Evidence map›Paper›PMID 36281706›Full record

Observational studyHospital pediatrics2022

Healthcare Use in the Year Following Bronchiolitis Hospitalization.

Jonathan H Pelletier, Alicia K Au, Dana Y Fuhrman, Oscar C Marroquin, Srinivasan Suresh, Robert S B Clark, Patrick M Kochanek, Christopher M Horvat

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Hospital pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

8 authors.

Jonathan H PelletierDepartments of Critical Care Medicine.
Alicia K AuDepartments of Critical Care Medicine.
Dana Y FuhrmanDepartments of Critical Care Medicine.
Oscar C MarroquinClinical Analytics, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Srinivasan SureshDivision of Health Informatics, University of Pittsburgh Medical Center, Children's Hospital of Pittsburgh; Pittsburgh, Pennsylvania.
Robert S B ClarkDepartments of Critical Care Medicine.
Patrick M KochanekDepartments of Critical Care Medicine.
Christopher M HorvatDepartments of Critical Care Medicine.

Funding

PEDIATRIC NEUROINTENSIVE CARE AND RESUSCITATION RESEARCHT32HD040686 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Robert S B Clark, PATRICK M KOCHANEK · 2000 to 2026
$7.1M
Bio-digital Rapid Alert to Identify NeuromorbidityR01NS118716 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AU, ALICIA K, CLARK, ROBERT S B · 2021 to 2025
$3.1M
Renal Fitness in Young Adults with Congenital Heart DiseaseK23DK116973 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FUHRMAN, DANA YOUNG · 2019 to 2023
$1.2M
Mixed graphical models for the prediction of neurological morbidity in the PICUK23NS104133 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AU, ALICIA K · 2018 to 2022
$947k
A Learning Health System Approach to Precision Sedation and Analgesia in Critically-Ill ChildrenK23HD099331 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HORVAT, CHRISTOPHER MICHAEL · 2020 to 2024
$810k
NICHD NIH HHS K23 HD099331NICHD NIH HHS T32 HD040686NIDDK NIH HHS K23 DK116973NIDDK NIH HHS L30 DK122411NINDS NIH HHS K23 NS104133NINDS NIH HHS R01 NS118716
6 · The paper itself

Abstract

objectivesHealthcare utilization after bronchiolitis hospitalization is incompletely understood. We aimed to characterize readmissions and outpatient visits within 1 year after hospital discharge.

methodsRetrospective multicenter observational cohort study of children under 24-months old admitted with bronchiolitis between January 1, 2010 and December 12, 2019 to the Pediatric Health Information Systems database. A single-center nested subset using linked electronic health records allowed analysis of outpatient visits.

resultsThere were 308 306 admissions for bronchiolitis among 271 115 patients across 47 hospitals between 2010-2019. The percent of patients readmitted within 30 days after discharge was 6.0% (16 167 of 271 115), and 17.8% (48 332 of 271 115) of patients were readmitted within 1 year. 22.9% (16 919 of 74 001) of patients admitted to an ICU and 26.8% (7865 of 29 378) of patients undergoing mechanical ventilation were readmitted within 1 year. There were 1438 patients with outpatient healthcare data available. There were a median (interquartile range) of 9 (6-13) outpatient visits per patient within 1 year after discharge. Outpatient healthcare use increased for 4 months following bronchiolitis hospitalization compared with previously reported age-matched controls. Higher income, white race, commercial insurance, complex chronic conditions, ICU admission, and mechanical ventilation were associated with higher outpatient utilization. Higher quartiles of outpatient use were associated with readmission for bronchiolitis and all-cause readmissions.

conclusionsReadmissions in the year after bronchiolitis hospitalization are common, and outpatient healthcare use is increased for 4 months following discharge. Prospective study is needed to track long-term outcomes of infants with bronchiolitis.

Indexed as

BronchiolitisPatient ReadmissionChildChild, PreschoolDelivery of Health CareHospitalizationHumansInfantRetrospective Studies

Identifiers

PMID36281706
PMCPMC9946196

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Registered trials

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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.