ArticleBMC health services research2017
Length of paediatric inpatient stay, socio-economic status and hospital configuration: a retrospective cohort study.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Probiotic Bifidobacterium lactis Probio-M8 treated and prevented acute RTI, reduced antibiotic use and hospital stay in hospitalized young children: a randomized, double-blind, placebo-controlled study.European journal of nutrition · 2022Trial
- Trial
- Prognostic factors associated with length of stay in children with an acute admission to a pediatric ward: a historical cohort study.BMC pediatrics · 2025Article
- Child characteristics and health conditions associated with paediatric hospitalisations and length of stay: a population-based study.The Lancet regional health. Western Pacific · 2023Article
- Association of Socio-Demographic and Climatic Factors with the Duration of Hospital Stay of Under-Five Children with Severe Pneumonia in Urban Bangladesh: An Observational Study.Children (Basel, Switzerland) · 2021Article
- Association of Pediatric Inpatient Socioeconomic Status With Hospital Efficiency and Financial Balance.JAMA network open · 2019Article
- A Report of an Asthma Pathway Leading to Improved Resource Use.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAGArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVariation in paediatric inpatient length of stay exists - whether this is driven by differences in patient characteristics or health service delivery is unclear. We will test the hypotheses that higher levels of deprivation are associated with prolonged length of stay and that differences in prolonged length of stay across 2 hospitals will be explained by demographic, clinical and process factors.
methodsThis is a retrospective cohort study of 2889 children aged less than 16 years admitted from 1st April 2009 to 30
resultsWe did not find a consistent association between length of stay and socio-economic position, using a variety of definitions of length of stay. In contrast, adjusted for age, gender, socio-economic position, ethnicity, final diagnosis, number of hospital admissions, source of admission, and timing of admission, admission to the adult led A&E hospital was more strongly associated with prolonged length of stay (Odds Ratio 1.41, 95% Confidence Interval 1.16, 1.71).
conclusionLocal variation in paediatric inpatient length of stay was not explained by demographic, clinical or process factors, but could have been due to residual confounding by medical complexity. Length of stay was not consistently associated with socio-economic position suggesting that length of stay is a function of health service not the determinants of health. Analyses of these types of data would be strengthened by measures of complexity and adverse events.
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