A Validated Method for Identifying Unplanned Pediatric Readmission.

摘要: Objective To validate the accuracy of pre-encounter hospital designation as a novel way to identify unplanned pediatric readmissions and describe most common diagnoses for among children. Study design We examined all discharges from 2 tertiary care children's hospitals excluding deaths, normal newborn discharges, transfers other institutions, hospice. performed blinded medical record review on 641 randomly selected planned/unplanned designation. identified discharge associated with subsequent 30-day readmissions. Results Among 166 994 (hospital A: n = 55 383; B: n = 111 611), readmission rate was 10.3% A) 8.7% B). The "unplanned" correct in 98% 96% B) readmissions; "planned" 86% 85% which occurred were oncologic conditions (up 38%) nonhypertensive congestive heart failure (about 25%), across both institutions. Conclusions Unplanned rates pediatrics, using validated, accurate, "unplanned," are higher than previously estimated. For some conditions, high reported adult conditions. Anticipating high-frequency diagnostic groups may help focus efforts reduce burden families facilities. Using timing registration administrative records is an widely available, real-time distinguish vs planned