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Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States
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 hospit...
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| Published in: | Journal of hospital medicine 2016-11, Vol.11 (11), p.743-749 |
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| Main Authors: | , , , , , |
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| container_end_page | 749 |
| container_issue | 11 |
| container_start_page | 743 |
| container_title | Journal of hospital medicine |
| container_volume | 11 |
| creator | Leyenaar, JoAnna K. Ralston, Shawn L. Shieh, Meng‐Shiou Pekow, Penelope S. Mangione‐Smith, Rita Lindenauer, Peter K. |
| description | 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 |
| doi_str_mv | 10.1002/jhm.2624 |
| format | article |
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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</description><identifier>ISSN: 1553-5592</identifier><identifier>EISSN: 1553-5606</identifier><identifier>DOI: 10.1002/jhm.2624</identifier><identifier>PMID: 27373782</identifier><language>eng</language><publisher>United States: Frontline Medical Communications</publisher><subject>Adolescent ; Child ; Child, Preschool ; Critical Illness - epidemiology ; Cross-Sectional Studies ; Databases, Factual - statistics & numerical data ; Female ; Health Resources ; Hospitalization - statistics & numerical data ; Hospitals, General - statistics & numerical data ; Hospitals, Pediatric - statistics & numerical data ; Humans ; Infant ; Length of Stay - statistics & numerical data ; Male ; Retrospective Studies ; United States - epidemiology</subject><ispartof>Journal of hospital medicine, 2016-11, Vol.11 (11), p.743-749</ispartof><rights>2016 Society of Hospital Medicine</rights><rights>2016 Society of Hospital Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4384-f950273823c576b97c4c894900a8b15d4a799a40907f1b3ee0b92747b73200793</citedby><cites>FETCH-LOGICAL-c4384-f950273823c576b97c4c894900a8b15d4a799a40907f1b3ee0b92747b73200793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27373782$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leyenaar, JoAnna K.</creatorcontrib><creatorcontrib>Ralston, Shawn L.</creatorcontrib><creatorcontrib>Shieh, Meng‐Shiou</creatorcontrib><creatorcontrib>Pekow, Penelope S.</creatorcontrib><creatorcontrib>Mangione‐Smith, Rita</creatorcontrib><creatorcontrib>Lindenauer, Peter K.</creatorcontrib><title>Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States</title><title>Journal of hospital medicine</title><addtitle>J Hosp Med</addtitle><description>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</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Critical Illness - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Databases, Factual - statistics & numerical data</subject><subject>Female</subject><subject>Health Resources</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitals, General - statistics & numerical data</subject><subject>Hospitals, Pediatric - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>United States - epidemiology</subject><issn>1553-5592</issn><issn>1553-5606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1kU9rFTEUxYNYbK2Cn0ACLnQzNX8nk40gpbWWFhfadcjM3HmTx0wyJnnK66dvattnK0gWudz743AOB6E3lBxRQtjH9TgfsZqJZ-iASskrWZP6-cMsNdtHL1NaEyJ4I8ULtM8UL69hB-j6ZHE9zC5MYbXFYcAL9M7m6Do8hrS4bCd3bbMLPmGb8Qo8RDvtbmXpezxEgJTL5PwKd6Ob-gj-fXpEOY_zCPjKuww9_p5thvQK7Q3lBq_v_0N0dXry4_isuvj25evx54uqK3ZFNWhJit-G8U6qutWqE12jhSbENi2VvbBKayuIJmqgLQcgrWZKqFZxRojS_BB9utNdNu0MfQc-lwhmiW62cWuCdebpxbvRrMIvI0WtBJdF4MO9QAw_NyWpmV3qYJqsh7BJhjasVlTWWhX03T_oOmyiL_EKxRmtBaP6r2AXQ0oRhp0ZSsxtoaYUam4LLejbx-Z34EODBajugN9ugu1_hcz52eUfwRtIpqtP</recordid><startdate>201611</startdate><enddate>201611</enddate><creator>Leyenaar, JoAnna K.</creator><creator>Ralston, Shawn L.</creator><creator>Shieh, Meng‐Shiou</creator><creator>Pekow, Penelope S.</creator><creator>Mangione‐Smith, Rita</creator><creator>Lindenauer, Peter K.</creator><general>Frontline Medical Communications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201611</creationdate><title>Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States</title><author>Leyenaar, JoAnna K. ; Ralston, Shawn L. ; Shieh, Meng‐Shiou ; Pekow, Penelope S. ; Mangione‐Smith, Rita ; Lindenauer, Peter K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4384-f950273823c576b97c4c894900a8b15d4a799a40907f1b3ee0b92747b73200793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Critical Illness - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Databases, Factual - statistics & numerical data</topic><topic>Female</topic><topic>Health Resources</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Hospitals, General - statistics & numerical data</topic><topic>Hospitals, Pediatric - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Retrospective Studies</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leyenaar, JoAnna K.</creatorcontrib><creatorcontrib>Ralston, Shawn L.</creatorcontrib><creatorcontrib>Shieh, Meng‐Shiou</creatorcontrib><creatorcontrib>Pekow, Penelope S.</creatorcontrib><creatorcontrib>Mangione‐Smith, Rita</creatorcontrib><creatorcontrib>Lindenauer, Peter K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of hospital medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leyenaar, JoAnna K.</au><au>Ralston, Shawn L.</au><au>Shieh, Meng‐Shiou</au><au>Pekow, Penelope S.</au><au>Mangione‐Smith, Rita</au><au>Lindenauer, Peter K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States</atitle><jtitle>Journal of hospital medicine</jtitle><addtitle>J Hosp Med</addtitle><date>2016-11</date><risdate>2016</risdate><volume>11</volume><issue>11</issue><spage>743</spage><epage>749</epage><pages>743-749</pages><issn>1553-5592</issn><eissn>1553-5606</eissn><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</abstract><cop>United States</cop><pub>Frontline Medical Communications</pub><pmid>27373782</pmid><doi>10.1002/jhm.2624</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of hospital medicine, 2016-11, Vol.11 (11), p.743-749 |
| issn | 1553-5592 1553-5606 |
| language | eng |
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| source | Wiley |
| subjects | Adolescent Child Child, Preschool Critical Illness - epidemiology Cross-Sectional Studies Databases, Factual - statistics & numerical data Female Health Resources Hospitalization - statistics & numerical data Hospitals, General - statistics & numerical data Hospitals, Pediatric - statistics & numerical data Humans Infant Length of Stay - statistics & numerical data Male Retrospective Studies United States - epidemiology |
| title | Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States |
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