Admissions to Acute Care Within 30 and 90 Days of Discharge Home From a Pediatric Post-acute Care Hospital
| Autor: | Maria A. Fragala-Pinkham, Jay G. Berry, Helene M. Dumas, Jane E. O'Brien |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Discharge home Patient Readmission Pediatrics Post acute care Cohort Studies 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Acute care Humans Medicine 030212 general & internal medicine Child Retrospective Studies Hospital readmission business.industry Retrospective cohort study General Medicine After discharge Hospitals Pediatric Patient Discharge Hospital care Child Preschool Pediatrics Perinatology and Child Health Emergency medicine Female business Subacute Care Cohort study |
| Zdroj: | Hospital Pediatrics. 7:682-685 |
| ISSN: | 2154-1671 2154-1663 |
| DOI: | 10.1542/hpeds.2017-0039 |
| Popis: | OBJECTIVES: Of all hospitalized children, those with medical complexity have the highest likelihood of hospital readmission. Post-acute hospital care could potentially help stabilize the health of these children. We examined the frequency of acute care hospital admissions after discharge home from a post-acute care hospital (PACH). METHODS: A retrospective cohort analysis of 448 children with medical complexity discharged from a PACH from January 1, 2010, to December 31, 2015, with the main outcomes of acute care hospital readmissions 0 to 30 and 31 to 90 days after discharge home from a PACH. Demographic and clinical characteristics were compared between children with and without acute care readmission and between the 2 readmission groups. RESULTS: Ninety-nine children (22%) had a readmission to the acute care hospital. Of these readmissions, 61 (62%) occurred between 0 and 30 days and 38 (38%) between 31 and 90 days after PACH discharge. A higher percentage of children readmitted had high medical severity (>3 systems involved or ventilator dependent) compared with children not readmitted (68% vs 31%, P = .04). No differences were found between children who were readmitted and those who were not by sex, race, payer, length of stay, or age at PACH discharge. Additionally, no differences were found between children readmitted within 30 days and children readmitted 31 to 90 days after PACH discharge. CONCLUSIONS: The majority of children discharged home from a PACH do not require an acute care hospitalization within the first 3 months. Children with greater medical severity are readmitted more often than others. |
| Databáze: | OpenAIRE |
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