1. 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

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

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

4. 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

5. 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

6. 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%.

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

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