Identification of hospitalized tracheostomy and ventilator dependent patients in administrative data

Pediatric Pulmonology
Barbara K GiambraMaria T Britto

Abstract

Patients with established tracheostomy and ventilator dependence are hospitalized more frequently and use more healthcare resources than other patients with complex chronic conditions. However, data to compare variation in hospitalization and resource use among patients in this population across the United States is deficient, partly due to the lack of structured methods to query national databases. Determine the best method for identifying the subset of children with established tracheostomy and ventilator dependence in Pediatric Health Information System (PHIS). A combination of identifiable characteristics coded in the PHIS database can be used to identify the population of patients with established tracheostomy and ventilator dependence who are admitted to the hospital. This cross-sectional, retrospective cohort study used established methods to extract data from PHIS and assessed the sensitivity and specificity of an algorithm to identify patients with established tracheostomy and ventilator dependence as compared with a local registry of ventilator dependent patients. A newly created algorithm identified >90% of the 157 patients with established tracheostomy and ventilator dependence hospitalized at our organization durin...Continue Reading

References

Mar 6, 2004·Seminars in Neonatology : SN·Raouf S Amin, Cynthia M Fitton
Feb 18, 2011·JAMA : the Journal of the American Medical Association·Jay G BerryJohn Neff
Jan 17, 2014·The Laryngoscope·Jamie L FunamuraCraig W Senders
Mar 5, 2014·Journal for Specialists in Pediatric Nursing : JSPN·Shannon M HudsonMarilyn A Laken
May 14, 2014·Pediatrics·Tamara D SimonUNKNOWN Center of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN) Medical Complexity Working Group
Mar 6, 2016·The Journal of Pediatrics·Jan Hau LeeChristoph P Hornik

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Citations

Oct 20, 2020·American Journal of Perinatology·Renee D BossUNKNOWN Pediatric Chronic Critical Illness Collaborative
Apr 5, 2021·Journal of Pediatric Nursing·Barbara K GiambraMaria T Britto
Oct 5, 2021·Hospital Practice·Benjamin KalmNatalie Darro

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