Arrhythmias & electrophysiologyCohort study
Admission rates for pediatric supraventricular tachycardia are affected by primary insurance payor: An analysis of the Nationwide Emergency Department Sample (NEDS) database
- retrospective cohort study
Authors' conclusion
Public insurance payor is associated with higher rates of hospital admission/transfer for pediatric SVT, independent of age. Further studies are needed to identify whether differential access to preventative care underlies this observation, as this may be a target for intervention.
Study context
- Population
- Encounters for patients age 0–18 years with a primary diagnosis of SVT, excluding those with congenital heart disease, 2006 to 2018 US Nationwide Emergency Department Sample (NEDS)Emergency department (ED) encounters analyzed
- Participants
- 38,896 encounters
- Exposure
- public payor vs private payor
- Outcome
- hospital admission/transfer
Main finding
As reported in the abstract
Odds ratio
1.6
95% CI 1.2–2.2
By group
public payor vs private payor
OR 1.6 (95% CI 1.2–2.2)
Observational data: associations, not effects.
Secondary outcomes
Cohort characteristics
- median age (years)
- 11.5 years (IQR 6-15)
- male
- 48%
- private payor
- 53%
- public payor
- 38%
Length of stay (LOS) and procedures
- No differences in LOS or procedures by payor
Admission/transfer by patient age
- All age groups less likely to undergo admission/transfer compared to age < 1 year
Original publication
Admission rates for pediatric supraventricular tachycardia are affected by primary insurance payor: An analysis of the NEDS database. Am Heart J. Published 26 January 2026. doi:10.1016/j.ahj.2026.107357
Summarised from the published abstract; every number is checked against it