Variation in Diagnostic Testing and Hospitalization Rates in Children With Acute Gastroenteritis
| Autor: | Donald H. Arnold, Derek J. Williams, Whitney L. Browning, Gregory Plemmons, Nusrat Zaman, Carrie Lind, Matthew Hall, David P. Johnson |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Conservative management Length of hospitalization medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Cost of Illness 030225 pediatrics Rotavirus Medicine Humans 030212 general & internal medicine Retrospective Studies business.industry Diagnostic test Infant Pediatric age General Medicine Emergency department Acute gastroenteritis Length of Stay Hospitals Pediatric United States Gastroenteritis Patient Care Management Hospitalization Diagnostic Techniques Digestive System Outcome and Process Assessment Health Care Child Preschool Pediatrics Perinatology and Child Health Acute Disease Female business Resource utilization |
| Zdroj: | Hospital pediatrics. 6(12) |
| ISSN: | 2154-1663 |
| Popis: | Acute gastroenteritis (AGE) remains a major cause of childhood morbidity and mortality in the United States. The routine use of vaccines targeting rotavirus, the most common cause of pediatric AGE, has decreased all-cause AGE emergency department (ED) visits and hospitalizations.1 However, the burden of pediatric AGE remains substantial. With annual hospitalization rates of 3 to 5 per 1000 US children $350 million in costs annually.3 Care for uncomplicated AGE is largely supportive, and guidelines from the American Academy of Pediatrics and other international organizations emphasize conservative management and discourage routine diagnostic testing for AGE, with or without dehydration.4–6 Yet there continues to be wide variation in AGE management among individual providers and hospitals in the United States and abroad.7,8 Studies in children with acute respiratory illness show similar variation in care that is associated with important outcome differences, with higher resource utilization linked to higher rates of hospitalization and longer hospital length of stay (LOS), irrespective of the severity of illness.9,10 Whether similar associations exist between resource utilization and outcomes in children with AGE is largely unexplored. With the use of data from 34 US children’s hospitals, we sought … |
| Databáze: | OpenAIRE |
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