Jennifer Graebe
Humanness in Learning: Nurturing the Human Spirit in Accredited Nursing Continuing Professional Development
Journal of continuing education in nursing
hypoplastic left heart syndrome hlhs highly resourceintensive diagnosis geographic variation cost length stay los hlhs well described neonates diagnosed hlhs 2000 2012 identified using kids inpatient database hospitalizations stratified two groups 1 birth 2 secondary united states regional differences hospital charges los compared using adjusted linear regression 2431 birth hospitalizations 449 neonates 185 died inpatient mortality rates differed region p 002 birth 405 n 985 neonates transferred transfers common midwest p 00001 adjusted average los shortest west longest south 261 days 95 ci 240 351 vs 349 days 95 ci 318 381 average adjusted charges lowest northeast 324600 95 ci 271400 377900 highest west 400500 95 ci 346700 454300 p 005 among 1895 secondary hospitalizations 249 neonates died inpatients average adjusted los shortest west 268 days 95 ci 239 297 longest south 385 days 95 ci 344 424 average adjusted charges lowest northeast 326900 95 ci 270700 383100 highest south 505900 95 ci 450200 561500 p 00001 significant geographic variations mortality los hospital charges exist care us hlhs neonates reducing variation care remain priority national quality efforts congenital heart disease