Pediatric anesthesia & critical care
Readmission Rates After Acute Respiratory Distress Syndrome in Children
Authors' conclusion
In this retrospective cohort study of children with ARDS who survived to discharge, important factors associated with readmission included the presence or development of chronic medical conditions during the index admission, tracheostomy placement during index admission, and index hospitalization of 14 days or longer.
Study context
- Population
- Hospitalized children (≥28 days to <18 years) with mechanically ventilated, algorithm-identified acute respiratory distress syndrome (ARDS) who survived to discharge, 2013–2017survived to discharge
- Participants
- 13,505 children
- Exposure
- Index hospitalization factors and 1-year readmission
- Outcome
- All-cause hospital readmission
- Follow-up
- 1 year
Methodological detailsclaims database (IBM MarketScan commercial or Medicaid)
- Claims database (IBM MarketScan commercial or Medicaid)
Main finding
As reported in the abstract
1-year all-cause readmission
Adjusted hazard ratio (95% CI)
Respiratory complex chronic conditions
2.69(2.42–2.98)
Nonrespiratory complex chronic conditions
1.86(1.71–2.03)
New tracheostomy
1.98(1.69–2.33)
LOS 14 days or longer
1.87(1.62–2.16)
- Children readmitted within 1 year
- 3748
- Probability of 1-year readmission (survival analysis)
- 30.0% (95% CI, 29.0%-30.8%)
Observational data: associations, not effects.
Further findings
1-year readmission, children without chronic conditions
| aHR (95% CI) | ||
|---|---|---|
| LOS 14 days or longer | 1.92 (1.49–2.47) | |
| 0.512Adjusted hazard ratio (log scale) |
Time to readmission
- One-half of readmissions occurred within 61 days of discharge
- 61 days (95% CI, 56-67 days)
Original publication
Readmission Rates After Acute Respiratory Distress Syndrome in Children. JAMA Netw Open. Published 5 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →