OBJECTIVE: The purpose of this study was to determine resource
utilization in managing subglottic stenosis.
STUDY DESIGN: The Kids' Inpatient Database (KID) 2003 was analyzed.
SUBJECTS AND METHODS: International Classification of Diseases,
Ninth Revision code 478.74 was the inclusion criteria.
RESULTS: Two thousand forty-six admissions with subglottic stenosis were
sampled; there were 10 deaths (0.49%). States with the most admissions were Ohio,
California, and Illinois; these did not have the highest spending per admission. Two
hundred eighteen (10.7%) underwent a laryngeal graft procedure; states with the most
were Ohio (35.8%), Texas, California, and Florida. Indicators of increased resource
utilization include length of stay, nonelective admission, race, primary payer,
hospital location, and type.
CONCLUSIONS: For subglottic stenosis, three states account for 37% of
admissions, and four states account for 56% of laryngeal graft procedures in 2003.
The mean total charges were $53,787; 90% of admissions had total charges less than
$139,253. Patients who underwent surgical procedures had total charges of
$76,409.
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