Hospital readmission and parent perceptions of their childs hospital discharge
Hospital readmission and parent perceptions of their childs hospital discharge
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DOI：
10.1093/intqhc/mzt051
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发表时间：
2013-10-01
影响因子：
2.6
通讯作者：
Goldmann, Don
中科院分区：
文献类型：
--
作者：
Berry, Jay G.;Ziniel, Sonja I.;Goldmann, Don
描述父母对查尔兹子女出院的看法，并评估这些看法与再入院之间的关系。一项前瞻性研究，对父母进行调查，问题改编自护理过渡措施，一项评估出院护理组成部分的成人调查。参与者的回答采用5分制Likert量表进行评分，使用Fishers精确检验和logistic回归分析比较了经历过和没有经历过再入院的儿童，该回归分析说明了与再入院风险增加相关的患者特征，包括复杂的慢性病和医疗技术援助。在2010年3月至10月期间，共有348名父母在他们的查尔兹出院后接受调查。无。出院后30天内计划外再入院。有28名儿童（8.1）经历了再入院。当父母强烈同意（n 206）我认为我的孩子足够健康，可以从索引入院时出院时，儿童的再入院率较低（4.4 vs. 11.3，P 0.004），调整后的再入院可能性较低[比值比0.2（95置信区间0.1，0.6）]。在多变量分析中，父母对护理管理责任、药物、书面出院计划、注意的警告体征和症状以及初级保健随访的看法与再入院风险无关。父母对查尔兹子女出院时健康状况的看法与随后计划外再入院的风险相关。在出院前解决这种看法的问题可能有助于减轻儿童再入院的风险。
To describe parent perceptions of their childs hospital discharge and assess the relationship between these perceptions and hospital readmission.A prospective study of parents surveyed with questions adapted from the care transitions measure, an adult survey that assesses components of discharge care. Participant answers, scored on a 5-point Likert scale, were compared between children who did and did not experience a readmission using a Fishers exact test and logistic regression that accounted for patient characteristics associated with increased readmission risk, including complex chronic condition and assistance with medical technology.A tertiary-care childrens hospital.Participants: A total of 348 parents surveyed following their childs hospital discharge between March and October 2010.None.Unplanned readmission within 30 days of discharge.There were 28 children (8.1) who experienced a readmission. Children had a lower readmission rate (4.4 vs. 11.3, P 0.004) and lower adjusted readmission likelihood [odds ratio 0.2 (95 confidence interval 0.1, 0.6)] when their parents strongly agreed (n 206) with the statement, I felt that my child was healthy enough to leave the hospital from the index admission. Parent perceptions relating to care management responsibilities, medications, written discharge plan, warning signs and symptoms to watch for and primary care follow-up were not associated with readmission risk in multivariate analysis.Parent perception of their childs health at discharge was associated with the risk of a subsequent, unplanned readmission. Addressing concerns with this perception prior to hospital discharge may help mitigate readmission risk in children.