ArticlePediatrics2019
Trends in Pediatric Hospitalizations and Readmissions: 2010-2016.
Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Applicability of predictive models for 30-day unplanned hospital readmission risk in paediatrics: a systematic review.BMJ open · 2022Pooled it
- The Impact of Hospitals on Language Learning: A Case Study of a 3-Year-Old Boy With Developmental Delay Who Needed Augmentative and Alternative Communication.American journal of speech-language pathology · 2026Article
- Did government subsidy program improve quality of care for children with complex chronic conditions in children's hospitals? A quasi-experimental study in South Korea.Clinical and experimental pediatrics · 2026Article
- Pediatric hospitalization profile in Australia: A longitudinal ecological study, 1998 to 2019.Medicine · 2026Article
- National Trends in Hospitalizations for Appendectomy in Children, 2001-2017.Turkish journal of anaesthesiology and reanimation · 2025Article
- A National Analysis of General Pediatric Inpatient Unit Closures and Openings, 2011-2018.Hospital pediatrics · 2024Article
- Predictive Value of LACE Scores for Pediatric Readmissions.The Permanente journal · 2024Article
- Medication Management Through Collaborative Practice for Children With Medical Complexity: A Prospective Case Series.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2024Article
- An Exploratory Study of Educators' Perspectives Towards Hospital School Program Support for Children with Special Health Care Needs After Hospitalization.Continuity in education · 2024Article
- Pediatric Cholelithiasis in the United States: National Hospitalization Trends, 2006 to 2019.Journal of pediatric gastroenterology and nutrition · 2023Article
- Comparing Pediatric Physical Trauma Outcomes by Special Health Care Needs Status.Hospital pediatrics · 2023Article
- Factors associated with hospital admission and 30-day readmission for children less than 18 years of age in 2018 in France: a one-year nationwide observational study.BMC health services research · 2023Observational
- Characteristics and Outcomes of Patients Discharged Directly Home From the Pediatric Intensive Care Unit.Journal of intensive care medicine · 2023Article
- Annual Variation in 30-Day Risk-Adjusted Readmission Rates in U.S. Children's Hospitals.Academic pediatrics · 2023Article
- Intensity of end-of-life care among children with life-threatening conditions: a national population-based observational study.BMC pediatrics · 2023Observational
- "More life and more days"-patient and care characteristics in a specialized acute pediatric palliative care inpatient unit.European journal of pediatrics · 2023Article
- Prevalence of and Spending on Ear, Nose, Throat, and Respiratory Infections Among Children With Chronic Complex Conditions.Academic pediatrics · 2023Article
- Impact of the COVID-19 pandemic on hospitalizations of children with neurologic impairment.Journal of hospital medicine · 2023Article
- Risk of venous thromboembolism in pediatric hospitalized patients undergoing noncardiac surgery: A report from the Children's Hospital-Acquired Thrombosis consortium.Research and practice in thrombosis and haemostasis · 2022Article
- Association of Neighborhood Resources and Race and Ethnicity With Readmissions for Diabetic Ketoacidosis at US Children's Hospitals.JAMA network open · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundHealth reform and policy initiatives over the last 2 decades have led to significant changes in pediatric clinical practice. However, little is known about recent trends in pediatric hospitalizations and readmissions at a national level.
methodsData from the 2010-2016 Healthcare Cost and Utilization Project Nationwide Readmissions Database and National Inpatient Sample were analyzed to characterize patient-level and hospital-level trends in annual pediatric (ages 1-17 years) admissions and 30-day readmissions. Poisson regression was used to evaluate trends in pediatric readmissions over time.
resultsFrom 2010 to 2016, the total number of index admissions decreased by 21.3%, but the percentage of admissions for children with complex chronic conditions increased by 5.7%. Unadjusted pediatric 30-day readmission rates increased over time from 6.26% in 2010 to 7.02% in 2016 with a corresponding increase in numbers of admissions for patients with complex chronic conditions. When stratified by complex or chronic conditions, readmission rates declined or remained stable across patient subgroups. Mean risk-adjusted hospital readmission rates increased over time overall (6.46% in 2010 to 7.14% in 2016) and in most hospital subgroups but decreased over time in metropolitan teaching hospitals.
conclusionsPediatric admissions declined from 2010 to 2016 as 30-day readmission rates increased. The increase in readmission rates was associated with greater numbers of admissions for children with chronic conditions. Hospitals serving pediatric patients need to account for the rising complexity of pediatric admissions and develop strategies for reducing readmissions in this high-risk population.
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