At-risk characteristics for hospital admissions and ED visits

Purpose The purpose of this study was to explore the factors associated with hospital utilization among infants and young children with complex chronic conditions (CCC). Design and Methods A descriptive, retrospective study was conducted with 216 medical records of children with CCC. Results Greater...

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Bibliographic Details
Published in:Journal for specialists in pediatric nursing 2014-04, Vol.19 (2), p.183-193
Main Authors: Hudson, Shannon M., Mueller, Martina, Hester, William H., Magwood, Gayenell S., Newman, Susan D., Laken, Marilyn A.
Format: Article
Language:English
Subjects:
Age Factors
Babies
Child, Preschool
Chronic disease
Chronic Disease - nursing
Chronic illnesses
emergency health service
Emergency medical care
Emergency Service, Hospital - utilization
Female
Health risk assessment
Hospitalization
Hospitalization - statistics & numerical data
Hospitals, Community - statistics & numerical data
Humans
Infant
Male
Nursing
Patient Admission - statistics & numerical data
Patient admissions
Pediatrics
preschool child
Preschool children
Retrospective Studies
Risk Factors
Rural Population
Socioeconomic Factors
South Carolina
Trauma Centers - statistics & numerical data
Urban Population
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Summary:Purpose The purpose of this study was to explore the factors associated with hospital utilization among infants and young children with complex chronic conditions (CCC). Design and Methods A descriptive, retrospective study was conducted with 216 medical records of children with CCC. Results Greater complexity, younger age, living with siblings, use of public insurance or self‐pay, use of more than one type of insurance, and presence of conditions affecting certain body systems were associated with increased hospital and emergency department (ED) utilization. Practice Implications Nurses must have a heightened awareness of these at‐risk characteristics to prevent avoidable hospital admissions and ED visits.
ISSN:1539-0136
1744-6155
DOI:10.1111/jspn.12068