Pediatric cardiac readmissions: An opportunity for quality improvement?. Sacks, J., Kelleman, M, McCracken, C, Glanville, M, & Oster, M Congenit Heart Dis, 12(3):282–288, May, 2017. ![Pediatric cardiac readmissions: An opportunity for quality improvement? [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex OBJECTIVE: Hospital readmissions are increasingly becoming a metric for quality in the current landscape of changing and cost effective medicine. However, no 30-d readmission rates have been established for pediatric cardiac medical patients in the United States. Thus, the objective was to determine 30 d readmission rates and risk factors associated with readmission for pediatric cardiac patients, hypothesizing that pediatric cardiac patients would have significantly higher readmission rates than their general pediatric counterparts. DESIGN: This was a retrospective cohort study. SETTING: The study took place at a large urban academic children's hospital. PATIENTS: The 1124 included patients were discharged from the medical cardiology service and had an unplanned readmission within 30 d during the period of 2012-2014. MEASURES: Admissions, readmissions, diagnoses, demographics, weights, medications, procedures, length of stay, were all measured. RESULTS: There were 1993 visits and 408 (20.5%) 30-d readmissions in our study. Among the 1124 patients, 219 (19.5%) had at least one 30-d readmission. Patient factors associated with increased likelihood of 30-d readmission were younger age (median: 197.5 vs 1365.5 d, P \textless .0001), lower discharge weight (6.2 v 14.5 kg, P \textless .0001) and greater number of diagnoses (P \textless .0001). The encounter factor associated with a 30-d readmission was longer length of stay (4 vs 2 d, P \textless 0.0001). Factors associated with decreased readmissions were having had an electrophysiology procedure during their stay, taking an angiotensin converting enzyme inhibitor/angiotensin receptor blocker or taking an antibiotic. CONCLUSIONS: Readmissions within 30 d among pediatric cardiology patients are common. The most common factors associated with readmissions are not likely to be modifiable but may serve as important prognostic indicators and as a basis for counseling.
@article{sacks_pediatric_2017,
title = {Pediatric cardiac readmissions: {An} opportunity for quality improvement?},
volume = {12},
url = {https://www.ncbi.nlm.nih.gov/pubmed/27874252},
doi = {10.1111/chd.12436},
abstract = {OBJECTIVE: Hospital readmissions are increasingly becoming a metric for quality in the current landscape of changing and cost effective medicine. However, no 30-d readmission rates have been established for pediatric cardiac medical patients in the United States. Thus, the objective was to determine 30 d readmission rates and risk factors associated with readmission for pediatric cardiac patients, hypothesizing that pediatric cardiac patients would have significantly higher readmission rates than their general pediatric counterparts. DESIGN: This was a retrospective cohort study. SETTING: The study took place at a large urban academic children's hospital. PATIENTS: The 1124 included patients were discharged from the medical cardiology service and had an unplanned readmission within 30 d during the period of 2012-2014. MEASURES: Admissions, readmissions, diagnoses, demographics, weights, medications, procedures, length of stay, were all measured. RESULTS: There were 1993 visits and 408 (20.5\%) 30-d readmissions in our study. Among the 1124 patients, 219 (19.5\%) had at least one 30-d readmission. Patient factors associated with increased likelihood of 30-d readmission were younger age (median: 197.5 vs 1365.5 d, P {\textless} .0001), lower discharge weight (6.2 v 14.5 kg, P {\textless} .0001) and greater number of diagnoses (P {\textless} .0001). The encounter factor associated with a 30-d readmission was longer length of stay (4 vs 2 d, P {\textless} 0.0001). Factors associated with decreased readmissions were having had an electrophysiology procedure during their stay, taking an angiotensin converting enzyme inhibitor/angiotensin receptor blocker or taking an antibiotic. CONCLUSIONS: Readmissions within 30 d among pediatric cardiology patients are common. The most common factors associated with readmissions are not likely to be modifiable but may serve as important prognostic indicators and as a basis for counseling.},
language = {eng},
number = {3},
journal = {Congenit Heart Dis},
author = {Sacks, JH and Kelleman, M and McCracken, C and Glanville, M and Oster, M},
month = may,
year = {2017},
keywords = {United States},
pages = {282--288}
}
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However, no 30-d readmission rates have been established for pediatric cardiac medical patients in the United States. Thus, the objective was to determine 30 d readmission rates and risk factors associated with readmission for pediatric cardiac patients, hypothesizing that pediatric cardiac patients would have significantly higher readmission rates than their general pediatric counterparts. DESIGN: This was a retrospective cohort study. SETTING: The study took place at a large urban academic children's hospital. PATIENTS: The 1124 included patients were discharged from the medical cardiology service and had an unplanned readmission within 30 d during the period of 2012-2014. MEASURES: Admissions, readmissions, diagnoses, demographics, weights, medications, procedures, length of stay, were all measured. RESULTS: There were 1993 visits and 408 (20.5%) 30-d readmissions in our study. Among the 1124 patients, 219 (19.5%) had at least one 30-d readmission. Patient factors associated with increased likelihood of 30-d readmission were younger age (median: 197.5 vs 1365.5 d, P \\textless .0001), lower discharge weight (6.2 v 14.5 kg, P \\textless .0001) and greater number of diagnoses (P \\textless .0001). The encounter factor associated with a 30-d readmission was longer length of stay (4 vs 2 d, P \\textless 0.0001). Factors associated with decreased readmissions were having had an electrophysiology procedure during their stay, taking an angiotensin converting enzyme inhibitor/angiotensin receptor blocker or taking an antibiotic. CONCLUSIONS: Readmissions within 30 d among pediatric cardiology patients are common. The most common factors associated with readmissions are not likely to be modifiable but may serve as important prognostic indicators and as a basis for counseling.","language":"eng","number":"3","journal":"Congenit Heart Dis","author":[{"propositions":[],"lastnames":["Sacks"],"firstnames":["JH"],"suffixes":[]},{"propositions":[],"lastnames":["Kelleman"],"firstnames":["M"],"suffixes":[]},{"propositions":[],"lastnames":["McCracken"],"firstnames":["C"],"suffixes":[]},{"propositions":[],"lastnames":["Glanville"],"firstnames":["M"],"suffixes":[]},{"propositions":[],"lastnames":["Oster"],"firstnames":["M"],"suffixes":[]}],"month":"May","year":"2017","keywords":"United States","pages":"282–288","bibtex":"@article{sacks_pediatric_2017,\n\ttitle = {Pediatric cardiac readmissions: {An} opportunity for quality improvement?},\n\tvolume = {12},\n\turl = {https://www.ncbi.nlm.nih.gov/pubmed/27874252},\n\tdoi = {10.1111/chd.12436},\n\tabstract = {OBJECTIVE: Hospital readmissions are increasingly becoming a metric for quality in the current landscape of changing and cost effective medicine. However, no 30-d readmission rates have been established for pediatric cardiac medical patients in the United States. Thus, the objective was to determine 30 d readmission rates and risk factors associated with readmission for pediatric cardiac patients, hypothesizing that pediatric cardiac patients would have significantly higher readmission rates than their general pediatric counterparts. DESIGN: This was a retrospective cohort study. SETTING: The study took place at a large urban academic children's hospital. PATIENTS: The 1124 included patients were discharged from the medical cardiology service and had an unplanned readmission within 30 d during the period of 2012-2014. MEASURES: Admissions, readmissions, diagnoses, demographics, weights, medications, procedures, length of stay, were all measured. RESULTS: There were 1993 visits and 408 (20.5\\%) 30-d readmissions in our study. Among the 1124 patients, 219 (19.5\\%) had at least one 30-d readmission. Patient factors associated with increased likelihood of 30-d readmission were younger age (median: 197.5 vs 1365.5 d, P {\\textless} .0001), lower discharge weight (6.2 v 14.5 kg, P {\\textless} .0001) and greater number of diagnoses (P {\\textless} .0001). The encounter factor associated with a 30-d readmission was longer length of stay (4 vs 2 d, P {\\textless} 0.0001). Factors associated with decreased readmissions were having had an electrophysiology procedure during their stay, taking an angiotensin converting enzyme inhibitor/angiotensin receptor blocker or taking an antibiotic. CONCLUSIONS: Readmissions within 30 d among pediatric cardiology patients are common. The most common factors associated with readmissions are not likely to be modifiable but may serve as important prognostic indicators and as a basis for counseling.},\n\tlanguage = {eng},\n\tnumber = {3},\n\tjournal = {Congenit Heart Dis},\n\tauthor = {Sacks, JH and Kelleman, M and McCracken, C and Glanville, M and Oster, M},\n\tmonth = may,\n\tyear = {2017},\n\tkeywords = {United States},\n\tpages = {282--288}\n}\n\n","author_short":["Sacks, J.","Kelleman, M","McCracken, C","Glanville, M","Oster, M"],"key":"sacks_pediatric_2017","id":"sacks_pediatric_2017","bibbaseid":"sacks-kelleman-mccracken-glanville-oster-pediatriccardiacreadmissionsanopportunityforqualityimprovement-2017","role":"author","urls":{"Paper":"https://www.ncbi.nlm.nih.gov/pubmed/27874252"},"keyword":["United States"],"downloads":0,"html":""},"search_terms":["pediatric","cardiac","readmissions","opportunity","quality","improvement","sacks","kelleman","mccracken","glanville","oster"],"keywords":["united states"],"authorIDs":[],"dataSources":["G7YYko4TrMhyMcNEQ"]}