ArticleAcademic pediatrics
Hospital charges of potentially preventable pediatric hospitalizations.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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Who cites it
38 citing papers in PubMed.
- Differences in Admission Rates of Children with Pneumonia Between Pediatric and Community Emergency Departments.The western journal of emergency medicine · 2025Article
- Inequalities in paediatric hospitalisations for costly and prevalent conditions in Ontario, Canada: a population-based cohort study.Lancet regional health. Americas · 2025Article
- Trends in Preventable Hospitalization Rates for Children With or Without Observation Stay Data.JAMA network open · 2025Article
- Racial Disparities in Hospitalization Due to Ambulatory Care Sensitive Conditions Among U.S. Children with Autism.Journal of autism and developmental disorders · 2024Article
- Acute care utilization for ambulatory care-sensitive conditions among publicly insured children.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Article
- Factors associated with hospital admission and 30-day readmission for children less than 18 years of age in 2018 in France: a one-year nationwide observational study.BMC health services research · 2023Observational
- Geographic Variation in Preventable Hospitalizations among US Children with Autism.Children (Basel, Switzerland) · 2023Article
- Do children evaluated for maltreatment have higher subsequent emergency department and inpatient care utilization compared to a general pediatric sample?Child abuse & neglect · 2022Article
- Red Blood Cell Distribution Width and Pediatric Community-Acquired Pneumonia Disease Severity.Hospital pediatrics · 2022Article
- Local-Level Immigration Enforcement and Risk of Pediatric Hospitalization for Ambulatory Care Sensitive Conditions.Journal of immigrant and minority health · 2022Article
- An efficient and accurate distributed learning algorithm for modeling multi-site zero-inflated count outcomes.Scientific reports · 2021Article
- Disparities in Potentially Preventable Emergency Department Visits for Children with Asthma among Asian Americans, Pacific Islanders, and Whites in Hawai'i.International journal of environmental research and public health · 2021Article
- Cellulitis in children: a retrospective single centre study from Australia.BMJ paediatrics open · 2021Article
- Primary Care Accessibility Effects on Health Care Utilization Among Urban Children.Academic pediatrics · 2020Article
- Effect of Ambient Air Pollution on Hospital Readmissions among the Pediatric Asthma Patient Population in South Texas: A Case-Crossover Study.International journal of environmental research and public health · 2020Article
- Preventable admissions and emergency-department-visits in pediatric asylum-seeking and non-asylum-seeking patients.International journal for equity in health · 2020Article
- A Comparison of Health Care Expenditures for Medicaid-Insured Children with Autism Spectrum Disorder and Asthma in an Expanding Accountable Care Organization.Journal of autism and developmental disorders · 2020Article
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- Cumulative Impact of Environmental Pollution and Population Vulnerability on Pediatric Asthma Hospitalizations: A Multilevel Analysis of CalEnviroScreen.International journal of environmental research and public health · 2019Article
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2 authors.
Funding
Abstract
objectivesReducing the number of preventable hospitalizations represents a possible source of health care savings. However, the current literature lacks a description of the extent of potentially preventable pediatric hospitalizations. The study objectives are to (1) identify the charges and (2) demographic characteristics associated with potentially preventable pediatric hospitalizations.
methodsSecondary analysis of the 2006 Kids' Inpatient Database (weighted N = 7,558,812). International Classification of Diseases, Ninth Revision, Clinical Modification codes for 16 previously validated pediatric ambulatory care-sensitive (ACS) conditions identified potentially preventable hospitalizations; seven additional conditions reflected updated care guidelines. Outcome variables included number of admissions, hospitalization days, and hospital charges. Demographic and diagnostic variables associated with an ACS condition were compared with regression analyses by the use of appropriate person-level weights.
resultsPediatric ACS hospitalizations totaled $4.05B in charges and 1,087,570 hospitalization days in 2006. Two respiratory conditions-asthma and bacterial pneumonia-comprised 48.4% of ACS hospital charges and 46.7% of ACS hospitalization days. In multivariate analysis, variables associated with an ACS condition included: male gender (odds ratio [OR] 1.10; 95% confidence interval [95% CI] 1.07-1.13); race/ethnicity of black (OR 1.22; 95% CI 1.16-1.27) or Hispanic (OR 1.12; 95% CI 1.06-1.18); and emergency department as admission source (OR 1.37; 95% CI 1.27-1.48).
conclusionsRespiratory conditions comprised the largest proportion of potentially preventable pediatric hospitalizations, totaling as much as $1.96B in hospital charges. Children hospitalized with an ACS condition tend to be male, non-white, and admitted through the emergency department. Future research to prevent pediatric hospitalizations should examine targeted interventions in the primary care setting, specifically around respiratory conditions and minority populations.
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