ArticleCritical care medicine2017
Repeated Critical Illness and Unplanned Readmissions Within 1 Year to PICUs.
Article in Critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How are children with medical complexity being identified in epidemiological studies? A systematic review.World journal of pediatrics : WJP · 2023Pooled it
- Development and validation of a risk prediction model for unplanned 7-day readmission to PICU.Scientific reports · 2025Article
- Prevalence and Predictors of Home Discharge from the PICU.Critical care explorations · 2025Article
- Continuity Strategies for Long-Stay PICU Patients: Consensus Statements From the Lucile Packard Foundation PICU Continuity Panel.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2023Review
- Readmission Rates After Acute Respiratory Distress Syndrome in Children.JAMA network open · 2023Article
- Long Stay and Frequent Readmission in the Pediatric Intensive Care in The Netherlands; 15-Year Time Trends.Critical care explorations · 2022Article
- Relationship between pediatric intensive care unit length of stay and 24-h unplanned readmission rate.Health services research · 2022Article
- Risk Factors of Readmission to Pediatric Intensive Care Unit Within 1 Year: A Case-Control Study.Frontiers in pediatrics · 2022Article
- National Intravenous Acetaminophen Use in Pediatric Inpatients From 2011-2016.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022Article
- Long-Term Outcomes and the Post-Intensive Care Syndrome in Critically Ill Children: A North American Perspective.Children (Basel, Switzerland) · 2021Review
- Resources and Costs Associated With Repeated Admissions to PICUs.Critical care explorations · 2021Article
- Social Factors Predictive of Intensive Care Utilization in Technology-Dependent Children, a Retrospective Multicenter Cohort Study.Frontiers in pediatrics · 2021Article
- Slow and Steady: A Systematic Review of ICU Care Models Relevant to Pediatric Chronic Critical Illness.Journal of pediatric intensive care · 2020Review
- Retrospective cohort study on factors associated with mortality in high-risk pediatric critical care patients in the Netherlands.BMC pediatrics · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesTo determine the occurrence rate of unplanned readmissions to PICUs within 1 year and examine risk factors associated with repeated readmission.
designRetrospective cohort analysis.
settingSeventy-six North American PICUs that participated in the Virtual Pediatric Systems, LLC (VPS, LLC, Los Angeles, CA). PATIENTS: Ninety-three thousand three hundred seventy-nine PICU patients discharged between 2009 and 2010.
interventionsNone. MEASUREMENTS AND MAIN
resultsIndex admissions and unplanned readmissions were characterized and their outcomes compared. Time-to-event analyses were performed to examine factors associated with readmission within 1 year. Eleven percent (10,233) of patients had 15,625 unplanned readmissions within 1 year to the same PICU; 3.4% had two or more readmissions. Readmissions had significantly higher PICU mortality and longer PICU length of stay, compared with index admissions (4.0% vs 2.5% and 2.5 vs 1.6 d; all p < 0.001). Median time to readmission was 30 days for all readmissions, 3.5 days for readmissions during the same hospitalization, and 66 days for different hospitalizations. Having more complex chronic conditions was associated with earlier readmission (adjusted hazard ratio, 2.9 for one complex chronic condition; hazard ratio, 4.8 for two complex chronic conditions; hazard ratio, 9.6 for three or more complex chronic conditions; all p < 0.001 compared no complex chronic condition). Most specific complex chronic condition conferred a greater risk of readmission, and some had considerably higher risk than others.
conclusionsUnplanned readmissions occurred in a sizable minority of PICU patients. Patients with complex chronic conditions and particular conditions were at much higher risk for readmission.
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Registered trials
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.