Progress (?) Toward Reducing Pediatric Readmissions
Progress (?) Toward Reducing Pediatric Readmissions
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DOI：
10.12788/jhm.3210
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发表时间：
2019-10-01
影响因子：
2.6
通讯作者：
Shah, Samir S.
中科院分区：
文献类型：
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作者：
Auger, Katherine A.;Harris, J. Mitchell;Shah, Samir S.
许多儿童医院正在积极努力减少再入院，以改善护理和避免经济处罚。我们试图确定儿科再入院率是否随时间而变化。我们使用了住院患者基本数据库中66家医院的数据，包括2010年1月至2016年6月的索引住院。使用3 M PPR软件计算7天全因（AC）和潜在可预防再入院（PPR）率。为每家医院生成了总的和特定条件的季度AC和PPR率。我们在所有研究年中纳入了452万例住院治疗。再入院率在研究期间没有变化。所有季度的中位7天PPR率为2.5%（范围2.1%-2.5%）;所有季度的中位7天AC率为5.1%（范围4.3%-5.3%）。个别情况下的再入院率有所波动。尽管国家为减少儿科再入院做出了重大努力，但AC和PPR的再入院率在六年内保持不变。(C)2019医院医学学会
Many children's hospitals are actively working to reduce readmissions to improve care and avoid financial penalties. We sought to determine if pediatric readmission rates have changed over time. We used data from 66 hospitals in the Inpatient Essentials Database including index hospitalizations from January, 2010 through June, 2016. Seven-day all cause (AC) and potentially preventable readmission (PPR) rates were calculated using 3M PPR software. Total and condition-specific quarterly AC and PPR rates were generated for each hospital and in aggregate. We included 4.52 million hospitalizations across all study years. Readmission rates did not vary over the study period. The median seven-day PPR rate across all quarters was 2.5% (range 2.1%-2.5%); the median seven-day AC rate across all quarters was 5.1% (range 4.3%-5.3%). Readmission rates for individual conditions fluctuated. Despite significant national efforts to reduce pediatric readmissions, both AC and PPR readmission rates have remained unchanged over six years. (C) 2019 Society of Hospital Medicine