ArticleHospital pediatrics2017
Contributions of Children With Multiple Chronic Conditions to Pediatric Hospitalizations in the United States: A Retrospective Cohort Analysis.
Article in Hospital pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.
- The magnitude of multimorbidity in childhood: a global systematic review.Systematic reviews · 2026Pooled it
- Effect on Patient Safety of a Resident Physician Schedule without 24-Hour Shifts.The New England journal of medicine · 2020Trial
- Medical Diagnosis, ED Visits, and Hospitalizations for Substance Use in U.S. Children's Hospitals: A Retrospective Multi-Center Cohort Study.Children (Basel, Switzerland) · 2026Article
- Parent understanding and satisfaction with NICU discharge for infants with medical complexity: a scoping review of discharge instruction tools.BMC pediatrics · 2026Article
- Persistent Food Insecurity and Overweight/Obesity Risk in Offspring of Individuals With Gestational Diabetes.Pediatric obesity · 2026Observational
- Parent Understanding and Satisfaction with NICU Discharge for Infants with Medical Complexity: A Scoping Review of Discharge Instruction Tools.Research square · 2026Article
- Trends in admissions and costs for neonatal intensive care in US children's hospitals, 2017-2022.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Article
- Impact of complex chronic diseases and life-limiting condition status on paediatric hospitalization: observational study.European journal of pediatrics · 2025Observational
- Understaffed Home Nursing and Wellbeing of Families of Children with Medical Complexity.Children (Basel, Switzerland) · 2025Article
- Outcomes of critically ill children with pre-existing mental health conditions.Pediatric investigation · 2024Article
- Article
- Do Unpaid Children's Hospital Account Balances Correlate with Family Income or Insurance Type?Plastic and reconstructive surgery. Global open · 2023Article
- Prevalence of and Spending on Ear, Nose, Throat, and Respiratory Infections Among Children With Chronic Complex Conditions.Academic pediatrics · 2023Article
- Maternal Schizophrenia and the Risk of a Childhood Chronic Condition.Schizophrenia bulletin · 2022Article
- Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort.BMC health services research · 2022Article
- Facilitating Health Information Exchange to Improve Health Outcomes for School-Aged Children: School Nurse Electronic Health Record Access.Applied clinical informatics · 2022Article
- Associations between comorbidity-related functional limitations and pneumonia outcomes.Journal of hospital medicine · 2022Article
- Children With Medical Complexity in the Canadian Maritimes: Protocol for a Mixed Methods Study.JMIR research protocols · 2022Article
- Home Health Care Utilization in Children With Medicaid.Pediatrics · 2022Article
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Authors and funding
6 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundChildren with multiple chronic conditions (CMCC) are increasingly using hospital care. We assessed how much of US pediatric inpatient care is used by CMCC and which chronic conditions are the key drivers of hospital use.
methodsA retrospective analysis of all 2.3 million US acute-care hospital discharges in 2012 for children age 0 to 18 years in the Kids' Inpatient Database. The ∼4.5 million US hospitalizations for pregnancy, childbirth, and newborn and neonatal care were not assessed. We adapted the Agency for Healthcare Research and Quality's Chronic Condition Indicators to classify hospitalizations for children with no, 1, or multiple chronic conditions, and to determine which specific chronic conditions of CMCC are associated with high hospital resource use.
resultsOf all pediatric acute-care hospitalizations, 34.3% were of children with no chronic conditions, 36.5% were of those with 1 condition, and 29.3% were of CMCC. Of the $23.6 billion in total hospital costs, 19.7%, 27.4%, and 53.9% were for children with 0, 1, and multiple conditions, respectively, and similar proportions were observed for hospital days. The three populations accounted for the most hospital days were as follows: children with no chronic condition (20.9%), children with a mental health condition and at least 1 additional chronic condition (20.2%), and children with a mental health condition without an additional chronic condition (13.3%). The most common mental health conditions were substance abuse disorders and depression.
conclusionsCMCC accounted for over one-fourth of acute-care hospitalizations and one-half of all hospital dollars for US pediatric care in 2012. Substantial CMCC hospital resource use involves children with mental health-related conditions.
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