2012
DOI: 10.1097/inf.0b013e31825f2b10
|View full text |Cite
|
Sign up to set email alerts
|

Variability in Processes of Care and Outcomes Among Children Hospitalized With Community-acquired Pneumonia

Abstract: Background Substantial care variation occurs in a number of pediatric diseases. Methods We evaluated the variability in health care resource utilization and its association with clinical outcomes among children, aged 1–18 years, hospitalized with community acquired pneumonia (CAP). Each of 29 children’s hospitals contributing data to the Pediatric Hospital Information System was ranked based on the proportion of CAP patients receiving each of 8 diagnostic tests. Primary outcome variable was length of stay (L… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

12
89
4
1

Year Published

2013
2013
2022
2022

Publication Types

Select...
8

Relationship

4
4

Authors

Journals

citations
Cited by 101 publications
(110 citation statements)
references
References 23 publications
12
89
4
1
Order By: Relevance
“…The mean readmission rates we observed are consistent with previous studies 8,13,14,19 and with rates available from the HCUPnet tool. 12 Furthermore, the range of rates we observed is similar to previous studies.…”
Section: Discussionsupporting
confidence: 81%
See 1 more Smart Citation
“…The mean readmission rates we observed are consistent with previous studies 8,13,14,19 and with rates available from the HCUPnet tool. 12 Furthermore, the range of rates we observed is similar to previous studies.…”
Section: Discussionsupporting
confidence: 81%
“…Several other studies report pediatric readmission rates for multiple centers, but most were limited to freestanding children' s hospitals. 2,3,[13][14][15] Other large studies did not describe hospital-level performance variation. [16][17][18] Berry et al described hospital-level variation on 30-day readmissions for multiple conditions, but data were again limited to freestanding children' s hospitals, which the authors estimated receive no more than 25% of all pediatric admissions nationally.…”
mentioning
confidence: 99%
“…Their use declined in the postguideline period, accounting for 44.8% of prescribing by the end of the EPIC study. The use of penicillin/ ampicillin increased significantly Previous studies document wide institutional variability in the management of children hospitalized with CAP, 11,25 a phenomenon also observed in our study. Such variation has the potential to contribute to disparities in outcomes, quality of care, and hospitalization costs.…”
Section: Discussionsupporting
confidence: 70%
“…A recent study demonstrated that third-generation cephalosporins accounted for nearly 90% of prescribing for CAP at 29 U.S. children's hospitals between 2005 and 2010. 11 Thus, the recommendation for narrowspectrum antibiotic therapy advocated a major shift in practice.…”
Section: What This Study Addsmentioning
confidence: 99%
“…Although S. pneumonia remains the most likely bacterial cause of CAP, it is uncommon and difficult to recognise the specific pathogen in any clinical setting. Uncertainty about the causative bacterium and its antimicrobial susceptibility pattern were categorised as factor contributes to the use of an empiric broad-spectrum antibiotic such as thirdgeneration cephalosporin [29,30]. This research is intended to study the type of antibiotic treatment by analysing the antibiotic treatment prescribed by the physician during the Hajj season.…”
Section: Introductionmentioning
confidence: 99%