Annual Report on Health Care for Children and Youth in the United States: Focus on 30-Day Unplanned Inpatient Readmissions, 2009 to 2014

Academic Pediatrics
Kevin C HeslinMarie C McCormick

Abstract

To describe trends in unplanned 30-day all-condition hospital readmissions for children aged 1 to 17 years between 2009 and 2014. Analysis was conducted with the 2009-14 Nationwide Readmissions Database from the Agency for Healthcare Research and Quality's Healthcare Cost and Utilization Project. Annual hospital readmission rates, resource use, and the most common reasons for readmission were calculated for the 2009-14 period. The rate of readmission for children aged 1 to 17 years was essentially stable between 2009 and 2014 (5.5% in 2009 and 5.9% in 2014). In 2009, the most common reason (principal diagnosis) for readmission was sickle cell anemia, whereas in 2014 the most common reason was epilepsy. Pneumonia fell from the second to the sixth most common reason for readmission over this period (from 3832 to 2418 stays). Other respiratory infections were among the top 10 principal readmission diagnoses in 2009, but not in 2014. Septicemia was among the 10 most common reasons for readmission in 2014, but not in 2009. Although the average cost of index (ie, initial) stays with a subsequent readmission were similar in 2009 and 2014, the average cost of index stays without a readmission and cost of readmission stays increased by ...Continue Reading

Citations

Oct 1, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Jamie M PintoAnna Petrova
Jan 6, 2021·Resuscitation·Sarah E HaskellDianne L Atkins
Jan 16, 2021·European Journal of Pediatrics·Thang S HanChristopher H Fry
Feb 25, 2021·Critical Care Explorations·Jason M KaneDenise M Goodman

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