Electronic Resource
Predictors of pediatric readmissions among patients with neurological conditions.
| العنوان: | Predictors of pediatric readmissions among patients with neurological conditions. |
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| المؤلفون: | O'Connell, Ryan, O'Connell, Ryan, Feaster, William, Wang, Vera, Taraman, Sharief, Ehwerhemuepha, Louis |
| المصدر: | BMC neurology; vol 21, iss 1, 5; 1471-2377 |
| بيانات النشر: | eScholarship, University of California 2021-01-01 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | BackgroundUnplanned readmission is one of many measures of the quality of care of pediatric patients with neurological conditions. In this multicenter study, we searched for novel risk factors of readmission of patients with neurological conditions.MethodsWe retrieved hospitalization data of patients less than 18 years with one or more neurological conditions. This resulted in a total of 105,834 encounters from 18 hospitals. We included data on patient demographics, prior healthcare resource utilization, neurological conditions, number of other conditions/diagnoses, number of medications, and number of surgical procedures performed. We developed a random intercept logistic regression model using stepwise minimization of Akaike Information Criteria for variable selection.ResultsThe most important neurological conditions associated with unplanned pediatric readmissions include hydrocephalus, inflammatory diseases of the central nervous system, sleep disorders, disease of myoneural junction and muscle, other central nervous system disorder, other spinal cord conditions (such as vascular myelopathies, and cord compression), and nerve, nerve root and plexus disorders. Current and prior healthcare resource utilization variables, number of medications, other diagnoses, and certain inpatient surgical procedures were associated with changes in odds of readmission. The area under the receiver operator characteristic curve (AUROC) on the independent test set is 0.733 (0.722, 0.743).ConclusionsPediatric patients with certain neurological conditions are more likely to be readmitted than others. However, current and prior healthcare resource utilization remain some of the strongest indicators of readmission within this population as in the general pediatric population. |
| مصطلحات الفهرس: | Humans, Nervous System Diseases, Patient Readmission, Risk Factors, Retrospective Studies, Child, Female, Male, Indicators, Neurology, Pediatric, Predictors, Readmission, Clinical Research, Neurodegenerative, Brain Disorders, Patient Safety, Neurosciences, Neurological, Cognitive Sciences, Neurology & Neurosurgery, article |
| URL: | |
| الاتاحة: | Open access content. Open access content public |
| ملاحظة: | application/pdf BMC neurology vol 21, iss 1, 5 1471-2377 |
| Other Numbers: | CDLER oai:escholarship.org:ark:/13030/qt99f2r65w qt99f2r65w https://escholarship.org/uc/item/99f2r65w https://escholarship.org/ 1341877486 |
| المصدر المساهم: | UC MASS DIGITIZATION From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1341877486 |
| قاعدة البيانات: | OAIster |
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