Evidence map›Paper›PMID 36581101›Full record

ArticleAcademic pediatrics2023

Annual Variation in 30-Day Risk-Adjusted Readmission Rates in U.S. Children's Hospitals.

Emily M Bucholz, Matt Hall, Mitch Harris, Ronald J Teufel, Katherine A Auger, Rustin Morse, Mark I Neuman, Alon Peltz

Abstract read
In one paragraph

Article in Academic pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Emily M BucholzDivision of Cardiology (EM Bucholz), Children's Hospital of Colorado and the University of Colorado School of Medicine, Aurora. Electronic address: emily.bucholz@childrenscolorado.org.
Matt HallChildren's Hospital Association (M Hall and M Harris), Lenexa, Kans.
Mitch HarrisChildren's Hospital Association (M Hall and M Harris), Lenexa, Kans.
Ronald J TeufelDepartment of Pediatrics, Medical University of South Carolina (RJ Teufel), Charleston.
Katherine A AugerDivision of Hospital Medicine and James M. Anderson Center for Healthcare Improvement (KA Auger), Cincinnati Children's Hospital Medical Center, Ohio.
Rustin MorseCenter for Clinical Excellence, Nationwide Children's Hospital (R Morse), Columbus, Ohio.
Mark I NeumanDivision of Emergency Medicine, Boston Children's Hospital (MI Neuman), Mass.
Alon PeltzCenter for Healthcare Research in Pediatrics, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Healthcare Institute, Department of Pediatrics (A Peltz), Boston Children's Hospital, Mass.

Funding

RESEARCH METHODS IN PEDIATRICS HEART DISEASET32HL007572 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI Sarah D DE FERRANTI, Jane W. Newburger · 1985 to 2026
$13.0M
Sociomarkers to Predict Asthma Control and Emergency Room Visits (SPACER)K23HL155425 · NHLBI · HARVARD PILGRIM HEALTH CARE, INC. · PI PELTZ, ALON · 2021 to 2025
$847k
NHLBI NIH HHS K23 HL155425NHLBI NIH HHS T32 HL007572
6 · The paper itself

Abstract

objectiveReducing pediatric readmissions has become a national priority; however, the use of readmission rates as a quality metric remains controversial. The goal of this study was to examine short-term stability and long-term changes in hospital readmission rates.

methodsData from the Pediatric Health Information System were used to compare annual 30-day risk-adjusted readmission rates (RARRs) in 47 US children's hospitals from 2016 to 2017 (short-term) and 2016 to 2019 (long-term). Pearson correlation coefficients and weighted Cohen's Kappa statistics were used to measure correlation and agreement across years for hospital-level RARRs and performance quartiles.

resultsMedian (IQR) 30-day RARRs remained stable from 7.7% (7.0-8.3) in 2016 to 7.6% (7.0-8.1) in 2019. Individual hospital RARRs in 2016 were strongly correlated with the same hospital's 2017 rate (R

conclusionsHospital-level performance on RARRs remained stable with high agreement over the short-term suggesting stability of readmission measures. There was little evidence of sustained improvement in hospital-level performance over multiple years.

Indexed as

Hospitals, PediatricPatient ReadmissionChildHumansRetrospective StudiesUnited Stateschildren's hospitalshospital readmission

Identifiers

PMID36581101
PMCPMC13002031

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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.