ArticlePediatrics2013
Measuring hospital quality using pediatric readmission and revisit rates.
Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Association between language discordance and unplanned hospital readmissions or emergency department revisits: a systematic review and meta-analysis.BMJ quality & safety · 2024Pooled it
- Applicability of predictive models for 30-day unplanned hospital readmission risk in paediatrics: a systematic review.BMJ open · 2022Pooled it
- Risk factors associated with paediatric unplanned hospital readmissions: a systematic review.BMJ open · 2019Pooled it
- COVID-19 and Unplanned Paediatric Hospital Readmissions in Australia: A Retrospective Cohort Study.International journal of environmental research and public health · 2026Article
- Did government subsidy program improve quality of care for children with complex chronic conditions in children's hospitals? A quasi-experimental study in South Korea.Clinical and experimental pediatrics · 2026Article
- Hospital readmission in children on maintenance dialysis: a multicentre, prospective cohort study.Clinical kidney journal · 2026Article
- Hospital readmission following acute illness among children 2-23 months old in sub-Saharan Africa and South Asia: a secondary analysis of CHAIN cohort.EClinicalMedicine · 2024Article
- Quality Indicators of Pediatric Asthma Care in the Emergency Department; a Systematic Review and Meta-Analysis.Archives of academic emergency medicine · 2024Review
- Identifying the Prevalence and Causes of 30-Day Hospital Readmission in Children: A Case Study from a Tertiary Pediatric Hospital.Global journal on quality and safety in healthcare · 2023Article
- 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
- Annual Variation in 30-Day Risk-Adjusted Readmission Rates in U.S. Children's Hospitals.Academic pediatrics · 2023Article
- Nationwide trends in hospitalization, medical costs, and mortality for asthma after introduction of biologics: A cross-sectional study in the United States.Journal of managed care & specialty pharmacy · 2023Article
- Development and Validation of an Integrated Suite of Prediction Models for All-Cause 30-Day Readmissions of Children and Adolescents Aged 0 to 18 Years.JAMA network open · 2022Article
- Factors Related to Pediatric Readmissions of Four Major Diagnostic Categories in Hawai`i.Hawai'i journal of health & social welfare · 2022Article
- Age- and Diagnosis-Based Trends for Unplanned Pediatric Rehospitalizations in the United States.Cureus · 2021Article
- Influence of Geographic Access on Surgical Center Readmissions After Index Congenital Heart Surgery.The Journal of pediatrics · 2021Article
- Readmissions Following Hospitalization for Infection in Children With or Without Medical Complexity.Journal of hospital medicine · 2021Article
- High Cotinine and Healthcare Utilization Disparities Among Low-Income Children.American journal of preventive medicine · 2021Article
- Performance of Pediatric Readmission Measures.Journal of hospital medicine · 2020Article
- The rates of hospital admissions and return visits to a rapidly growing pediatric emergency department as measures of quality of care.Israel journal of health policy research · 2020Article
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9 authors.
Funding
Abstract
objectiveTo assess variation among hospitals on pediatric readmission and revisit rates and to determine the number of high- and low-performing hospitals.
methodsIn a retrospective analysis using the State Inpatient and Emergency Department Databases from the Healthcare Cost and Utilization Project with revisit linkages available, we identified pediatric (ages 1-20 years) visits with 1 of 7 common inpatient pediatric conditions (asthma, dehydration, pneumonia, appendicitis, skin infections, mood disorders, and epilepsy). For each condition, we calculated rates of all-cause readmissions and rates of revisits (readmission or presentation to the emergency department) within 30 and 60 days of discharge. We used mixed logistic models to estimate hospital-level risk-standardized 30-day revisit rates and to identify hospitals that had performance statistically different from the group mean.
resultsThirty-day readmission rates were low (<10.0%) for all conditions. Thirty-day rates of revisit to the inpatient or emergency department setting ranged from 6.2% (appendicitis) to 11.0% (mood disorders). Study hospitals (n = 958) had low condition-specific visit volumes (37.0%-82.8% of hospitals had <25 visits). The only condition with >1% of hospitals labeled as different from the mean on 30-day risk-standardized revisit rates was mood disorders (4.2% of hospitals [n = 15], range of hospital performance 6.3%-15.9%).
conclusionsWe found that when comparing hospitals' performances to the average, few hospitals that care for children are identified as high- or low-performers for revisits, even for common pediatric diagnoses, likely due to low hospital volumes. This limits the usefulness of condition-specific readmission or revisit measures in pediatric quality measurement.
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