ArticleChildren (Basel, Switzerland)2025
Deciphering the Link Between Diagnosis-Related Group Weight and Nursing Care Complexity in Hospitalized Children: An Observational Study.
Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physicians' and Hospital Administrators' Perspectives of Diagnosis-Related Groups (DRGs) in High-Income Countries: A Systematic Review.TheScientificWorldJournal · 2026Pooled it
- Article
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- When Do Annuity-Based Payments Help to Address the Affordability Challenge of Funding Advanced Therapies? Insights from a Budget Impact Simulation.Journal of market access & health policy · 2026Article
- Stop Silencing Nursing Complexity: Why Standardized Nursing Terminologies Must Be Heard.Nursing reports (Pavia, Italy) · 2026Article
- Beyond the Diagnosis: A Journey of an 8-Year-Old Girl with Patau Syndrome: Case Report.Children (Basel, Switzerland) · 2025Article
- Professional Involvement in Health Policy Development: A Cross-Sectional Study on Nurse Managers in Saudi Arabia.Healthcare (Basel, Switzerland) · 2025Article
- The OWL Screening Tool-A Protocol for Holistic Pediatric Lifestyle Assessment.Healthcare (Basel, Switzerland) · 2025Article
- Green Triage: A Curtain in Front of Possible Serious Injuries.Healthcare (Basel, Switzerland) · 2025Article
- Nurses' Role in Patient Education for Managing Inflammatory Joint Diseases: Insights from a Cross-Sectional Survey in Bulgarian Rheumatology Clinics.Healthcare (Basel, Switzerland) · 2025Article
- Development and Validation of the Arabic Short Assessment of Patient Satisfaction (Ar-SAPS) in General Practice Clinics of a Tertiary Academic Hospital.Healthcare (Basel, Switzerland) · 2025Article
- Validation, Content Validity, and Reliability of the Spanish SE-OAM Questionnaire: Assessing Nursing Self-Efficacy in Oral Anticoagulant Therapy Management.Clinics and practice · 2025Article
- The Impact of Prenatal Care on the Prevention of Neonatal Outcomes: A Systematic Review and Meta-Analysis of Global Health Interventions.Healthcare (Basel, Switzerland) · 2025Review
- Screening for Caregiver Stress in an Urban Medical Home for Children with Medical Complexity: Results of a Pilot Study.Children (Basel, Switzerland) · 2025Article
- Association between nursing work environment, burnout, and turnover intention: A cross-sectional study in Greece.AIMS public health · 2025Article
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND/
objectivesThe increasing medical and nursing care complexity in hospitalized children represents a significant challenge for healthcare systems. However, the link between these two dimensions remains partially explored. This study aims to decipher the relationship between Diagnosis-Related Group (DRG) weight and nursing care complexity in hospitalized children and to identify the determinants of medical complexity.
methodsThis retrospective study, conducted in an Italian university hospital, included children aged 2 to 11 years admitted to the hospital in 2022 with a minimum hospital stay of 2 days. Data were gathered from the Neonatal Pediatric Professional Assessment Instrument and the Hospital Discharge Register. DRG weight was used as an indicator of medical complexity, while the number of nursing diagnoses (NDs) documented in the first 24 h from hospital admission and the nursing actions (NAs) recorded during the patient's hospital stay were used to measure nursing care complexity. Correlation analyses were conducted to explore the associations between DRG weight, NDs, and NAs. Stepwise regression was run to identify the key determinants of medical complexity across sociodemographic, clinical, organizational, and nursing variables.
resultsAmong 914 patients (mean age of 6.11 ± 2.90 years), the median DRG weight was 0.6982 (IQR: 0.5522). Patients had an average of 3.89 ± 2.83 NDs and a median of 17 NAs (IQR: 8). Significant correlations were found between NDs and NAs (r
conclusionsIn children, DRG weight is also influenced by nursing care complexity, alongside clinical and organizational factors. An integrated approach is essential to enhance pediatric care and patient outcomes.
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