Pediatric anesthesia & critical care
Frequency of and Risk Factors for Increased Healthcare Utilization After Pediatric Sepsis Hospitalization*
Authors' conclusion
In this nationally representative cohort of children who survived sepsis hospitalization in the United States, nearly one in three had increased healthcare utilization in the 90 days after discharge.
Study context
- Population
- Children (0–18 yr) with sepsis treated in a US hospitalhospitalized for sepsis
- Participants
- 2,801 children
- Exposure
- Healthcare utilization in the 90 days post- vs pre-sepsis hospitalization
- Outcome
- Increased healthcare utilization (increase of at least 3 days post- vs pre-hospitalization, based on outpatient, ED and inpatient hospitalization)
- Follow-up
- 90 days
Methodological detailsobservational, MarketScan Commercial and Medicaid Database 2016-2019
- Observational
- MarketScan Commercial and Medicaid Database 2016-2019
Main finding
As reported in the abstract
Increased healthcare utilization (≥3 days more in 90 days post- vs pre-hospitalization) · 90 days post-sepsis
Patients with increased healthcare utilization post-sepsis
865
30.9%
Median (IQR) total healthcare days, 90 days pre-sepsis
3 days
1–6 d
Median (IQR) total healthcare days, 90 days post-sepsis
10 days
IQR, 6–21 dp < 0.001
Observational data: associations, not effects.
Further findings
Risk factors for increased healthcare use (multivariable models)
| aOR (95% CI) | ||
|---|---|---|
| Hospitalization > 30 d | 4.35 (2.99–6.32) | |
| Renal complex chronic condition | 1.47 (1.02–2.12) | |
| Hematologic/immunologic complex chronic condition | 1.34 (1.03–1.74) | |
| Metabolic complex chronic condition | 1.39 (1.08–1.79) | |
| Malignancy | 1.89 (1.38–2.59) | |
| 0.10.31310Adjusted odds ratio (log scale) |
Original publication
Frequency of and Risk Factors for Increased Healthcare Utilization After Pediatric Sepsis Hospitalization*. Crit Care Med. Published 19 September 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →