ArticleMedical care2010
High turnover stays for pediatric asthma in the United States: analysis of the 2006 Kids' Inpatient Database.
Article in Medical care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05968716 (Addressing Unmet Social Needs Among Hospitalized Children), which is not on this map. Cited by 6 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Addressing Unmet Social Needs Among Hospitalized Children
Who cites it
6 citing papers in PubMed.
- Technology-Dependent Pediatric Inpatients at Children's Versus Nonchildren's Hospitals.Hospital pediatrics · 2020Article
- Changing patterns of patent ductus arteriosus surgical ligation in the United States.Seminars in perinatology · 2018Review
- Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States.Journal of hospital medicine · 2016Article
- Hospital discharges for fever and neutropenia in pediatric cancer patients: United States, 2009.BMC cancer · 2015Article
- Variation and outcomes associated with direct hospital admission among children with pneumonia in the United States.JAMA pediatrics · 2014Article
- Emergency department charges for asthma-related outpatient visits by insurance status.Journal of health care for the poor and underserved · 2014Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundPediatric observation units provide an alternative to traditional hospitalization. The extent to which observation units could replace inpatient care for asthmatic children is unknown.
objectiveTo describe brief inpatient ("high-turnover," HTO) stays for US children hospitalized with a principal discharge diagnosis of asthma, to characterize cases that may be appropriate for observation.
designWe analyzed the 2006 Kids' Inpatient Database, a nationally representative sample of hospital discharges. HTO stays were defined as hospitalizations of 0 or 1 night in duration. We conducted descriptive statistics and case-mix adjusted, sample-weighted regression analysis of HTO stays, and associated hospital charges. SUBJECTS: Discharges among children aged 2 to 20 years with a principal discharge diagnosis of asthma. MEASURES: HTO stays and total charges.
resultsOverall, 34,592 (34%) pediatric asthma hospitalizations were HTO, accounting for 66,278 hospital days in 2006. HTO stays were associated with younger age, uncomplicated asthma, and private insurance. Freestanding children's hospitals had the highest proportion of HTO stays, 38% (95% CI: 34%-42%) compared with 32% (95% CI: 28%-36%) for children's units and 33% (95% CI: 31%-34%) for general hospitals. In multivariate regression analyses, charges were significantly higher across hospital types when HTO stays begin in the emergency department.
conclusionsThe presence of a large number of HTO stays for children hospitalized for asthma suggests the need to explore opportunities to restructure care for this condition, perhaps through the development of physically or operationally distinct observation units.
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