Evidence map›Paper›PMID 25877671›Full record

ArticlePediatric surgery international2015

Pediatric surgery readmissions: a root cause analysis.

S Burjonrappa, A Theodorus, A Shah, I T Cohen

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
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

7 citing papers in PubMed, 25 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. The need for Paediatric Emergency Laparotomy Audit (PELA) in the UK.Annals of the Royal College of Surgeons of England · 2020
    Article
  5. Article
  6. Article
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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

4 authors at 3 institutions in 1 country.

S BurjonrappaAlbert Einstein College of Medicine, 3355 Bainbridge Ave, Bronx, NY, 10467, USA, sathyabc@yahoo.com.
A Theodorus
A Shah
I T Cohen
Monmouth Medical Center · USAlbert Einstein College of Medicine · USNewark Beth Israel Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHospital readmission rates are used as a metric of the quality of patient care in adults. Readmission data is lacking for pediatric surgical patients. The objective of this study is to evaluate our institution's 30-day unexpected pediatric surgical readmission data to identify potentially preventable readmissions.

methodsAn internal database of all pediatric surgical 30-day readmissions to two tertiary-referral children's hospitals in a single health system was reviewed. All pediatric general surgery admissions between January 2008 and May 2013 with hospital readmission within 30 days were included in the study. Patient demographics, diagnoses, cause of readmission, procedure performed, and length of stay were recorded. Charts were individually reviewed to evaluate causality of readmission.

resultsThere were 2217 pediatric general surgery admissions during the study period. Of these, 145 (6.5%) experienced unexpected readmission within 30 days. One-third of all readmissions occurred in infants between 0 and 364 days of age, 50% occurred in those under 2 years and wholly 80% of all readmissions occurred in those under 9 years of age. A majority of readmissions were associated with chronic comorbid conditions.

conclusionAnalysis of pediatric surgical readmission data may assist hospitals in focusing quality of care and cost effectiveness strategies. Development of coordination of care strategies and discharge planning involving both pediatric surgical teams and pediatric hospitalists/specialists may reduce pediatric surgical readmission rates.

Indexed as

AdolescentAdultChildChild, PreschoolFemaleHospitals, PediatricHumansInfantInfant, NewbornLength of StayMalePatient ReadmissionPostoperative ComplicationsRetrospective StudiesRoot Cause AnalysisTertiary Care Centers

Identifiers

PMID25877671
OpenAlexW2071727991

What OpenQuestion holds

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Registered trials

None linked

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.