Eli A Jones, Stefanie A Wind, Chia-Lin Tsai, Yuan Ge
Comparing Person-Fit and Traditional Indices Across Careless Response Patterns in Surveys
Applied psychological measurement
object craniosynostosis often treated neurosurgical intervention aim study report analyze clinical socioeconomic characteristics patients craniosynostosis present current national trends methods using kids inpatient database years 2000 2003 2006 2009 authors identified patients craniosynostosis using international classification diseases ninth revision clinical modification diagnosis codes associated procedure codes clinical features demographics inpatient procedures outcomes charges collected analyzed results 3415 patients identified 658 white 214 hispanic 32 black 96 treated urban teaching hospitals 542 southern western regions white patients younger mean 61 months compared blacks mean 109 months hispanics mean 91 months p 00001 time surgery higher fraction whites private insurance 703 compared nonwhites 340416 p 0001 approximately 122 nonelective admissions among blacks 169 mean hospital length stay los 35 days significant differences among races following surgical treatment 121 patients developed complications commonly pulmonaryrespiratory 48 wound infection 44 hydrocephalus 14 mean overall hospital charges significantly lower whites nonwhites 34527 vs 4489048543 respectively p 00001 conclusions findings national study suggest higher prevalence craniosynostosis hispanics higher predisposition among males less evident hispanics blacks significant percentage nonelective admissions commonly among blacks additionally hispanics blacks likely receive surgery older age past current recommendation optimum age surgical intervention findings likely associated lack early detection although mean los rate complications significantly differ among different races nonwhites average higher hospital charges 1000014000 discrepancy may due differences type insurance craniosynostosis type rates comorbidities delay treatment although several limitations analysis study reports relevant disparities regarding costly neurosurgical intervention ways diminish disparities explored