Faculty Collaboration Database

Relationship between pediatric intensive care unit length of stay and 24-h unplanned readmission rate. Health Serv Res 2022 Jun;57(3):598-602

Date

02/13/2022

Pubmed ID

35149985

Pubmed Central ID

PMC9108078

DOI

10.1111/1475-6773.13952

Scopus ID

2-s2.0-85125924412 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

OBJECTIVE: To evaluate the relationship between pediatric intensive care unit (PICU) severity-adjusted length of stay (LOS) and 24-h unplanned readmission rate.

DATA SOURCE: Data were obtained from a 10-year cohort from 2009 to 2018 from the Virtual Pediatric Systems (VPS, LLC) database.

STUDY DESIGN: In this retrospective study, standardized LOS ratio was computed for each PICU as the ratio of the sum of actual LOS divided by the predicted LOS for each PICU using VPS predictive LOS model. Correlation between standardized LOS ratios and 24-h unplanned readmission rates were computed using Pearson's correlation coefficient.

PRINCIPAL FINDINGS: There was practically no relationship between standardized LOS ratio and 24-h readmission rate (R²  = 0.05).

DATA COLLECTION/EXTRACTION METHODS: Not Applicable.

CONCLUSIONS: Severity-adjusted LOS has no relationship with 24-h unplanned readmission rate. These findings suggest that the relationship between PICU severity-adjusted LOS and 24-h unplanned readmission rate should not be used as a balancing quality measure.

Author List

Bhat MA, Soto-Campos G, Scanlon MC

Author

Matthew C. Scanlon ME, MD Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Child
Cohort Studies
Humans
Intensive Care Units, Pediatric
Length of Stay
Patient Readmission
Retrospective Studies