Hospital resource use after hip reconstruction surgery in children with neurological complex chronic conditions
| Autor: | Rachel L. DiFazio, Jay G. Berry, Elizabeth Casto, Laurie Glader, Patrice Melvin, Benjamin J. Shore |
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| Rok vydání: | 2020 |
| Předmět: |
Reconstructive surgery
medicine.medical_specialty Pediatrics Chronic condition business.industry Readmission rate medicine.disease Reconstruction surgery 03 medical and health sciences Malnutrition 0302 clinical medicine Developmental Neuroscience Interquartile range 030225 pediatrics Pediatrics Perinatology and Child Health Medicine Resource use Neurology (clinical) Significant risk business 030217 neurology & neurosurgery |
| Zdroj: | Developmental Medicine & Child Neurology. 63:204-210 |
| ISSN: | 1469-8749 0012-1622 |
| DOI: | 10.1111/dmcn.14712 |
| Popis: | AIM To assess how co-occurring conditions influence recovery after hip reconstruction surgery in children with neurological complex chronic conditions (CCCs). METHOD This was a retrospective analysis of 4058 children age 4 years or older with neurological CCCs who underwent hip reconstructive surgery between 1st January 2015 and 31st December 2018 in 49 children's hospitals. The presence of co-occurring chronic conditions was assessed using the Agency for Healthcare Research Chronic Condition Indicator system. Multivariable, hierarchical regression was used to assess the relationship between co-existing conditions and postoperative hospital length of stay (LOS), cost, and 30-day readmission rate. RESULTS The most common co-occurring conditions were digestive (60.1%) and respiratory (37.9%). As the number of co-existing conditions increased from one to four or more, median LOS increased 67% (3d [interquartile range {IQR} 2-4d] to 5d [IQR 3-8d]); median hospital cost increased 41% ($20 248 [IQR $14 921-$27 842] to $28 692 [IQR $19 236-$45 887]); and readmission rates increased 250% (5.5-13.9%), p |
| Databáze: | OpenAIRE |
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