OBJECTIVES To recognize the national trends in management of pediatric craniopharyngioma and to address the significant predictors of discharge disposition. METHODS We utilized the Kids' Inpatient Database (KID), a pediatric inpatient sample generated by the Healthcare Cost and Utilization Project (HCUP) triennially from 1997 to 2016. RESULTS KID contains 2141 pediatric craniopharyngioma admissions. Patient demographics had no effect on discharge disposition. Based on the multivariable logistic regression analysis, we confirmed a significantly higher non-routine discharge rate among patients with hydrocephalus (P = 0.01). Patients who developed diabetes insipidus were at higher risk for non-routine discharge (P = 0.02). Admission of patients to a freestanding children's hospital increased the likelihood of routine discharge (P = 0.001). CONCLUSION Hydrocephalus, diabetes insipidus, and admission to a freestanding children's hospital are significant independent predictors of discharge disposition.

中文翻译：

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使用儿童住院数据库（KID）对美国2141例小儿颅咽管瘤入院情况进行了分析：出院倾向的预测因素。

目的了解小儿颅咽管瘤的国家管理趋势，并探讨出院处置的重要预测因素。方法我们使用了儿童住院数据库（KID），这是由医疗成本与利用项目（HCUP）从1997年至2016年每三年进行一次的儿科住院样本。结果KID包含2141例小儿颅咽管瘤入院病例。患者的人口统计学信息对出院安排没有影响。基于多变量logistic回归分析，我们证实脑积水患者的非常规出院率显着更高（P = 0.01）。尿崩症患者非常规出院的风险较高（P = 0.02）。将患者送入一家独立儿童医院增加了常规出院的可能性（P = 0.001）。