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A reduction in hospitalization, length of stay, and hospital charges for croup with the institution of a pediatric observation unit.
Am J Emerg Med. 2006 Nov; 24(7):818-21.AJ

Abstract

OBJECTIVES

The aim of the study was to assess the impact of an observation unit (OU) on hospital resource utilization for patients with croup.

METHODS

A retrospective review with the use of a historical control was performed for 2 years of nondischargeable emergency department (ED) patients with croup.

RESULTS

The total number of ED patients with croup was 694 in the first year and 789 in the second year. Hundred seventy patients were enrolled, 66 in the first year and 104 in the second year (76 admitted to the OU and 33 admitted to the ward). There was a reduction in the ward admission rate from 9.5% to 4.2% (P < .0001) from the first to the second year. The median length of stay for the pre-OU group was 27.2 vs 21.3 hours for the post-OU group (P = .03). The median charge for the pre-OU group was $1685 vs $1327 for the post-OU group (P = .03).

CONCLUSIONS

After the introduction of the OU, hospitalization was reduced, and the overall resource utilization for the care of nondischargeable ED patients with croup was reduced.

Authors+Show Affiliations

Emergency Department, Primary Children's Medical Center, University of Utah, PO Box 581289, Salt Lake City, UT 84158, USA. richard.greenberg@hsc.utah.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17098104

Citation

Greenberg, Richard A., et al. "A Reduction in Hospitalization, Length of Stay, and Hospital Charges for Croup With the Institution of a Pediatric Observation Unit." The American Journal of Emergency Medicine, vol. 24, no. 7, 2006, pp. 818-21.
Greenberg RA, Dudley NC, Rittichier KK. A reduction in hospitalization, length of stay, and hospital charges for croup with the institution of a pediatric observation unit. Am J Emerg Med. 2006;24(7):818-21.
Greenberg, R. A., Dudley, N. C., & Rittichier, K. K. (2006). A reduction in hospitalization, length of stay, and hospital charges for croup with the institution of a pediatric observation unit. The American Journal of Emergency Medicine, 24(7), 818-21.
Greenberg RA, Dudley NC, Rittichier KK. A Reduction in Hospitalization, Length of Stay, and Hospital Charges for Croup With the Institution of a Pediatric Observation Unit. Am J Emerg Med. 2006;24(7):818-21. PubMed PMID: 17098104.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A reduction in hospitalization, length of stay, and hospital charges for croup with the institution of a pediatric observation unit. AU - Greenberg,Richard A, AU - Dudley,Nanette C, AU - Rittichier,Kristine K, PY - 2006/01/05/received PY - 2006/05/09/revised PY - 2006/05/10/accepted PY - 2006/11/14/pubmed PY - 2007/1/11/medline PY - 2006/11/14/entrez SP - 818 EP - 21 JF - The American journal of emergency medicine JO - Am J Emerg Med VL - 24 IS - 7 N2 - OBJECTIVES: The aim of the study was to assess the impact of an observation unit (OU) on hospital resource utilization for patients with croup. METHODS: A retrospective review with the use of a historical control was performed for 2 years of nondischargeable emergency department (ED) patients with croup. RESULTS: The total number of ED patients with croup was 694 in the first year and 789 in the second year. Hundred seventy patients were enrolled, 66 in the first year and 104 in the second year (76 admitted to the OU and 33 admitted to the ward). There was a reduction in the ward admission rate from 9.5% to 4.2% (P < .0001) from the first to the second year. The median length of stay for the pre-OU group was 27.2 vs 21.3 hours for the post-OU group (P = .03). The median charge for the pre-OU group was $1685 vs $1327 for the post-OU group (P = .03). CONCLUSIONS: After the introduction of the OU, hospitalization was reduced, and the overall resource utilization for the care of nondischargeable ED patients with croup was reduced. SN - 0735-6757 UR - https://www.unboundmedicine.com/medline/citation/17098104/A_reduction_in_hospitalization_length_of_stay_and_hospital_charges_for_croup_with_the_institution_of_a_pediatric_observation_unit_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-6757(06)00127-6 DB - PRIME DP - Unbound Medicine ER -