Categorizing Hospitals by Neonatal and Pediatric Diagnoses Treated.

ABSTRACT:

Background

Traditional classification of children's and nonchildren's hospitals is based on physical structure and branding. We grouped hospitals with the most similar types of pediatric patients.

Methods

Retrospective analysis of 2.8 million hospitalizations in 3993 hospitals for patients 0 to 20 years in the 2019 Kids' Inpatient Database. After stratifying low-volume hospitals (greater than 100 annual admissions), we grouped the remaining hospitals using K-means clustering by case-mix of neonatal services and pediatric diagnosis diversity (DD).

Results

Clustering distinguished 6 hospital groups. Group 1 (n = 1665 [1.6% of hospitalizations]) represented low pediatric volume hospitals (13 annual pediatric hospitalizations [IQR 3-82]). Group 2 (n = 118 hospitals [1.1%

SUBMITTER: McDaniel CE 

PROVIDER: S-EPMC11967341 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature