التفاصيل البيبلوغرافية
| العنوان: |
Impact of Discharge Components on Readmission Rates for Children Hospitalized with Asthma. |
| المؤلفون: |
Parikh, Kavita, Hall, Matt, Kenyon, Chén C., IITeufel, Ronald J., Mussman, Grant M., Montalbano, Amanda, Gold, Jessica, Antoon, James W., Subramony, Anupama, Mittal, Vineeta, Morse, Rustin B., Wilson, Karen M., Shah, Samir S., Teufel, Ronald J 2nd |
| المصدر: |
Journal of Pediatrics; Apr2018, Vol. 195, p175-181.e2, 1p |
| مستخلص: |
Objectives: To describe hospital-based asthma-specific discharge components at children's hospitals and determine the association of these discharge components with pediatric asthma readmission rates.Study Design: This is a multicenter retrospective cohort study of pediatric asthma hospitalizations in 2015 at children's hospitals participating in the Pediatric Health Information System. Children ages 5 to 17 years were included. An electronic survey assessing 13 asthma-specific discharge components was sent to quality leaders at all 49 hospitals. Correlations of combinations of asthma-specific discharge components and adjusted readmission rates were calculated.Results: The survey response rate was 92% (45 of 49 hospitals). Thirty-day and 3-month adjusted readmission rates varied across hospitals, ranging from 1.9% to 3.9% for 30-day readmissions and 5.7% to 9.1% for 3-month readmissions. No individual or combination discharge components were associated with lower 30-day adjusted readmission rates. The only single-component significantly associated with a lower rate of readmission at 3 months was having comprehensive content of education (P < .029). Increasing intensity of discharge components in bundles was associated with reduced adjusted 3-month readmission rates, but this did not reach statistical significance. This was seen in a 2-discharge component bundle including content of education and communication with the primary medical doctor, as well as a 3-discharge component bundle, which included content of education, medications in-hand, and home-based environmental mitigation.Conclusions: Children's hospitals demonstrate a range of asthma-specific discharge components. Although we found no significant associations for specific hospital-level discharge components and asthma readmission rates at 30 days, certain combinations of discharge components may support hospitals to reduce healthcare utilization at 3 months. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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