Evidence map›Paper›PMID 24958590›Full record

ArticlePediatrics2014

Readmissions among children previously hospitalized with pneumonia.

Mark I Neuman, Matthew Hall, James C Gay, Anne J Blaschke, Derek J Williams, Kavita Parikh, Adam L Hersh, Thomas V Brogan, Jeffrey S Gerber, Carlos G Grijalva and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Factors Associated With Pneumonia Severity in Children: A Systematic Review.Journal of the Pediatric Infectious Diseases Society · 2018
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mark I NeumanDivision of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts;Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; mark.neuman@childrens.harvard.edu.
Matthew HallThe Children's Hospital Association, Overland Park, Kansas;
James C GayDivisions of General Pediatrics, and.
Anne J BlaschkeDivision of Infectious Diseases, Primary Children's Medical Center, Salt Lake City, Utah;Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah;
Derek J WilliamsDepartments of Pediatrics, andHospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee;
Kavita ParikhDivision of Hospital Medicine, Children's National Medical Center, Washington, District of Columbia;Department of Pediatrics, George Washington University School of Medicine, Washington, District of Columbia;
Adam L HershDivision of Infectious Diseases, Primary Children's Medical Center, Salt Lake City, Utah;Departments of Pediatrics, and.
Thomas V BroganDivision of Critical Care, Seattle Children's Hospital, Seattle, Washington;Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington;
Jeffrey S GerberDivision of Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania;Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania;
Carlos G GrijalvaHealth Policy, Vanderbilt University School of Medicine, Nashville, Tennessee;
Samir S ShahDivisions of Infectious Diseases and Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; andDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Funding

Development and Validation of a Clinical Prediction Rule for Pediatric PneumoniaK23AI104779 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILLIAMS, DEREK J. · 2013 to 2016
$688k
NIAID NIH HHS K23 AI104779
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPneumonia is a leading cause of hospitalization and readmission in children. Understanding the patient characteristics associated with pneumonia readmissions is necessary to inform interventions to reduce avoidable hospitalizations and related costs. The objective of this study was to characterize readmission rates, and identify factors and costs associated with readmission among children previously hospitalized with pneumonia.

methodsRetrospective cohort study of children hospitalized with pneumonia at the 43 hospitals included in the Pediatric Health Information System between January 1, 2008, and December 31, 2011. The primary outcome was all-cause readmission within 30 days after hospital discharge, and the secondary outcome was pneumonia-specific readmission. We used multivariable regression models to identify patient and hospital characteristics and costs associated with readmission.

resultsA total of 82 566 children were hospitalized with pneumonia (median age, 3 years; interquartile range 1-7). Thirty-day all-cause and pneumonia-specific readmission rates were 7.7% and 3.1%, respectively. Readmission rates were higher among children <1 year of age, as well as in patients with previous hospitalizations, longer index hospitalizations, and complicated pneumonia. Children with chronic medical conditions were more likely to experience all-cause (odds ratio 3.0; 95% confidence interval 2.8-3.2) and pneumonia-specific readmission (odds ratio 1.8; 95% confidence interval 1.7-2.0) compared with children without chronic medical conditions. The median cost of a readmission ($11 344) was higher than that of an index admission ($4495; P = .01). Readmissions occurred in 8% of pneumonia hospitalizations but accounted for 16.3% of total costs for all pneumonia hospitalizations.

conclusionsReadmissions are common after hospitalization for pneumonia, especially among young children and those with chronic medical conditions, and are associated with substantial costs.

Indexed as

ChildChild, PreschoolCohort StudiesCosts and Cost AnalysisFemaleHospitalizationHumansInfantMalePatient ReadmissionPneumoniaRetrospective Studiespneumoniareadmission

Identifiers

PMID24958590
PMCPMC4531280

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.