Findings from Medical University of South Carolina in Bronchoscopy Provides New Insights (Insurance type impacts bronchoscopy for foreign body aspiration: An analysis of the Kids’ Inpatient Database)

2020 MAY 12 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- Fresh data on Surgical Procedures - Bronchoscopy are presented in a new report. According to news reporting from Charleston, South Carolina, by NewsRx journalists, research stated, “To ascertain whether insurance type is associated with postoperative adverse effects and hospital length of stay for inpatient airway foreign body removal. Retrospective analysis of children <18 years of age that underwent inpatient bronchoscopy with removal of airway foreign body in the national Healthcare Cost and Utilization Project Kid’s Inpatient Database (KID).”

The news correspondents obtained a quote from the research from the Medical University of South Carolina, “Postoperative outcomes and length of stay were analyzed for racial disparities and insurance type using multivariable logistic regression and negative binomial regression. Models adjusted for race, insurance type, sex, age, and presence of pulmonary risk factors. A total of 5,850 children underwent bronchoscopy for foreign body removal. The median age was 2 (IQR: 4-1) years and 61.6% patients were male. Payer status included Medicaid (38.9%), private insurance (51.5%), self-pay (4.3%) and other (9.6%). The Medicaid cohort had a higher proportion of black (19.1%) and Hispanic patients (34.5%) (p <0.001). Children covered under Medicaid had higher odds of postoperative complications (odds ratio [OR] 1.216; p=0.031) and a greater length of stay (OR 1.533; p<0.001) relative to the private insurance group when adjusting for sex, age, race and presence of pulmonary risk factors. The odds of having a greater length of stay was 33% higher for black (p <0.001) and 37% higher for Hispanic (p <0.001) children compared to white children. The average adjusted LOS under Medicaid was 8.37 days compared to 5.46 days for privately insured children. This study demonstrated that a difference in postoperative complications and LOS exist between public and privately insured children for foreign body removal via bronchoscopy.”

According to the news reporters, the research concluded: “Further studies are warranted to investigate factors that drive these disparities.”

For more information on this research see: Insurance type impacts bronchoscopy for foreign body aspiration: An analysis of the Kids’ Inpatient Database. International Journal of Pediatric Otorhinolaryngology, 2020;134():110023. International Journal of Pediatric Otorhinolaryngology can be contacted at: Elsevier Sci Ireland LTD, Customer Relations Manager, Bay 15, Shannon Industrial Estate CO, Clare, Ireland. (Elsevier - www.elsevier.com; International Journal of Pediatric Otorhinolaryngology - http://www.journals.elsevier.com/international-journal-of-pediatric-otorhinolaryngology/)

Our news journalists report that additional information may be obtained by contacting C.S. Clemmens, Dept. of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, United States. Additional authors for this research include T. Patel, D.R. White, M.E. Ford, A.L. Andrews and P.P Pecha.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.ijporl.2020.110023. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the International Journal of Pediatric Otorhinolaryngology is: Elsevier Sci Ireland LTD, Customer Relations Manager, Bay 15, Shannon Industrial Estate CO, Clare, Ireland.

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