• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Infectious Disease

Half of all readmissions following lower respiratory infections occur in infants

byKate AndersonandLeah Carr, MD
July 31, 2017
in Infectious Disease, Pediatrics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Boys, infants <1 year of age, and children with chronic conditions were found to be more likely to be readmitted within 30 days following hospitalization for lower respiratory infections (LRIs).

2. Readmissions following LRI hospitalization varied widely among hospitals, and were most likely attributed to continued LRI, asthma, or fluid/electrolyte disorders.

Evidence Rating Level: Level 2 (Good)

Study Rundown: LRIs including bronchiolitis, influenza and community-acquired pneumonia (CAP), are widespread among pediatric patients, and are a significant cause of morbidity, mortality, and hospitalization. In recent years, care improvement initiatives have increasingly relied on hospital readmissions as a measure of care quality, with evidence from multiple studies showing many readmissions are potentially preventable. In this study, researchers analyzed data from pediatric inpatient Medicaid claims between 2008 and 2009 to better characterize unplanned readmissions within 30 days following initial hospitalization for LRI. Results showed that infants <1 year of age, boys, and patients with most chronic conditions had higher rates of readmission. Overall readmission rates varied widely among hospitals. LRIs, asthma, and fluid/electrolyte disorders were the leading diagnoses among children who were readmitted. This study is limited by its reliance on data from several years prior to publication, depicting results that may differ from current readmissions rates. This study is also limited in generalizability as it included data solely from Medicaid, potentially over representing a high-risk patient population. Results from this study provide direction for future improvement initiatives to prevent pediatric readmissions following LRIs.

Click to read the study, published today in Pediatrics

Relevant reading: Measuring pediatric hospital readmission rates to drive quality improvement

In-depth [retrospective cohort]: This study included Medicaid data from 150 590 pediatric inpatient visits for LRIs (index admissions) from 1929 hospitals in 26 states between 2008 and 2009. LRI admissions were defined as those for which a patient had a primary diagnosis of bronchiolitis, influenza, or CAP, or as visits with a secondary diagnosis of one of the 3 LRIs and a primary diagnosis of asthma, respiratory failure, or sepsis/bacteremia. Readmissions were included if they occurred <30 days since the index admission and were not planned (e.g. procedural admissions or scheduled chemotherapy). Researchers collected information on patient and hospital demographics, as well as reason for readmission. Results showed that 8233 of index admissions (5.5%) were associated with ≥1 readmission. Readmission rates varied from 3.8% to 8.8% between hospitals (p < .0001). The most frequent primary readmission diagnosis was LRI, followed by asthma and fluid/electrolyte disturbance (48.2%, 10.0%, and 3.4% respectively). Infants <1 year of age accounted for 47% of readmissions. Male children had higher odds of being readmitted (OR 1.11, p < .001), as did children with most chronic conditions, particularly neoplasms and disease of the nervous system and sense organs (OR 2.86 and 2.45, respectively, p <.001). Having a chronic infectious or parasitic disease, or certain chronic conditions originating in the perinatal period did not increase the odds of readmission (OR 1.49, p = .408; OR 1.38, p = .466, respectively).

RELATED REPORTS

The 2 Minute Medicine Podcast Episode 3

#VisualAbstract: Shorter antibiotic course non-inferior to longer course for pediatric community-acquired pneumonia

Home oxygen therapy for bronchiolitis feasible, cost-effective, and favorable to caregivers

Image: PD

©2017 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: bronchiolitislower respiratory tract infectionspneumoniareadmission
Previous Post

Genetic variants related to serum calcium levels associated with coronary artery disease

Next Post

Chronic medical conditions linked to high emergency department use

RelatedReports

2MM Podcast

The 2 Minute Medicine Podcast Episode 3

February 9, 2023
#VisualAbstract: Intensive blood pressure control post-endovascular thrombectomy after acute ischemic stroke linked with worse clinical outcomes
StudyGraphics

#VisualAbstract: Shorter antibiotic course non-inferior to longer course for pediatric community-acquired pneumonia

November 25, 2022
Ear infections decreasing in infants
Infectious Disease

Home oxygen therapy for bronchiolitis feasible, cost-effective, and favorable to caregivers

September 12, 2022
The ABCD2 score: Risk of stroke after Transient Ischemic Attack (TIA) [Classics Series]
COVID-19 Classics

Sequencing of COVID-19: Comparison to SARS and bat coronavirus [Classics Series]

July 11, 2022
Next Post
Computed tomography improves diagnostic certainty in the emergency department

Chronic medical conditions linked to high emergency department use

No decrease in infant mortality with maternal micronutrient supplementation in Bangladesh

2 Minute Medicine Rewind July 31, 2017

Prevalence of hypertension among adolescents varies by race and BMI

Orthostatic hypotension measurements done within one minute associated with adverse outcomes

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Transcarotid artery revascularization not associated with a significant difference in 30-day risk of stroke, death and myocardial infarction compared to carotid endarterectomy
  • Drinking characteristics in adolescence predict alcohol behaviors in early adulthood
  • Sodium-glucose co-transporter-2 inhibitors may decrease risk of in-stent thrombosis
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options