Pediatric Hospital Readmissions: An Emerging Metric of Healthcare Quality

Bharti, Bhavneet

doi:10.1007/s12098-019-02889-5

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…While there is a paucity of Indian literature on this aspect, many studies from the developed countries have also reported the age, diagnosis on index admission and presence of chronic conditions as risk factors for readmissions in children 3 , 7 , 30 , 31 , 33 - 37 . Some others have also found gender, length of hospital stay during the index admission, number of past admissions and presence of comorbidities as significant risk factors for readmissions 3 , 32 , 35 , 36 , 38 , 39 .…”

Section: Discussionmentioning

confidence: 99%

Causes & risk factors for unscheduled readmissions in the paediatric ward of a major public hospital

Kundana¹,

Agrawal²,

Tullu³

et al. 2023

Indian Journal of Medical Research

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Background & objectives: Readmissions are often considered as an indicator of poor quality of care during previous hospitalization, although many of these are unavoidable or unrelated to the past admission. The identification of high-risk cases for readmissions and appropriate interventions will help not only reduce the hospital burden but also to establish the credibility of the hospital. So this study aimed to determine the readmission percentage in the paediatric wards of a tertiary care hospital and to identify the reasons and risk factors that can help minimize preventable re-hospitalizations. Methods: This prospective study from a public hospital included 563 hospitalized children, classified as first admission or readmissions. Readmissions were defined as one or more hospitalizations within preceding six months, excluding scheduled admissions for investigations or treatment. Reason-wise, the readmissions were classified into various categories, based on the opinion of three paediatricians. Results: The percentage of children getting readmitted within six, three and one month time from the index admission was 18.8, 11.1 and 6.4 per cent, respectively. Among readmissions, 61.2 per cent were disease-related, 16.5 per cent unrelated, 15.5 per cent patient-related, 3.8 per cent medication/procedure-related and 2.9 per cent physician-related causes. Patient- and physician-related causes were deemed preventable, contributing to 18.4 per cent. The proximity of residence, undernutrition, poor education of the caretaker and non-infectious diseases were associated with increased risk of readmission. Interpretation & conclusions: The findings of this study suggest that readmissions pose a substantial burden on the hospital services. The primary disease process and certain sociodemographic factors are the major determinants for the increased risk of readmissions among paediatric patients.

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