Evidence map›Paper›PMID 34544499›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2021

30-day readmission rate in pediatric otorhinolaryngology inpatients: a retrospective population-based cohort study.

Katharina Geißler, Wido Rippe, Daniel Boeger, Jens Buentzel, Kerstin Hoffmann, Holger Kaftan, Andreas Mueller, Gerald Radtke, Orlando Guntinas-Lichius

Abstract read
In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Katharina GeißlerDepartment of Otorhinolaryngology, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany. Katharina.Geissler@med.uni-jena.de.ORCID http://orcid.org/0000-0002-4271-5878
Wido RippeDepartment of Otorhinolaryngology, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.
Daniel BoegerDepartment of Otorhinolaryngology, SRH Zentralklinikum, Suhl, Germany.
Jens BuentzelDepartment of Otorhinolaryngology, Südharz-Krankenhaus gGmbH, Nordhausen, Germany.
Kerstin HoffmannDepartment of Otorhinolaryngology, Sophien- Und Hufeland-Klinikum, Weimar, Germany.
Holger KaftanDepartment of Otorhinolaryngology, HELIOS-Klinikum, Erfurt, Germany.
Andreas MuellerDepartment of Otorhinolaryngology, SRH Wald-Klinikum, Gera, Germany.
Gerald RadtkeDepartment of Otorhinolaryngology, Ilm-Kreis-Kliniken, Arnstadt, Germany.
Orlando Guntinas-LichiusDepartment of Otorhinolaryngology, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAnalysis of frequency and reasons for planned and unplanned 30-day readmission in hospitalized pediatric otorhinolaryngology patients using German Diagnosis Related Group (G-DRG) system data.

methodsA retrospective population-based cohort study in Thuringia, Germany, was performed for the year 2015 with 2440 cases under 18 years (55.6% male) out of a total number of 15.271 inpatient cases. The majority of pediatric patients were from 2 to 5 years old (54.5%). The most frequent diagnoses were hyperplasia of adenoids or/and tonsils (26.6%). 36 cases (1.5%) experienced readmission within 30-days.

results30-day readmission was planned in 9 cases (25% of all readmission) and was unplanned in 27 cases (75%). The median interval between index and readmission treatment was 8 days. Postoperative bleeding after adenoidectomy, tonsillotomy/tonsillectomy or tracheostomy (33.4%) and infectious complications after surgery like acute otitis media, abscess formation or fever (36.2%) were the most frequent reasons for 30-day readmission. Compared to adults treated in 2015 in Thuringia, the readmission rate was higher in adult patients (8.9%) than in this pediatric cohort. In contrast to children, readmissions in adults were mainly planned (65.1%) with a different spectrum of underlying diseases and reasons for readmission.

conclusionThe 30-day readmission rate seemed to be lower for pediatric otolaryngology patients compared to adult patients. Unplanned readmissions dominated in pediatric patients, whereas planned readmissions dominated in adults.

Indexed as

OtolaryngologyPatient ReadmissionAdolescentAdultChildChild, PreschoolCohort StudiesFemaleHumansInpatientsMalePostoperative ComplicationsRetrospective StudiesRisk FactorsHealthcare researchOtorhinolaryngologyPediatricReadmission rateRehospitalization

Identifiers

PMID34544499
PMCPMC8454104

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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.