ArticleJournal of paediatrics and child health2025
Identifying High-Risk Patients for Paediatric Unplanned Readmissions: Insights From a Western Sydney Hospital.
Article in Journal of paediatrics and child health, 2025. 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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Abstract
aimTo identify factors and diagnoses associated with unplanned readmission of paediatric patients to a Western Sydney metropolitan hospital.
methodA retrospective cross-sectional study on paediatric patients admitted to a non-tertiary hospital in Western Sydney from January 2017 to December 2022. Multivariate modelling was used to determine demographic factors and diagnoses associated with unplanned readmission.
results1334 (6.3%) of 21 262 admissions had an unplanned readmission within 28 days of the initial admission. Being First Nations had an OR of 1.31 (95% CI 1.11-1.54), while each additional day of admission had an OR of 1.05 (95% CI 1.03-1.07). Increasing age had an OR of 0.95 (95% CI 0.93-0.96) per year, and those admitted during the COVID pandemic had an OR of 0.61 (95% CI 0.54-0.69). A diagnosis of diabetes was found to have an OR of 2.36 (95% CI 1.45-3.84) and bronchiolitis an OR of 1.9 (95% CI 1.53-2.36), whereas a diagnosis of injury had an OR of 0.76 (95% CI 0.58-0.99) and otitis media an OR of 0.23 (95% CI 0.11-0.49).
conclusionsBeing First Nations and having a longer length of stay increased the likelihood of unplanned readmission in paediatric patients, while older age and admission during the COVID pandemic decreased the likelihood. A diagnosis of diabetes or bronchiolitis, among others, increased the likelihood of unplanned readmission. Conversely, a diagnosis of injury or otitis media decreased the likelihood of unplanned readmission. This lays the groundwork for further research and targeted interventions to reduce unplanned readmissions and associated costs.
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