当前位置： SCI文献检索 > PEDIATRICS期刊下所有文献 > Readmissions among children previously hospitalized with pneumonia.

Readmissions among children previously hospitalized with pneumonia.

Abstract：

BACKGROUND AND OBJECTIVES:Pneumonia is a leading cause of hospitalization and readmission in children. Understanding the patient characteristics associated with pneumonia readmissions is necessary to inform interventions to reduce avoidable hospitalizations and related costs. The objective of this study was to characterize readmission rates, and identify factors and costs associated with readmission among children previously hospitalized with pneumonia. METHODS:Retrospective cohort study of children hospitalized with pneumonia at the 43 hospitals included in the Pediatric Health Information System between January 1, 2008, and December 31, 2011. The primary outcome was all-cause readmission within 30 days after hospital discharge, and the secondary outcome was pneumonia-specific readmission. We used multivariable regression models to identify patient and hospital characteristics and costs associated with readmission. RESULTS:A total of 82 566 children were hospitalized with pneumonia (median age, 3 years; interquartile range 1-7). Thirty-day all-cause and pneumonia-specific readmission rates were 7.7% and 3.1%, respectively. Readmission rates were higher among children <1 year of age, as well as in patients with previous hospitalizations, longer index hospitalizations, and complicated pneumonia. Children with chronic medical conditions were more likely to experience all-cause (odds ratio 3.0; 95% confidence interval 2.8-3.2) and pneumonia-specific readmission (odds ratio 1.8; 95% confidence interval 1.7-2.0) compared with children without chronic medical conditions. The median cost of a readmission ($11 344) was higher than that of an index admission ($4495; P = .01). Readmissions occurred in 8% of pneumonia hospitalizations but accounted for 16.3% of total costs for all pneumonia hospitalizations. CONCLUSIONS:Readmissions are common after hospitalization for pneumonia, especially among young children and those with chronic medical conditions, and are associated with substantial costs.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Neuman MI,Hall M,Gay JC,Blaschke AJ,Williams DJ,Parikh K,Hersh AL,Brogan TV,Gerber JS,Grijalva CG,Shah SS

doi

10.1542/peds.2014-0331

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

100-9

issue

eissn

0031-4005

issn

1098-4275

pii

peds.2014-0331

journal_volume

134

pub_type

杂志文章,多中心研究

在线工具

Readmissions among children previously hospitalized with pneumonia.