{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T07:27:41Z","timestamp":1793345261783,"version":"4.5.0"},"reference-count":27,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,9,1]]},"abstract":"<jats:sec><jats:title>OBJECTIVE:<\/jats:title><jats:p>To estimate differences in the length of stay (LOS) and costs for comparable pediatric patients with and without venous thromboembolism (VTE), catheter-associated urinary tract infection (CAUTI), and pressure ulcer (PU).<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>We identified at-risk children 1 to 17 years old with inpatient discharges in the Nationwide Inpatient Sample. We used a high dimensional propensity score matching method to adjust for case-mix at the patient level then estimated differences in the LOS and costs for comparable pediatric patients with and without VTE, CAUTI, and PU.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>Incidence rates were 32 (VTE), 130 (CAUTI), and 3 (PU) per 10\u2009000 at-risk patient discharges. Patients with VTE had an increased 8.1 inpatient days (95% confidence interval [CI]: 3.9 to 12.3) and excess average costs of $27\u2009686 (95% CI: $11\u2009137 to $44\u2009235) compared with matched controls. Patients with CAUTI had an increased 2.4 inpatient days (95% CI: 1.2 to 3.6) and excess average costs of $7200 (95% CI: $2224 to $12\u2009176). No statistical differences were found between patients with and without PU.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>The significantly extended LOS highlights the substantial morbidity associated with these potentially preventable events. Hospitals seeking to develop programs targeting VTE and CAUTI should consider the improved turnover of beds made available by each event prevented.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.2015-1386","type":"journal-article","created":{"date-parts":[[2015,8,11]],"date-time":"2015-08-11T00:38:58Z","timestamp":1439253538000},"page":"432-439","source":"Crossref","is-referenced-by-count":123,"title":["Costs of Venous Thromboembolism, Catheter-Associated Urinary Tract Infection, and Pressure Ulcer"],"prefix":"10.1542","volume":"136","author":[{"given":"Anthony","family":"Goudie","sequence":"first","affiliation":[{"name":"Center for Applied Research and Evaluation, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Dynan","sequence":"additional","affiliation":[{"name":"James M. Anderson Center for Health System Excellence, and"},{"name":"Haile US Bank College of Business, Northern Kentucky University;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick W.","family":"Brady","sequence":"additional","affiliation":[{"name":"James M. Anderson Center for Health System Excellence, and"},{"name":"Division of Hospital Medicine, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Fieldston","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Brilli","sequence":"additional","affiliation":[{"name":"Nationwide Children\u2019s Hospital, Columbus, Ohio; and"},{"name":"Division of Pediatric Critical Care Medicine, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen E.","family":"Walsh","sequence":"additional","affiliation":[{"name":"James M. 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