Madhuradhar Chegondi, MD Prithvi Sendi, MD Balagangadhar Totapally, MD PREVALENCE AND MORTALITY TRENDS IN HOSPITALIZED CHILDREN REQUIRING HEMODIALYSIS: AN ANALYSIS KID INPATIENT DATABASE Madhuradhar Chegondi, MD Prithvi Sendi, MD Balagangadhar Totapally, MD

Objective To analyze the trends in prevalence and mortality rates in children requiring HD and to compare prevalence and mortality.

Methods Retrospective analysis HCUP 2012, 2009, 2006 and 2003 KID inpatient database 1 month – 18 years of age Weighted comparison Data analysis - SPSS

Results A total of 11,810,223 admissions in the years 2012, 2009, 2006 and 2003 0.1% of total admissions (12,612) required hemodialysis 52.2 % males, 32.6% white and 31.8% with private insurance

Results – Variables Variable Value (Median) IQR Age 12 years 5-15 Length of Stay 7 days 3-17 Charges $ 55,440 21,748 – 164,488

Results The prevalence increased from 0.92/10,000 discharges in 2003 to 1.53/10,000 discharges in 2012 (p<0.001, Chi-Square for linear trend) with an overall prevalence of 1.07/10,000 discharges. The mortality rate in children who received HD decreased from 10.36% in 2003 to 8.39% in 2012 (p = 0.01, Chi-Square for linear trend) with an overall mortality rate of 9.48%.

Prevalence and Mortality rates in children requiring HD from 2003 - 2012 Year HD No HD Prevalence Dead Survived Mortality Rate (%) 2003 3127 3413621 0.92 324 2803 10.36 2006 3404 3321164 1.02 328 3076 9.64 2009 3150 3162934 0.99 297 2853 9.43 2012 2931 1912504 1.53 246 2685 8.39 2003-2012 12612 11810233 1.07 1195 11417 9.48

Conclusion The overall prevalence of HD in children increased, while the mortality rates significantly decreased over the course of the years