ArticleWestern journal of nursing research2020
Pediatric Complex Chronic Conditions: Evaluating Two Versions of the Classification System.
Article in Western journal of nursing research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Emergence of a methicillin-susceptibleFrontiers in cellular and infection microbiology · 2026Article
- Understanding family perspectives: knowledge, attitudes, and practices regarding pediatric lymphoma in China.Scientific reports · 2025Article
- Identification and stratification tools for children with chronic pathology and complexity: systematic scoping review.European journal of pediatrics · 2025Article
- Comparison of Infants Discharged from Birth Hospitalization with Gastrostomy versus Nasogastric Feeding Tube.American journal of perinatology · 2025Article
- Escherichia coli causing bloodstream infections in Mexican paediatric patients: molecular typing, antimicrobial resistance, virulence factors, and clinical features.BMC infectious diseases · 2025Article
- Height status matters for risk of mortality in critically ill children.Journal of intensive care · 2024Article
- Defining and quantifying population-level need for children's palliative care: findings from a rapid scoping review.BMC palliative care · 2024Article
- Chlamydophila pneumoniae-associated community-acquired pneumonia in paediatric patients of a tertiary care hospital in Mexico: molecular diagnostic and clinical insights.Scientific reports · 2023Article
- Identifying children with medical complexity in administrative datasets in a Canadian context: study protocol.BMJ open · 2022Article
- Predictive Ability of an Illness Severity Measure: Implications for Nursing Research.Journal of nursing measurement · 2021Article
- Pediatric Concurrent Hospice Care: A Scoping Review and Directions for Future Nursing Research.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2020Article
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Authors and funding
3 authors.
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Abstract
The original pediatric complex chronic conditions (CCC) classification system developed in 2000/2001 is the gold standard in classifying children with life-limiting illnesses. It was significantly modified in 2014; yet the two systems have not been evaluated. The objective of this study was to evaluate the agreement and validity of the original versus the modified CCC classification systems. Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID) data from 2012 was used with a sample of infant decedents less than 1 years. The agreement (i.e., Cohen's Kappa Statistic) and validity (i.e., sensitivity, specificity, and positive predictive value [PPV]) statistics were calculated. Among the 10,175 infants that were classified, the modified system performed well in identifying infants who had a CCC, and it captured infants that the original classification did not. The modified system represents an improvement over the original, but additional testing is warranted.
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