Tags

Type your tag names separated by a space and hit enter

Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States.
J Hosp Med. 2016 11; 11(11):743-749.JH

Abstract

BACKGROUND

Children may be hospitalized at general hospitals or freestanding children's hospitals. Knowledge about how inpatient care differs at these hospitals is important to inform national research and quality efforts.

OBJECTIVE

To describe the volume and characteristics of pediatric hospitalizations at acute care general and freestanding children's hospitals in the United States.

DESIGN, PATIENTS, AND SETTING

Cross-sectional study of hospitalizations in the United States among children <18 years, excluding in-hospital births, using the Healthcare Cost and Utilization Project's 2012 Kids' Inpatient Database.

MEASUREMENT

We examined differences between hospitalizations at general and freestanding children's hospitals, applying weights to generate national estimates. Reasons for hospitalization were categorized using a pediatric grouper, and differences in hospital volumes were assessed for common diagnoses.

RESULTS

A total of 1,407,822 (standard deviation 50,456) hospitalizations occurred at general hospitals, representing 71.7% of pediatric hospitalizations. Hospitalizations at general hospitals accounted for 63.6% of hospital days and 50.0% of pediatric inpatient healthcare costs. Median volumes of pediatric hospitalizations, per hospital, were significantly lower at general hospitals than freestanding children's hospitals for common medical and surgical diagnoses. Although the most common reasons for hospitalization were similar, the most costly conditions differed.

CONCLUSIONS

In 2012, more than 70% of pediatric hospitalizations occurred at general hospitals in the United States. Differences in patterns of care at general hospitals and freestanding children's hospitals may inform clinical programs, research, and quality improvement efforts. Journal of Hospital Medicine 2016;11:743-749. © 2016 Society of Hospital Medicine.

Authors+Show Affiliations

Division of Pediatric Hospital Medicine, Department of Pediatrics, Tufts Medical Center, Boston, Massachusetts. jleyenaar@post.harvard.edu.Section of Pediatric Hospital Medicine, Department of Pediatrics, Children's Hospital at Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts.Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts. School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts.Department of Pediatrics, University of Washington, Seattle Children's Research Institute, Seattle, Washington.Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts. Tufts University School of Medicine, Department of Medicine, Boston, Massachusetts. Division of General Medicine, Baystate Medical Center, Springfield, Massachusetts.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

27373782

Citation

Leyenaar, JoAnna K., et al. "Epidemiology of Pediatric Hospitalizations at General Hospitals and Freestanding Children's Hospitals in the United States." Journal of Hospital Medicine, vol. 11, no. 11, 2016, pp. 743-749.
Leyenaar JK, Ralston SL, Shieh MS, et al. Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States. J Hosp Med. 2016;11(11):743-749.
Leyenaar, J. K., Ralston, S. L., Shieh, M. S., Pekow, P. S., Mangione-Smith, R., & Lindenauer, P. K. (2016). Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States. Journal of Hospital Medicine, 11(11), 743-749. https://doi.org/10.1002/jhm.2624
Leyenaar JK, et al. Epidemiology of Pediatric Hospitalizations at General Hospitals and Freestanding Children's Hospitals in the United States. J Hosp Med. 2016;11(11):743-749. PubMed PMID: 27373782.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States. AU - Leyenaar,JoAnna K, AU - Ralston,Shawn L, AU - Shieh,Meng-Shiou, AU - Pekow,Penelope S, AU - Mangione-Smith,Rita, AU - Lindenauer,Peter K, Y1 - 2016/07/04/ PY - 2015/11/24/received PY - 2016/03/31/revised PY - 2016/04/18/accepted PY - 2016/10/27/pubmed PY - 2018/1/9/medline PY - 2016/7/5/entrez SP - 743 EP - 749 JF - Journal of hospital medicine JO - J Hosp Med VL - 11 IS - 11 N2 - BACKGROUND: Children may be hospitalized at general hospitals or freestanding children's hospitals. Knowledge about how inpatient care differs at these hospitals is important to inform national research and quality efforts. OBJECTIVE: To describe the volume and characteristics of pediatric hospitalizations at acute care general and freestanding children's hospitals in the United States. DESIGN, PATIENTS, AND SETTING: Cross-sectional study of hospitalizations in the United States among children <18 years, excluding in-hospital births, using the Healthcare Cost and Utilization Project's 2012 Kids' Inpatient Database. MEASUREMENT: We examined differences between hospitalizations at general and freestanding children's hospitals, applying weights to generate national estimates. Reasons for hospitalization were categorized using a pediatric grouper, and differences in hospital volumes were assessed for common diagnoses. RESULTS: A total of 1,407,822 (standard deviation 50,456) hospitalizations occurred at general hospitals, representing 71.7% of pediatric hospitalizations. Hospitalizations at general hospitals accounted for 63.6% of hospital days and 50.0% of pediatric inpatient healthcare costs. Median volumes of pediatric hospitalizations, per hospital, were significantly lower at general hospitals than freestanding children's hospitals for common medical and surgical diagnoses. Although the most common reasons for hospitalization were similar, the most costly conditions differed. CONCLUSIONS: In 2012, more than 70% of pediatric hospitalizations occurred at general hospitals in the United States. Differences in patterns of care at general hospitals and freestanding children's hospitals may inform clinical programs, research, and quality improvement efforts. Journal of Hospital Medicine 2016;11:743-749. © 2016 Society of Hospital Medicine. SN - 1553-5606 UR - https://www.unboundmedicine.com/medline/citation/27373782/Epidemiology_of_pediatric_hospitalizations_at_general_hospitals_and_freestanding_children's_hospitals_in_the_United_States_ L2 - https://doi.org/10.1002/jhm.2624 DB - PRIME DP - Unbound Medicine ER -