Potential Impact of Initial Clinical Data on Adjustment of Pediatric Readmission Rates.

ABSTRACT:

Objective

Comparison of readmission rates requires adjustment for case-mix (ie, differences in patient populations), but previously only claims data were available for this purpose. We examined whether incorporation of relatively readily available clinical data improves prediction of pediatric readmissions and thus might enhance case-mix adjustment.

Methods

We examined 30-day readmissions using claims and electronic health record data for patients ≤18 years and 29 days of age who were admitted to 3 children's hospitals from February 2011 to February 2014. Using the Pediatric All-Condition Readmission Measure and starting with a model including age, gender, chronic conditions, and primary diagnosis, we examined whether the addition of initial vital sign and laboratory data im

SUBMITTER: Nakamura MM 

PROVIDER: S-EPMC6788282 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature