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Narcotic and Antidepressant Use and Hospital Readmission Rates in Children With Functional Abdominal Pain

Functional abdominal pain is a common presentation in the pediatric population, and it carries a large financial and emotional burden. The objective of this study was to describe the association between the use of narcotics and antidepressants and hospital readmission in children admitted for abdomi...

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Published in:Clinical pediatrics 2017-10, Vol.56 (12), p.1104-1108
Main Authors: Holland, Kathleen J., Bennett, William E.
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Language:English
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description Functional abdominal pain is a common presentation in the pediatric population, and it carries a large financial and emotional burden. The objective of this study was to describe the association between the use of narcotics and antidepressants and hospital readmission in children admitted for abdominal pain without an organic cause. We analyzed data from the Pediatric Health Information System database. A multivariate logistical regression model was used to assess the association between medication type and hospital readmission rates within 30 and 90 days. There was a positive association between readmission rates. Readmission rates were higher for children who were older, male, Black, had Medicaid insurance, had a longer hospital stay, or were treated with a selective serotonin reuptake inhibitor/tricyclic antidepressant/narcotic. While not standard practice, patients with functional abdominal pain who receive these medications may be at an increased risk for readmission and subsequent health care contacts and are good candidates for future healthcare coordination.
doi_str_mv 10.1177/0009922816674520
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subjects Abdominal Pain - drug therapy
Abdominal Pain - physiopathology
Adolescent
Age Factors
Antidepressive Agents - therapeutic use
Child
Continental Population Groups - statistics & numerical data
Female
Humans
Insurance, Health - statistics & numerical data
Length of Stay - statistics & numerical data
Male
Narcotics - therapeutic use
Patient Readmission - statistics & numerical data
Recurrence
Retrospective Studies
Sex Factors
title Narcotic and Antidepressant Use and Hospital Readmission Rates in Children With Functional Abdominal Pain
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