels were based on All Patient Refined Diagnosis-Related Groups (APR-DRG) of 138: bronchiolitis and respiratory syncytial virus pneumonia. We included the lowest severity of illness, as defined by APR-DRG severity classification, comprising 58.8% of all pediatric bronchiolitis discharges. The Institutional Review Boards of Sanford Health and Sanford School of Medicine approved this study (Sanford Health Project Number 03-12-001, meets exempt status; Sanford School of Medicine Project Number 2011.210; meets exempt status).
Highlights
There are limited and conflicting studies examining the quality of health care in rural versus urban settings1-4
Hospital costs were determined by using hospital specific cost-to-charge ratios as obtained from each hospital’s accounting reports
Comparing patients admitted to rural versus urban hospitals, we found statistically different but clinically comparable age (0.5 vs 0.4 years, p
Summary
Healthcare costs and outcomes for pediatric inpatients with bronchiolitis: comparison of urban versus rural hospitals. Submitted: 19 November 2014; Accepted: 13 December 2014; Published: 24 June 2015 Hsu BS, Meyer BD, Lakhani S
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